<html> <head> <title>Rule 20:06:40:01.01 Waiting periods and affiliation periods relating to breaks in coverage.</title> <META NAME="Keywords" Content="Administrative Rules 20:06:40:01.01"> <META NAME="Description" Content="Administrative Rules 20:06:40:01.01 Waiting periods and affiliation periods relating to breaks in coverage."> <meta http-equiv=Content-Type content="text/html; charset=windows-1252"> <meta name=Generator content="Microsoft Word 14 (filtered)"> <style> <!-- /* Font Definitions */ @font-face {font-family:Calibri; panose-1:2 15 5 2 2 2 4 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";} @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> <div class=WordSection1> <p class=MsoNormal style='margin-left:-.7pt'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; <b>20:06:40:01.01. Waiting periods and affiliation periods relating to breaks in coverage</b>. Waiting periods and delays in the provision of coverage by the employer do not count toward the maximum break in coverage of 63 days for purposes of individual market enrollment. An affiliation period may not be used in counting toward the maximum break in coverage. For employees who have a waiting period after employment to qualify for coverage under the employer's health benefit plan, the enrollment date is the date of employment. For late enrollees, the enrollment date is the date coverage begins.</p> <p class=MsoNormal style='margin-left:-.7pt'>&nbsp;</p> <p class=MsoNormal style='margin-left:-.7pt'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; <b>Source:</b> 39 SDR 203, adopted June 10, 2013, effective January 1, 2014.</p> <p class=MsoNormal style='margin-left:-.7pt'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; <b>General Authority:</b> SDCL <A HREF="/statutes/DisplayStatute.aspx?Type=Statute&Statute=58-18-79">58-18-79.</A></p> <p class=MsoNormal style='margin-left:-.7pt'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; <b>Law Implemented:</b> SDCL <A HREF="/statutes/DisplayStatute.aspx?Type=Statute&Statute=58-18-43">58-18-43</A>, <A HREF="/statutes/DisplayStatute.aspx?Type=Statute&Statute=58-18-44">58-18-44</A>, <A HREF="/statutes/DisplayStatute.aspx?Type=Statute&Statute=58-18-45">58-18-45</A>, <A HREF="/statutes/DisplayStatute.aspx?Type=Statute&Statute=58-18-48">58-18-48</A>, <A HREF="/statutes/DisplayStatute.aspx?Type=Statute&Statute=58-18-79">58-18-79.</A></p> </div> </body> </html>