Rule 20:06:39:04.01 Certificates required upon loss of coverage.
required upon loss of coverage. A health insurance issuer must provide a
certificate of creditable coverage or simply certify that the individual has
creditable coverage to any individual losing coverage upon requests by or on
behalf of an individual. At any time within 24 months after coverage ceases, a
health insurance issuer must also provide additional certificates or
certifications upon requests by or on behalf of an individual. Each certificate
or certification must be provided in a reasonable and prompt fashion. A
separate fee may not be charged for the provision of a certificate or
certification, but the cost of this service may be factored into the policy
If a health insurance issuer provides coverage in
connection with another type of creditable coverage, the health insurance
issuer must provide a certificate or certification as required by this section.
Source: 39 SDR 203, adopted June 10, 2013,
effective January 1, 2014; 42 SDR 83, effective December 3, 2015.
General Authority: SDCL 58-17-87(2).
Law Implemented: SDCL 58-11-1, 58-17-85, 58-17-87, 58-33-36.
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