<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.s04b6fdc4-bcb3-45a2-be63-4de02ae52ac9Normal { 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.s04b6fdc4-bcb3-45a2-be63-4de02ae52ac9DefaultParagraphFont { font-family: 'Times New Roman', 'serif'; font-size: 12pt; font-style: normal; font-weight: normal; margin: 0; padding: 0; } span.s04b6fdc4-bcb3-45a2-be63-4de02ae52ac9DefaultParagraphFont-000000 { font-family: 'Times New Roman', 'serif'; font-size: 12pt; font-style: normal; font-weight: bold; margin: 0; padding: 0; } span.s04b6fdc4-bcb3-45a2-be63-4de02ae52ac9DefaultParagraphFont-000001 { color: #0000FF; font-family: 'Times New Roman', 'serif'; font-size: 12pt; font-style: normal; font-weight: normal; margin: 0; padding: 0; } span.s04b6fdc4-bcb3-45a2-be63-4de02ae52ac9000002 { font-size: 12pt; font-style: normal; font-weight: normal; margin: 0; padding: 0; } </style></head><body><div><p dir="ltr" class="s04b6fdc4-bcb3-45a2-be63-4de02ae52ac9Normal"><span xml:space="preserve" class="s04b6fdc4-bcb3-45a2-be63-4de02ae52ac9DefaultParagraphFont">    </span><span class="s04b6fdc4-bcb3-45a2-be63-4de02ae52ac9DefaultParagraphFont-000000">20:06:21:10.  Converted policy from group defined.</span><span xml:space="preserve" class="s04b6fdc4-bcb3-45a2-be63-4de02ae52ac9DefaultParagraphFont"> For the purposes of §§ </span><a href="https://sdlegislature.gov/Rules?Rule=20:06:21:09"><span class="s04b6fdc4-bcb3-45a2-be63-4de02ae52ac9DefaultParagraphFont-000001">20:06:21:09</span></a><span xml:space="preserve" class="s04b6fdc4-bcb3-45a2-be63-4de02ae52ac9DefaultParagraphFont"> to 21:06:21:17, inclusive, a converted policy from group is an individual policy of long-term care insurance providing benefits identical to or benefits determined by the director to be substantially equivalent to or in excess of those provided under the group policy from which conversion is made.</span></p><p dir="ltr" class="s04b6fdc4-bcb3-45a2-be63-4de02ae52ac9Normal"><span xml:space="preserve" class="s04b6fdc4-bcb3-45a2-be63-4de02ae52ac9000002"> </span></p><p dir="ltr" class="s04b6fdc4-bcb3-45a2-be63-4de02ae52ac9Normal"><span xml:space="preserve" class="s04b6fdc4-bcb3-45a2-be63-4de02ae52ac9DefaultParagraphFont">    If the group policy from which conversion is made restricts provision of benefits and services to, or contains incentives to use, certain providers or facilities, the director, in determining the substantial equivalence of benefits, shall take into consideration the differences between managed care and nonmanaged care plans, including provider system arrangements; service availability; benefit levels; and administrative complexity.</span></p><p dir="ltr" class="s04b6fdc4-bcb3-45a2-be63-4de02ae52ac9Normal"><span xml:space="preserve" class="s04b6fdc4-bcb3-45a2-be63-4de02ae52ac9000002"> </span></p><p dir="ltr" class="s04b6fdc4-bcb3-45a2-be63-4de02ae52ac9Normal"><span xml:space="preserve" class="s04b6fdc4-bcb3-45a2-be63-4de02ae52ac9DefaultParagraphFont">    </span><span class="s04b6fdc4-bcb3-45a2-be63-4de02ae52ac9DefaultParagraphFont-000000">Source:</span><span xml:space="preserve" class="s04b6fdc4-bcb3-45a2-be63-4de02ae52ac9DefaultParagraphFont"> 22 SDR 97, effective </span><span class="s04b6fdc4-bcb3-45a2-be63-4de02ae52ac9DefaultParagraphFont">December 18, 1995.</span></p><p dir="ltr" class="s04b6fdc4-bcb3-45a2-be63-4de02ae52ac9Normal"><span xml:space="preserve" class="s04b6fdc4-bcb3-45a2-be63-4de02ae52ac9DefaultParagraphFont">    </span><span class="s04b6fdc4-bcb3-45a2-be63-4de02ae52ac9DefaultParagraphFont-000000">General Authority:</span><span xml:space="preserve" class="s04b6fdc4-bcb3-45a2-be63-4de02ae52ac9DefaultParagraphFont"> SDCL </span><a href="https://sdlegislature.gov/Statutes?Statute=58-17B-4"><span class="s04b6fdc4-bcb3-45a2-be63-4de02ae52ac9DefaultParagraphFont-000001">58-17B-4</span></a><span class="s04b6fdc4-bcb3-45a2-be63-4de02ae52ac9DefaultParagraphFont">.</span></p><p dir="ltr" class="s04b6fdc4-bcb3-45a2-be63-4de02ae52ac9Normal"><span xml:space="preserve" class="s04b6fdc4-bcb3-45a2-be63-4de02ae52ac9DefaultParagraphFont">    </span><span class="s04b6fdc4-bcb3-45a2-be63-4de02ae52ac9DefaultParagraphFont-000000">Law Implemented:</span><span xml:space="preserve" class="s04b6fdc4-bcb3-45a2-be63-4de02ae52ac9DefaultParagraphFont"> SDCL </span><a href="https://sdlegislature.gov/Statutes?Statute=58-17B-5.1"><span class="s04b6fdc4-bcb3-45a2-be63-4de02ae52ac9DefaultParagraphFont-000001">58-17B-5.1</span></a><span class="s04b6fdc4-bcb3-45a2-be63-4de02ae52ac9DefaultParagraphFont">.</span></p><p dir="ltr" class="s04b6fdc4-bcb3-45a2-be63-4de02ae52ac9Normal"><span xml:space="preserve" class="s04b6fdc4-bcb3-45a2-be63-4de02ae52ac9000002"> </span></p></div></body></html>