S.D. Admin. R. 20:06:55:43

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

Section 20:06:55:43 - Decertification of qualified health plan

If an issuer offering a qualified health plan is no longer in compliance with the general certification criteria as outlined in § 20:06:55:35 the issuer may not offer coverage through an Exchange.

If a qualified health plan is decertified or otherwise not approved to offer coverage through an Exchange the qualified health plan issuer must terminate coverage for enrollees only after:

(1) The plan provides notification as described in § 20:06:55:46; and

(2) Enrollees have an opportunity to enroll in other coverage.

S.D. Admin. R. 20:06:55:43

39 SDR 203, adopted June 10, 2013, effective 1/1/2014.

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

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