<html> <head> <title>Rule 20:06:13:31.02 "Usual," "customary," and "reasonable" requirements prohibited.</title> <META NAME="Keywords" Content="Administrative Rules 20:06:13:31.02"> <META NAME="Description" Content="Administrative Rules 20:06:13:31.02 "Usual," "customary," and "reasonable" requirements prohibited."> <meta name=Generator content="Microsoft Office HTML Filter 2.0"> <meta http-equiv=Content-Type content="text/html; charset=windows-1252"> <meta name=Originator content="Microsoft Word 10"> <style> <!-- --> </style> </head> <body lang=EN-US> <div> <p>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; <b>20:06:13:31.02.&nbsp;&nbsp;&quot;Usual,&quot; &quot;customary,&quot; and &quot;reasonable&quot; requirements prohibited.</b> Medicare supplement policies or certificates may not provide for the payment of benefits based on standards described as &quot;usual and customary,&quot; &quot;reasonable and customary,&quot; or words of similar import.</p> <p>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; <b>Source:</b> 18 SDR 225, effective July 17, 1992.</p> <p>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; <b>General Authority:</b> SDCL <A HREF="/statutes/DisplayStatute.aspx?Type=Statute&Statute=58-17A-7">58-17A-7.</A></p> <p>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; <b>Law Implemented:</b> SDCL <A HREF="/statutes/DisplayStatute.aspx?Type=Statute&Statute=58-17A-7">58-17A-7.</A></p> </div> </body> </html>