S.D. Admin. R. 20:06:55:44

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

Section 20:06:55:44 - Non-renewal and decertification of qualified health plans

If a qualified health plan issuer elects not to seek recertification with the director, the qualified health plan issuer must:

(1) Notify the director of its decision prior to the beginning of the recertification process;

(2) Fulfill its obligation to cover benefits for each enrollee through the end of the plan or benefit year;

(3) Fulfill data reporting obligations from the last plan or benefit year of the certification;

(4) Provide notice to enrollee in writing; and

(5) Terminate coverage for enrollees in the qualified health plan once enrollees have an opportunity to enroll in other coverage.

S.D. Admin. R. 20:06:55:44

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.