Rule 20:06:13:17.10 Prescription drug benefits under Medicare supplement plans.
20:06:13:17.10. Prescription drug benefits under Medicare
supplement plans. The following provisions apply to Medicare supplement
(1) A Medicare supplement
plan with benefits for outpatient prescription drugs in existence prior to
January 1, 2006, shall be renewed for current policyholders who do not enroll
in Medicare Part D at the option of the insured subject to §§ 20:06:13:19,
20:06:13:56, 20:06:13:60 and 20:06:13:60.01;
(2) A Medicare supplement
plan with benefits for outpatient prescription drugs may not be issued after
December 31, 2005;
(3) After December 31,
2005, a Medicare supplement policy with benefits for outpatient prescription
drugs may not be renewed after the policyholder enrolls in Medicare Part D
(a) The policy is
modified to eliminate outpatient prescription drug coverage for expenses of
outpatient prescription drugs incurred after the effective date of the
individual's coverage under a Medicare Part D plan; and
(b) Premiums are
adjusted to reflect the elimination of outpatient prescription drug coverage at
the time of Medicare Part D enrollment, accounting for any claims paid, if
This section applies to 1990
standardized Medicare supplement benefit plans.
31 SDR 214, effective July 6, 2005; 35 SDR 183, effective February 2, 2009.
Authority: SDCL 58-17A-2.
Implemented: SDCL 58-17A-2.
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