<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.sfa2bc7f5-6b5e-4166-9bc9-c3802831ed0fNormal { 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.sfa2bc7f5-6b5e-4166-9bc9-c3802831ed0fDefaultParagraphFont { font-family: 'Times New Roman', 'serif'; font-size: 12pt; font-style: normal; font-weight: normal; margin: 0; padding: 0; } span.sfa2bc7f5-6b5e-4166-9bc9-c3802831ed0fDefaultParagraphFont-000000 { color: #0000FF; font-family: 'Times New Roman', 'serif'; font-size: 12pt; font-style: normal; font-weight: bold; margin: 0; padding: 0; } span.sfa2bc7f5-6b5e-4166-9bc9-c3802831ed0fDefaultParagraphFont-000001 { font-family: 'Times New Roman', 'serif'; font-size: 12pt; font-style: normal; font-weight: bold; margin: 0; padding: 0; } span.sfa2bc7f5-6b5e-4166-9bc9-c3802831ed0f000002 { font-size: 12pt; font-style: normal; font-weight: normal; margin: 0; padding: 0; } span.sfa2bc7f5-6b5e-4166-9bc9-c3802831ed0fDefaultParagraphFont-000003 { 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="sfa2bc7f5-6b5e-4166-9bc9-c3802831ed0fNormal"><span xml:space="preserve" class="sfa2bc7f5-6b5e-4166-9bc9-c3802831ed0fDefaultParagraphFont">    </span><a href="https://sdlegislature.gov/Rules?Rule=20:06:21:97"><span class="sfa2bc7f5-6b5e-4166-9bc9-c3802831ed0fDefaultParagraphFont-000000">20:06:21:97</span></a><span class="sfa2bc7f5-6b5e-4166-9bc9-c3802831ed0fDefaultParagraphFont-000001">.  Additional information to independent review.</span><span xml:space="preserve" class="sfa2bc7f5-6b5e-4166-9bc9-c3802831ed0fDefaultParagraphFont"> The insured or the insured's authorized representative may submit, at any time, new or additional information not previously provided to the insurer but pertinent to the benefit trigger denial. The insurer shall consider such information and affirm or overturn its benefit trigger determination. If the insurer affirms its benefit trigger determination, the insurer shall promptly provide such new or additional information to the independent review organization for its review, along with the insurer's analysis of such information.</span></p><p dir="ltr" class="sfa2bc7f5-6b5e-4166-9bc9-c3802831ed0fNormal"><span xml:space="preserve" class="sfa2bc7f5-6b5e-4166-9bc9-c3802831ed0f000002"> </span></p><p dir="ltr" class="sfa2bc7f5-6b5e-4166-9bc9-c3802831ed0fNormal"><span xml:space="preserve" class="sfa2bc7f5-6b5e-4166-9bc9-c3802831ed0fDefaultParagraphFont">    </span><span class="sfa2bc7f5-6b5e-4166-9bc9-c3802831ed0fDefaultParagraphFont-000001">Source:</span><span xml:space="preserve" class="sfa2bc7f5-6b5e-4166-9bc9-c3802831ed0fDefaultParagraphFont"> 36 SDR 209, effective July 1, 2010.</span></p><p dir="ltr" class="sfa2bc7f5-6b5e-4166-9bc9-c3802831ed0fNormal"><span xml:space="preserve" class="sfa2bc7f5-6b5e-4166-9bc9-c3802831ed0fDefaultParagraphFont">    </span><span class="sfa2bc7f5-6b5e-4166-9bc9-c3802831ed0fDefaultParagraphFont-000001">General Authority:</span><span xml:space="preserve" class="sfa2bc7f5-6b5e-4166-9bc9-c3802831ed0fDefaultParagraphFont"> SDCL </span><a href="https://sdlegislature.gov/Statutes?Statute=58-17B-4"><span class="sfa2bc7f5-6b5e-4166-9bc9-c3802831ed0fDefaultParagraphFont-000003">58-17B-4</span></a><span class="sfa2bc7f5-6b5e-4166-9bc9-c3802831ed0fDefaultParagraphFont">.</span></p><p dir="ltr" class="sfa2bc7f5-6b5e-4166-9bc9-c3802831ed0fNormal"><span xml:space="preserve" class="sfa2bc7f5-6b5e-4166-9bc9-c3802831ed0fDefaultParagraphFont">    </span><span class="sfa2bc7f5-6b5e-4166-9bc9-c3802831ed0fDefaultParagraphFont-000001">Law Implemented:</span><span xml:space="preserve" class="sfa2bc7f5-6b5e-4166-9bc9-c3802831ed0fDefaultParagraphFont"> SDCL </span><a href="https://sdlegislature.gov/Statutes?Statute=58-17B-4"><span class="sfa2bc7f5-6b5e-4166-9bc9-c3802831ed0fDefaultParagraphFont-000003">58-17B-4</span></a><span class="sfa2bc7f5-6b5e-4166-9bc9-c3802831ed0fDefaultParagraphFont">.</span></p><p dir="ltr" class="sfa2bc7f5-6b5e-4166-9bc9-c3802831ed0fNormal"><span xml:space="preserve" class="sfa2bc7f5-6b5e-4166-9bc9-c3802831ed0f000002"> </span></p></div></body></html>