S.D. Admin. R. 20:06:58:43
The plan or issuer must make available to participants and beneficiaries, or their representatives, on request and at no charge, a summary of the information on which the exemption is based. For purposes of §§ 20:06:58:34 to 20:06:58:43, inclusive, an individual who is not a participant or beneficiary and who presents a notice described in §§ 20:06:58:40 to 20:06:58:43, inclusive, is considered to be a representative. A representative may request the summary of information by providing the plan a copy of the notice provided to the participant under §§ 20:06:58:40 to 20:06:58:43, inclusive, with any personally identifiable information redacted. The summary of information must include the incurred expenditures, the base period, the dollar amount of claims incurred during the base period that would have been denied under the terms of the plan of coverage absent amendments required to comply with §§ 20:06:58:02 to 20:06:58:25, inclusive, the administration costs related to those claims, and other administrative costs attributable to complying with the requirements of this section. In no event may the summary of information include any personally identifiable information.
S.D. Admin. R. 20:06:58:43
General Authority: SDCL 58-17-87, 58-18-79, 58-18-79(15).
Law Implemented: SDCL 58-17-87, 58-18-79, 58-18-80.