<html> <head> <title>Rule 20:06:22:35 Frequency of index rate and plan-level adjustments.</title> <META NAME="Keywords" Content="Administrative Rules 20:06:22:35"> <META NAME="Description" Content="Administrative Rules 20:06:22:35 Frequency of index rate and plan-level adjustments."> <meta http-equiv=Content-Type content="text/html; charset=windows-1252"> <meta name=Generator content="Microsoft Word 15 (filtered)"> <style> <!-- /* Font Definitions */ @font-face {font-family:"Cambria Math"; panose-1:2 4 5 3 5 4 6 3 2 4;} /* Style Definitions */ p.MsoNormal, li.MsoNormal, div.MsoNormal {margin:0in; margin-bottom:.0001pt; text-align:justify; font-size:12.0pt; font-family:"Times New Roman",serif;} a:link, span.MsoHyperlink {color:blue; text-decoration:underline;} a:visited, span.MsoHyperlinkFollowed {color:purple; text-decoration:underline;} .MsoChpDefault {font-size:10.0pt;} @page WordSection1 {size:8.5in 11.0in; margin:1.0in 1.0in 1.0in 1.0in;} div.WordSection1 {page:WordSection1;} --> </style> </head> <body lang=EN-US link=blue vlink=purple> <div class=WordSection1> <p class=MsoNormal>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; <b>20:06:22:35.&nbsp;&nbsp;Frequency of index rate and plan-level adjustments.</b> A health insurance issuer may not establish an index rate and make the market-wide adjustments pursuant to &#167;&nbsp;20:06:22:33, or make the plan-level adjustments pursuant to &#167;&nbsp;20:06:22:33, more or less frequently than annually, except as provided in this section.</p> <p class=MsoNormal>&nbsp;</p> <p class=MsoNormal>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; A health insurance issuer in the small group market may establish index rates and make the market-wide adjustments pursuant to &#167;&nbsp;20:06:22:33, and make the plan-level adjustments pursuant to &#167;&nbsp;20:06:22:33, no more frequently than quarterly. Any changes to rates must have effective dates of January 1, April 1, July 1, or October 1. Such rates may only apply to coverage issued or renewed on or after the rate effective date and will apply for the entire plan year of the group health plan.</p> <p class=MsoNormal>&nbsp;</p> <p class=MsoNormal>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; <b>Source:</b> 45 SDR 45, effective October 10, 2018.</p> <p class=MsoNormal>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; <b>General Authority:</b> SDCL <A HREF="/statutes/DisplayStatute.aspx?Type=Statute&Statute=58-17-4.2">58-17-4.2</A>, <A HREF="/statutes/DisplayStatute.aspx?Type=Statute&Statute=58-17-87">58-17-87</A>, <A HREF="/statutes/DisplayStatute.aspx?Type=Statute&Statute=58-18B-18">58-18B-18</A>, <A HREF="/statutes/DisplayStatute.aspx?Type=Statute&Statute=58-18B-36">58-18B-36.</A></p> <p class=MsoNormal>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; <b>Law Implemented:</b> SDCL <A HREF="/statutes/DisplayStatute.aspx?Type=Statute&Statute=58-17-4.1">58-17-4.1</A>, <A HREF="/statutes/DisplayStatute.aspx?Type=Statute&Statute=58-17-87">58-17-87</A>, <A HREF="/statutes/DisplayStatute.aspx?Type=Statute&Statute=58-18B-18">58-18B-18</A>, <A HREF="/statutes/DisplayStatute.aspx?Type=Statute&Statute=58-18B-36">58-18B-36.</A></p> <p class=MsoNormal>&nbsp;</p> </div> </body> </html>