<html> <head> <title>Rule 20:06:46:08 Preexisting condition exclusion requirements.</title> <META NAME="Keywords" Content="Administrative Rules 20:06:46:08"> <META NAME="Description" Content="Administrative Rules 20:06:46:08 Preexisting condition exclusion requirements."> <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>20:06:46:08.&nbsp;&nbsp;Preexisting condition exclusion requirements.</b> Section 20:06:46:03 does not prohibit a carrier subject to this chapter from imposing a preexisting condition exclusion period if the preexisting exclusion period:</p> <p>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; (1)&nbsp;&nbsp;Complies with the requirements for imposing a preexisting condition exclusion period pursuant to §§&nbsp;20:06:40:01, 20:06:40:04, 20:06:40:08, 20:06:40:09, 20:06:40:10, 20:06:40:15, and SDCL <A HREF="/statutes/DisplayStatute.aspx?Type=Statute&Statute=58-18-45">58-18-45</A>;</p> <p>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; (2)&nbsp;&nbsp;Is applied uniformly to all similarly situated individuals, as those groups are determined under §§&nbsp;20:06:46:09 to 20:06:46:12, inclusive; and</p> <p>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; (3)&nbsp;&nbsp;Is not directed at individual participants or beneficiaries based on any health factor of the participants or beneficiaries.</p> <p>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; For purposes of §§&nbsp;20:06:46:06 to 20:06:46:12, inclusive, a plan amendment relating to a preexisting condition exclusion that is applicable to all individuals in one or more groups of similarly situated individuals under the plan and made effective no earlier than the first day of the first plan year after the amendment is adopted is not considered per se to be directed at any individual participants or beneficiaries.</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>