20:06:56:15.  Annual limitation on cost sharing. For a plan year beginning in calendar year 2014, cost sharing may not exceed the following:

            (1)  For self-only coverage--the annual dollar limit as described in 26 U.S.C. § 223(c)(2)(A)(ii)(I) of the Internal Revenue Code of 1986 as amended, for self-only coverage that is in effect for 2014; or

            (2)  For other than self-only coverage--the annual dollar limit in 26 U.S.C § 223(c)(2)(A)(ii)(II) of the Internal Revenue Code of 1986 as amended, for non-self-only coverage that is in effect for 2014.

            For a plan year beginning in a calendar year after December 31, 2014, cost sharing may not exceed the following:

            (1)  For self-only coverage--the dollar amount limit for calendar year 2014 increased by an amount equal to the product of that amount and the premium adjustment percentage;

            (2)  For other than self-only coverage--twice the dollar limit for self-only coverage described in subsection 1.

            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.