20:06:55:32.  Definitions.

          (1)  "Exchange," individual and SHOP Exchange;

          (2)  "HHS," United States Department of Health and Human Services;

          (3)  "Health insurance issuer," any person that provides health insurance in this state including an insurance company, a prepaid hospital, or similar plan, a health maintenance organization, a multiple employer welfare arrangement, or any other entity providing a plan of health insurance or health benefits subject to state insurance regulation. A health insurance issuer does not include a person providing only excepted benefits;

          (4)  "Individual Exchange," an Exchange as provided for by section 1311 of PPACA to provide coverage to individuals;

          (5)  "PPACA," means the Patient Protection and Affordable Care Act (P.L. 111-148, 2010), as amended by the Health Care and Education Reconciliation Act (P.L. 111-152, 2010);

          (6)  "SHOP Exchange," an Exchange provided for by section 1311 of PPACA to provide coverage to small employers.

          Source: 39 SDR 203, effective June 10, 2013.

          General Authority: SDCL 58-17-87, 58-18-79.

          Law Implemented: SDCL 58-17-87, 58-18-79, 58-18-80.