S.D. Admin. R. 20:06:56:07

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

Section 20:06:56:07 - Prohibited benefits

An issuer of a plan offering essential health benefits may not include routine non-pediatric dental services, routine non-pediatric eye exam services, or long-term/custodial nursing home care benefits, or not medically necessary orthodontia as essential health benefits.

S.D. Admin. R. 20:06:56:07

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.