<html> <head> <title>Rule 20:06:46:05 Premium or contribution differential based on completion of a bona fide wellness program.</title> <META NAME="Keywords" Content="Administrative Rules 20:06:46:05"> <META NAME="Description" Content="Administrative Rules 20:06:46:05 Premium or contribution differential based on completion of a bona fide wellness program."> <meta name=Generator content="Microsoft Office HTML Filter 2.0"> <meta http-equiv=Content-Type content="text/html; charset=windows-1252"> <meta name=Originator content="Microsoft Word 10"> <style> <!-- --> </style> </head> <body lang=EN-US> <div> <p>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; <b>20:06:46:05.&nbsp;&nbsp;Premium or contribution differential based on completion of a bona fide wellness program.</b> Notwithstanding §&nbsp;20:06:46:04, a carrier subject to this chapter may establish a premium or contribution differential based on whether an individual has complied with the requirements of a bona fide wellness program.</p> <p>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; A carrier subject to this chapter with a cost-sharing mechanism, such as a deductible, payment, or coinsurance, that requires a higher payment from an individual, based on a health factor of that individual or dependent of that individual, than for a similarly situated individual under the plan, does not violate §§&nbsp;20:06:46:06 and 20:06:46:07, if the payment differential is based on whether the individual has complied with the requirements of a bona fide wellness program.</p> <p>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; <b>Source:</b> 29 SDR 48, effective October 10, 2002.</p> <p>&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>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; <b>Law Implemented:</b> SDCL <A HREF="/statutes/DisplayStatute.aspx?Type=Statute&Statute=58-18-79">58-18-79.</A></p> </div> </body> </html>