S.D. Admin. R. 20:06:55:32

Current through Register Vol. 51, page 67, December 16, 2024

Section 20:06:55:32 - Definitions

(1) "Exchange," individual and SHOP Exchange;

(2) "HHS," United States Department of Health and Human Services;

(3) "Health insurance issuer," any person that provides health insurance in this state including an insurance company, a prepaid hospital, or similar plan, a health maintenance organization, a multiple employer welfare arrangement, or any other entity providing a plan of health insurance or health benefits subject to state insurance regulation. A health insurance issuer does not include a person providing only excepted benefits;

(4) "Individual Exchange," an Exchange as provided for by section 1311 of PPACA to provide coverage to individuals;

(5) "PPACA," means the Patient Protection and Affordable Care Act (P.L. 111-148, 2010), as amended by the Health Care and Education Reconciliation Act (P.L. 111-152, 2010);

(6) "SHOP Exchange," an Exchange provided for by section 1311 of PPACA to provide coverage to small employers.

S.D. Admin. R. 20:06:55:32

39 SDR 203, effective 6/10/2013.

General Authority: SDCL 58-17-87, 58-18-79.

Law Implemented: SDCL 58-17-87, 58-18-79, 58-18-80.