<html xmlns="http://www.w3.org/1999/xhtml"><head><meta charset="UTF-8" /><title></title><meta name="Generator" content="PowerTools for Open XML" /><style>span { white-space: pre-wrap; } p.sc437f646-7519-4b65-b38f-c93d5f69abb4P0 { margin-top: 0; margin-bottom: 0; margin-left: 0; margin-right: 0; text-indent: 0.00in; text-align: justify; background: white; font-family: 'Times New Roman', 'serif'; font-size: 12pt; line-height: 108%; } span.sc437f646-7519-4b65-b38f-c93d5f69abb4C0 { color: black; background: white; font-family: 'Times New Roman', 'serif'; font-size: 12pt; font-style: normal; font-weight: normal; margin: 0; padding: 0; } span.sc437f646-7519-4b65-b38f-c93d5f69abb4C0-000000 { color: #0000FF; background: white; font-family: 'Times New Roman', 'serif'; font-size: 12pt; font-style: normal; font-weight: bold; margin: 0; padding: 0; } span.sc437f646-7519-4b65-b38f-c93d5f69abb4C0-000001 { color: black; background: white; font-family: 'Times New Roman', 'serif'; font-size: 12pt; font-style: normal; font-weight: bold; margin: 0; padding: 0; } span.sc437f646-7519-4b65-b38f-c93d5f69abb4000002 { color: black; background: white; font-size: 12pt; font-style: normal; font-weight: normal; margin: 0; padding: 0; } span.sc437f646-7519-4b65-b38f-c93d5f69abb4C0-000003 { color: #0000FF; background: white; font-family: 'Times New Roman', 'serif'; font-size: 12pt; font-style: normal; font-weight: normal; margin: 0; padding: 0; } </style></head><body><div><p dir="ltr" class="sc437f646-7519-4b65-b38f-c93d5f69abb4P0"><span xml:space="preserve" class="sc437f646-7519-4b65-b38f-c93d5f69abb4C0">    </span><a href="https://sdlegislature.gov/Rules?Rule=67:46:14:01"><span class="sc437f646-7519-4b65-b38f-c93d5f69abb4C0-000000">67:46:14:01</span></a><span class="sc437f646-7519-4b65-b38f-c93d5f69abb4C0-000001">.  Definitions.</span><span xml:space="preserve" class="sc437f646-7519-4b65-b38f-c93d5f69abb4C0"> Terms used in this chapter mean;</span></p><p dir="ltr" class="sc437f646-7519-4b65-b38f-c93d5f69abb4P0"><span xml:space="preserve" class="sc437f646-7519-4b65-b38f-c93d5f69abb4000002"> </span></p><p dir="ltr" class="sc437f646-7519-4b65-b38f-c93d5f69abb4P0"><span xml:space="preserve" class="sc437f646-7519-4b65-b38f-c93d5f69abb4C0">    (1)  "Caretaker," the adult who lives with and provides care and control of a child eligible for services under this chapter. The caretaker may include the child's parent or parents;</span></p><p dir="ltr" class="sc437f646-7519-4b65-b38f-c93d5f69abb4P0"><span xml:space="preserve" class="sc437f646-7519-4b65-b38f-c93d5f69abb4000002"> </span></p><p dir="ltr" class="sc437f646-7519-4b65-b38f-c93d5f69abb4P0"><span xml:space="preserve" class="sc437f646-7519-4b65-b38f-c93d5f69abb4C0">    (2)  "Child," an individual </span><span class="sc437f646-7519-4b65-b38f-c93d5f69abb4C0">under</span><span xml:space="preserve" class="sc437f646-7519-4b65-b38f-c93d5f69abb4C0"> age </span><span class="sc437f646-7519-4b65-b38f-c93d5f69abb4C0">nineteen</span><span class="sc437f646-7519-4b65-b38f-c93d5f69abb4C0">;</span></p><p dir="ltr" class="sc437f646-7519-4b65-b38f-c93d5f69abb4P0"><span xml:space="preserve" class="sc437f646-7519-4b65-b38f-c93d5f69abb4000002"> </span></p><p dir="ltr" class="sc437f646-7519-4b65-b38f-c93d5f69abb4P0"><span xml:space="preserve" class="sc437f646-7519-4b65-b38f-c93d5f69abb4C0">    (3)  "Group health plan," a plan of, or contributed to by, an employer, including a self-employed person, or employee organization to provide health care, directly or otherwise, to the employees, former employees, the employer, others associated or formerly associated with the employer in a business relationship, or their families. A group health plan includes self-insured plans and plans of incorporated or unincorporated organizations that are organized and operated for educational, religious, charitable, or other purposes and that hold funds exclusively for its members and use those funds to meet the health care needs of its members;</span></p><p