<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.s3ce086a5-59c1-4652-878e-b8099798dba7Normal { 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.s3ce086a5-59c1-4652-878e-b8099798dba7DefaultParagraphFont { font-family: 'Times New Roman', 'serif'; font-size: 12pt; font-style: normal; font-weight: normal; margin: 0; padding: 0; } span.s3ce086a5-59c1-4652-878e-b8099798dba7DefaultParagraphFont-000000 { color: #0000FF; font-family: 'Times New Roman', 'serif'; font-size: 12pt; font-style: normal; font-weight: bold; margin: 0; padding: 0; } span.s3ce086a5-59c1-4652-878e-b8099798dba7DefaultParagraphFont-000001 { font-family: 'Times New Roman', 'serif'; font-size: 12pt; font-style: normal; font-weight: bold; margin: 0; padding: 0; } span.s3ce086a5-59c1-4652-878e-b8099798dba7000002 { font-size: 12pt; font-style: normal; font-weight: normal; margin: 0; padding: 0; } span.s3ce086a5-59c1-4652-878e-b8099798dba7DefaultParagraphFont-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="s3ce086a5-59c1-4652-878e-b8099798dba7Normal"><span xml:space="preserve" class="s3ce086a5-59c1-4652-878e-b8099798dba7DefaultParagraphFont">    </span><a href="https://sdlegislature.gov/Rules?Rule=20:06:21:106"><span class="s3ce086a5-59c1-4652-878e-b8099798dba7DefaultParagraphFont-000000">20:06:21:106</span></a><span class="s3ce086a5-59c1-4652-878e-b8099798dba7DefaultParagraphFont-000001">.  Claim timeframes.</span><span xml:space="preserve" class="s3ce086a5-59c1-4652-878e-b8099798dba7DefaultParagraphFont"> Within 30 business days after receipt of all the requested additional information, an insurer shall pay a claim for benefits under a long-term care insurance policy or certificate if it is a clean claim, or send a written notice that the insurer is declining to pay all or part of the claim, and the specific reason or reasons for denial.</span></p><p dir="ltr" class="s3ce086a5-59c1-4652-878e-b8099798dba7Normal"><span xml:space="preserve" class="s3ce086a5-59c1-4652-878e-b8099798dba7000002"> </span></p><p dir="ltr" class="s3ce086a5-59c1-4652-878e-b8099798dba7Normal"><span xml:space="preserve" class="s3ce086a5-59c1-4652-878e-b8099798dba7DefaultParagraphFont">    </span><span class="s3ce086a5-59c1-4652-878e-b8099798dba7DefaultParagraphFont-000001">Source:</span><span xml:space="preserve" class="s3ce086a5-59c1-4652-878e-b8099798dba7DefaultParagraphFont"> 36 SDR 209, effective July 1, 2010.</span></p><p dir="ltr" class="s3ce086a5-59c1-4652-878e-b8099798dba7Normal"><span xml:space="preserve" class="s3ce086a5-59c1-4652-878e-b8099798dba7DefaultParagraphFont">    </span><span class="s3ce086a5-59c1-4652-878e-b8099798dba7DefaultParagraphFont-000001">General Authority:</span><span xml:space="preserve" class="s3ce086a5-59c1-4652-878e-b8099798dba7DefaultParagraphFont"> SDCL </span><a href="https://sdlegislature.gov/Statutes?Statute=58-17B-4"><span class="s3ce086a5-59c1-4652-878e-b8099798dba7DefaultParagraphFont-000003">58-17B-4</span></a><span class="s3ce086a5-59c1-4652-878e-b8099798dba7DefaultParagraphFont">.</span></p><p dir="ltr" class="s3ce086a5-59c1-4652-878e-b8099798dba7Normal"><span xml:space="preserve" class="s3ce086a5-59c1-4652-878e-b8099798dba7DefaultParagraphFont">    </span><span class="s3ce086a5-59c1-4652-878e-b8099798dba7DefaultParagraphFont-000001">Law Implemented:</span><span xml:space="preserve" class="s3ce086a5-59c1-4652-878e-b8099798dba7DefaultParagraphFont"> SDCL </span><a href="https://sdlegislature.gov/Statutes?Statute=58-17B-4"><span class="s3ce086a5-59c1-4652-878e-b8099798dba7DefaultParagraphFont-000003">58-17B-4</span></a><span class="s3ce086a5-59c1-4652-878e-b8099798dba7DefaultParagraphFont">.</span></p><p dir="ltr" class="s3ce086a5-59c1-4652-878e-b8099798dba7Normal"><span xml:space="preserve" class="s3ce086a5-59c1-4652-878e-b8099798dba7000002"> </span></p></div></body></html>