S.D. Admin. R. 20:06:56:15

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

Section 20:06:56:15 - Annual limitation on cost sharing

For a plan year beginning in calendar year 2014, cost sharing may not exceed the following:

(1) For self-only coverage--the annual dollar limit as described in 26 U.S.C. § 223(c)(2)(A)(ii)(I) of the Internal Revenue Code of 1986 as amended, for self-only coverage that is in effect for 2014; or

(2) For other than self-only coverage--the annual dollar limit in 26 U.S.C § 223(c)(2)(A)(ii)(II) of the Internal Revenue Code of 1986 as amended, for non-self-only coverage that is in effect for 2014.

For a plan year beginning in a calendar year after December 31, 2014, cost sharing may not exceed the following:

(1) For self-only coverage--the dollar amount limit for calendar year 2014 increased by an amount equal to the product of that amount and the premium adjustment percentage;

(2) For other than self-only coverage--twice the dollar limit for self-only coverage described in subsection 1.

S.D. Admin. R. 20:06:56:15

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.