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Administrative Rules
Rule 20:06:56:07 Prohibited benefits.

          20:06:56:07.  Prohibited benefits. An issuer of a plan offering essential health benefits may not include routine non-pediatric dental services, routine non-pediatric eye exam services, or long-term/custodial nursing home care benefits, or not medically necessary orthodontia as essential health benefits.

 

          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.

 

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