<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.seafe4e08-8909-408c-9a4d-bc48f7149259Normal { text-align: justify; font-family: 'Times New Roman', 'serif'; font-size: 12pt; line-height: 108%; margin-top: 0; margin-left: 0; margin-right: 0; margin-bottom: .001pt; } span.seafe4e08-8909-408c-9a4d-bc48f7149259DefaultParagraphFont { font-family: 'Times New Roman', 'serif'; font-size: 12pt; font-style: normal; font-weight: normal; margin: 0; padding: 0; } span.seafe4e08-8909-408c-9a4d-bc48f7149259DefaultParagraphFont-000000 { font-family: 'Times New Roman', 'serif'; font-size: 12pt; font-style: normal; font-weight: bold; margin: 0; padding: 0; } span.seafe4e08-8909-408c-9a4d-bc48f7149259000001 { font-size: 12pt; font-style: normal; font-weight: normal; margin: 0; padding: 0; } span.seafe4e08-8909-408c-9a4d-bc48f7149259DefaultParagraphFont-000002 { color: #0000FF; 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="seafe4e08-8909-408c-9a4d-bc48f7149259Normal"><span xml:space="preserve" class="seafe4e08-8909-408c-9a4d-bc48f7149259DefaultParagraphFont">    </span><span class="seafe4e08-8909-408c-9a4d-bc48f7149259DefaultParagraphFont-000000">20:06:21:82.  Availability of new services or providers.</span><span xml:space="preserve" class="seafe4e08-8909-408c-9a4d-bc48f7149259DefaultParagraphFont"> An insurer shall notify policyholders of the availability of a new long-term care policy series that provides coverage for new long-term care services or providers material in nature and not previously available through the insurer to the general public. The notice shall be provided within 12 months of the date the new policy series is made available for sale in this state.</span></p><p dir="ltr" class="seafe4e08-8909-408c-9a4d-bc48f7149259Normal"><span xml:space="preserve" class="seafe4e08-8909-408c-9a4d-bc48f7149259000001"> </span></p><p dir="ltr" class="seafe4e08-8909-408c-9a4d-bc48f7149259Normal"><span xml:space="preserve" class="seafe4e08-8909-408c-9a4d-bc48f7149259DefaultParagraphFont">    Notification is not required for any policy issued prior to </span><span class="seafe4e08-8909-408c-9a4d-bc48f7149259DefaultParagraphFont">July 1, 2007, or to any policyholder or certificateholder who is currently eligible for benefits, within an elimination period or on claim, or who previously has been in claim status, or who would not be eligible to apply for coverage due to issue age limitations under the new policy. The insurer may require that policyholders meet all eligibility requirements, including underwriting and payment of the required premium to add such new services or providers.</span></p><p dir="ltr" class="seafe4e08-8909-408c-9a4d-bc48f7149259Normal"><span xml:space="preserve" class="seafe4e08-8909-408c-9a4d-bc48f7149259000001"> </span></p><p dir="ltr" class="seafe4e08-8909-408c-9a4d-bc48f7149259Normal"><span xml:space="preserve" class="seafe4e08-8909-408c-9a4d-bc48f7149259DefaultParagraphFont">    The insurer shall make the new coverage available in one of the following ways:</span></p><p dir="ltr" class="seafe4e08-8909-408c-9a4d-bc48f7149259Normal"><span xml:space="preserve" class="seafe4e08-8909-408c-9a4d-bc48f7149259000001"> </span></p><p dir="ltr" class="seafe4e08-8909-408c-9a4d-bc48f7149259Normal"><span xml:space="preserve" class="seafe4e08-8909-408c-9a4d-bc48f7149259DefaultParagraphFont">    (1)  By adding a rider to the existing policy and charging a separate premium for the new rider based on the insured's attained age;</span></p><p dir="ltr" class="seafe4e08-8909-408c-9a4d-bc48f7149259Normal"><span xml:space="preserve" class="seafe4e08-8909-408c-9a4d-bc48f7149259000001"> </span></p><p dir="ltr" class="seafe4e08-8909-408c-9a4d-bc48f7149259Normal"><span xml:space="preserve" class="seafe4e08-8909-408c-9a4d-bc48f7149259DefaultParagraphFont">    (2)  By exchanging the existing policy or certificate for one with an issue age based on the present age of the insured and recognizing past insured status by granting premium credits toward the premiums for the new policy or certificate. The premium credits shall be based on premiums paid or reserves held for the prior policy or certificate;</span></p><p dir="ltr" class="seafe4e08-8909-408c-9a4d-bc48f7149259Normal"><span