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Administrative Rules
Rule 20:06:40:17.01 Written notification regarding coverage of reconstructive surgery after a mastectomy required.

          20:06:40:17.01.  Written notification regarding coverage of reconstructive surgery after a mastectomy required. A group health plan, and a health insurance issuer providing insurance coverage in connection with a group health plan, shall provide notice to each participant and beneficiary under such plan regarding the coverage required by § 20:06:40:17. Such notice shall be in writing and prominently positioned in any literature or correspondence made available or distributed by the plan or issuer and shall be transmitted:

          (1)  In the first mailing made by the plan or issuer to the participant or beneficiary after September 6, 2000; and

          (2)  As a part of any yearly informational packet sent to the participant or beneficiary.

          If a plan or issuer has made a mailing prior to September 6, 2000, that complies with subdivision (1), the requirement of subdivision (1) is met.

          Source: 27 SDR 15, effective September 6, 2000.

          General Authority: SDCL 58-18-79.

          Law Implemented: SDCL 58-18-79.

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