20:06:55:45.  Rates. A qualified health plan issuer must set rates for an entire benefit year, or for the SHOP Exchange, plan year. An issuer must submit rate and benefit information to the director. A qualified health plan issuer must submit to the director a justification for a rate increase prior to the implementation of the increase. A qualified health plan issuer must prominently post the justification for a rate increase on its website. A qualified health plan issuer may vary premiums by the geographic rating area described in § 20:06:22:29.

          Stand-alone dental plans are not subject to § 20:06:22:29. Stand-alone dental must file rates in accordance with SDCL 58-17-4.1 and SDCL 58-39-8. Any stand-alone dental plan that is not subject to rate approval pursuant to SDCL 58-17-4.1 or SDCL 58-39-8 must file rates with the director for informational purposes only.

          Source: 39 SDR 203, adopted June 10, 2013, effective January 1, 2014.

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

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