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Rule 20:06:21:72 Disclosure to applicant for a claim denial.

          20:06:21:72.  Disclosure to applicant for a claim denial. If a claim under a long-term care insurance contract is denied, the issuer shall, within 60 days of the date of a written request by the policyholder or certificateholder, or a representative thereof:

          (1)  Provide a written explanation of the reasons for the denial; and

          (2)  Make available all information directly related to the denial.

          Source: 28 SDR 157, effective May 19, 2002.

          General Authority: SDCL 58-17B-4.

          Law Implemented: SDCL 58-17B-4.


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