S.D. Admin. R. 20:06:56:16

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

Section 20:06:56:16 - Annual limitation on deductibles for plans in the small group market

For a plan year beginning in calendar year 2014, the annual deductible for a health plan in the small group market may not exceed the following

(1) For self-only coverage--$2,000; or

(2) For coverage other than self-only--$4,000.

For a plan year beginning in a calendar year after 2014, the annual deductible for a health plan in the small group market may not exceed the following:

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

(2) For other than self-only coverage--twice the annual deductible limit for self-only coverage.

A health plan's annual deductible may exceed the annual deductible limit if that plan may not reasonably reach the actuarial value of a given level of coverage without exceeding the annual deductible limit.

S.D. Admin. R. 20:06:56:16

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.