<html> <head> <title>Rule 67:16:26:02 Responsibility for reporting of third-party liability -- Recipients.</title> <META NAME="Keywords" Content="Administrative Rules 67:16:26:02"> <META NAME="Description" Content="Administrative Rules 67:16:26:02 Responsibility for reporting of third-party liability -- Recipients."> <meta name=Generator content="Microsoft Office HTML Filter 2.0"> <meta http-equiv=Content-Type content="text/html; charset=windows-1252"> <meta name=Originator content="Microsoft Word 10"> <style> <!-- --> </style> </head> <body lang=EN-US> <div> <p><font size=3 face="Times New Roman">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; <b>67:16:26:02.&nbsp;&nbsp;Responsibility for reporting of third-party liability -- Recipients.</b> As a condition of eligibility, a recipient must report to and cooperate with the department in securing information on and payments from third-party liability sources. Information must be reported to the department as soon as the recipient is aware of or has reason to believe that a third-party liability source exists.</font></p> <p><font size=3 face="Times New Roman">&nbsp;</font></p> <p><font size=3 face="Times New Roman">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; Information to be reported includes items such as the name of the policy holder, the policy holder's relationship to the recipient, the policy holder's social security number, the name and address of the insurance company, and the policy number.</font></p> <p><font size=3 face="Times New Roman">&nbsp;</font></p> <p><font size=3 face="Times New Roman">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; Cooperation includes providing the name and address of any legal representative retained by or on behalf of the recipient to pursue litigation for any accident or trauma which resulted in payment by the department for services.</font></p> <p><font size=3 face="Times New Roman">&nbsp;</font></p> <p><font size=3 face="Times New Roman">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; <b>Source:</b> 7 SDR 23, effective September 18, 1980; 7 SDR 66, 7 SDR 89, effective July 1, 1981; 16 SDR 226, effective June 24, 1990.</font></p> <p><font size=3 face="Times New Roman">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; <b>General Authority:</b> SDCL <A HREF="/statutes/DisplayStatute.aspx?Type=Statute&Statute=28-6-1">28-6-1.</A></font></p> <p><font size=3 face="Times New Roman">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; <b>Law Implemented:</b> SDCL <A HREF="/statutes/DisplayStatute.aspx?Type=Statute&Statute=28-6-1">28-6-1.</A></font></p> <p><font size=3 face="Times New Roman">&nbsp;</font></p> <p><font size=3 face="Times New Roman">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; <b>Cross-Reference:</b> Assignment of rights to benefits, 42 C.F.R. §&nbsp;435.610.</font></p> <p><font size=3 face="Times New Roman">&nbsp;</font></p> </div> </body> </html>