dir="ltr" class="sc437f646-7519-4b65-b38f-c93d5f69abb4P0"><span xml:space="preserve" class="sc437f646-7519-4b65-b38f-c93d5f69abb4000002"> </span></p><p dir="ltr" class="sc437f646-7519-4b65-b38f-c93d5f69abb4P0"><span xml:space="preserve" class="sc437f646-7519-4b65-b38f-c93d5f69abb4C0">    (</span><span class="sc437f646-7519-4b65-b38f-c93d5f69abb4C0">4</span><span class="sc437f646-7519-4b65-b38f-c93d5f69abb4C0">)  "Health insurance," benefits consisting of medical care provided directly, through insurance or reimbursement, or otherwise, under any hospital or medical service policy or certificate, hospital or medical service plan contract, or health maintenance organization contract offered by a health insurance issuer; and</span></p><p dir="ltr" class="sc437f646-7519-4b65-b38f-c93d5f69abb4P0"><span xml:space="preserve" class="sc437f646-7519-4b65-b38f-c93d5f69abb4000002"> </span></p><p dir="ltr" class="sc437f646-7519-4b65-b38f-c93d5f69abb4P0"><span xml:space="preserve" class="sc437f646-7519-4b65-b38f-c93d5f69abb4C0">    (</span><span class="sc437f646-7519-4b65-b38f-c93d5f69abb4C0">5</span><span class="sc437f646-7519-4b65-b38f-c93d5f69abb4C0">)  "Health insurance issuer," an insurance company, insurance service, or insurance organization, including a health maintenance organization, that is required to be licensed to engage in the business of insurance in South Dakota. A health insurance issuer does not include a group health plan</span><span class="sc437f646-7519-4b65-b38f-c93d5f69abb4C0">.</span></p><p dir="ltr" class="sc437f646-7519-4b65-b38f-c93d5f69abb4P0"><span xml:space="preserve" class="sc437f646-7519-4b65-b38f-c93d5f69abb4000002"> </span></p><p dir="ltr" class="sc437f646-7519-4b65-b38f-c93d5f69abb4P0"><span xml:space="preserve" class="sc437f646-7519-4b65-b38f-c93d5f69abb4C0">    </span><span class="sc437f646-7519-4b65-b38f-c93d5f69abb4C0-000001">Source:</span><span xml:space="preserve" class="sc437f646-7519-4b65-b38f-c93d5f69abb4C0"> 26 SDR 168, effective July 1, 2000; 41 SDR 7, effective July 29, 2014; 41 SDR 93, effective December 3, 2014</span><span class="sc437f646-7519-4b65-b38f-c93d5f69abb4C0">; 51 SDR 52, effective November 11, 2024</span><span class="sc437f646-7519-4b65-b38f-c93d5f69abb4C0">.</span></p><p dir="ltr" class="sc437f646-7519-4b65-b38f-c93d5f69abb4P0"><span xml:space="preserve" class="sc437f646-7519-4b65-b38f-c93d5f69abb4C0">    </span><span class="sc437f646-7519-4b65-b38f-c93d5f69abb4C0-000001">General Authority:</span><span xml:space="preserve" class="sc437f646-7519-4b65-b38f-c93d5f69abb4C0"> SDCL </span><a href="https://sdlegislature.gov/Statutes?Statute=28-6-1"><span class="sc437f646-7519-4b65-b38f-c93d5f69abb4C0-000003">28-6-1</span></a><span class="sc437f646-7519-4b65-b38f-c93d5f69abb4C0">.</span></p><p dir="ltr" class="sc437f646-7519-4b65-b38f-c93d5f69abb4P0"><span xml:space="preserve" class="sc437f646-7519-4b65-b38f-c93d5f69abb4C0">    </span><span class="sc437f646-7519-4b65-b38f-c93d5f69abb4C0-000001">Law Implemented:</span><span xml:space="preserve" class="sc437f646-7519-4b65-b38f-c93d5f69abb4C0"> SDCL </span><a href="https://sdlegislature.gov/Statutes?Statute=28-6-1"><span class="sc437f646-7519-4b65-b38f-c93d5f69abb4C0-000003">28-6-1</span></a><span class="sc437f646-7519-4b65-b38f-c93d5f69abb4C0">.</span></p><p dir="ltr" class="sc437f646-7519-4b65-b38f-c93d5f69abb4P0"><span xml:space="preserve" class="sc437f646-7519-4b65-b38f-c93d5f69abb4000002"> </span></p><p dir="ltr" class="sc437f646-7519-4b65-b38f-c93d5f69abb4P0"><span xml:space="preserve" class="sc437f646-7519-4b65-b38f-c93d5f69abb4C0">    </span><span class="sc437f646-7519-4b65-b38f-c93d5f69abb4C0-000001">Cross-Reference:</span><span xml:space="preserve" class="sc437f646-7519-4b65-b38f-c93d5f69abb4C0"> Application of modified adjusted gross income (MAGI), 42 C.F.R. § 435.603 (July 15, 2013).</span></p><p dir="ltr" class="sc437f646-7519-4b65-b38f-c93d5f69abb4P0"><span xml:space="preserve" class="sc437f646-7519-4b65-b38f-c93d5f69abb4000002"> </span></p></div></body></html>