xml:space="preserve" class="seafe4e08-8909-408c-9a4d-bc48f7149259000001"> </span></p><p dir="ltr" class="seafe4e08-8909-408c-9a4d-bc48f7149259Normal"><span xml:space="preserve" class="seafe4e08-8909-408c-9a4d-bc48f7149259DefaultParagraphFont">    (3)  By exchanging the existing policy or certificate for a new policy or certificate in which consideration for past insured status shall be recognized by setting the premium for the new policy or certificate at the issue age of the policy or certificate being exchanged. The cost for the new policy or certificate may recognize the difference in reserves between the new policy or certificate and the original policy or certificate; or</span></p><p dir="ltr" class="seafe4e08-8909-408c-9a4d-bc48f7149259Normal"><span xml:space="preserve" class="seafe4e08-8909-408c-9a4d-bc48f7149259000001"> </span></p><p dir="ltr" class="seafe4e08-8909-408c-9a4d-bc48f7149259Normal"><span xml:space="preserve" class="seafe4e08-8909-408c-9a4d-bc48f7149259DefaultParagraphFont">    (4)  By an alternative program developed by the insurer that meets the intent of this section if the program is filed with and approved by the director.</span></p><p dir="ltr" class="seafe4e08-8909-408c-9a4d-bc48f7149259Normal"><span xml:space="preserve" class="seafe4e08-8909-408c-9a4d-bc48f7149259000001"> </span></p><p dir="ltr" class="seafe4e08-8909-408c-9a4d-bc48f7149259Normal"><span xml:space="preserve" class="seafe4e08-8909-408c-9a4d-bc48f7149259DefaultParagraphFont">    An insurer is not required to notify policyholders of a new proprietary policy series created and filed for use in a limited distribution channel. For purposes of this section, the phrase, limited distribution channel, means through a discrete entity, such as a financial institution or brokerage, for which specialized products are available that are not available for sale to the general public. Policyholders that purchased such a proprietary policy shall be notified when a new long-term care policy series that provides coverage for new long-term care services or providers material in nature is made available to that limited distributed channel.</span></p><p dir="ltr" class="seafe4e08-8909-408c-9a4d-bc48f7149259Normal"><span xml:space="preserve" class="seafe4e08-8909-408c-9a4d-bc48f7149259000001"> </span></p><p dir="ltr" class="seafe4e08-8909-408c-9a4d-bc48f7149259Normal"><span xml:space="preserve" class="seafe4e08-8909-408c-9a4d-bc48f7149259DefaultParagraphFont">    </span><span class="seafe4e08-8909-408c-9a4d-bc48f7149259DefaultParagraphFont-000000">Source:</span><span xml:space="preserve" class="seafe4e08-8909-408c-9a4d-bc48f7149259DefaultParagraphFont"> 33 SDR 230, effective </span><span class="seafe4e08-8909-408c-9a4d-bc48f7149259DefaultParagraphFont">July 2, 2007.</span></p><p dir="ltr" class="seafe4e08-8909-408c-9a4d-bc48f7149259Normal"><span xml:space="preserve" class="seafe4e08-8909-408c-9a4d-bc48f7149259DefaultParagraphFont">    </span><span class="seafe4e08-8909-408c-9a4d-bc48f7149259DefaultParagraphFont-000000">General Authority:</span><span xml:space="preserve" class="seafe4e08-8909-408c-9a4d-bc48f7149259DefaultParagraphFont"> SDCL </span><a href="https://sdlegislature.gov/Statutes?Statute=58-17B-4"><span class="seafe4e08-8909-408c-9a4d-bc48f7149259DefaultParagraphFont-000002">58-17B-4</span></a><span class="seafe4e08-8909-408c-9a4d-bc48f7149259DefaultParagraphFont">.</span></p><p dir="ltr" class="seafe4e08-8909-408c-9a4d-bc48f7149259Normal"><span xml:space="preserve" class="seafe4e08-8909-408c-9a4d-bc48f7149259DefaultParagraphFont">    </span><span class="seafe4e08-8909-408c-9a4d-bc48f7149259DefaultParagraphFont-000000">Law Implemented:</span><span xml:space="preserve" class="seafe4e08-8909-408c-9a4d-bc48f7149259DefaultParagraphFont"> SDCL </span><a href="https://sdlegislature.gov/Statutes?Statute=58-17B-4"><span class="seafe4e08-8909-408c-9a4d-bc48f7149259DefaultParagraphFont-000002">58-17B-4</span></a><span class="seafe4e08-8909-408c-9a4d-bc48f7149259DefaultParagraphFont">.</span></p><p dir="ltr" class="seafe4e08-8909-408c-9a4d-bc48f7149259Normal"><span xml:space="preserve" class="seafe4e08-8909-408c-9a4d-bc48f7149259000001"> </span></p></div></body></html>