<html xmlns="http://www.w3.org/1999/xhtml"><head><meta charset="UTF-8" /><title></title><meta name="Generator" content="PowerTools for Open XML" /><style>p.s7ad542d5-bfee-484b-a58e-08ee6f8b8c07P2 { margin-top: 0; margin-bottom: 0; margin-left: 0; margin-right: 0; text-indent: 0.00in; text-align: center; background: white; font-family: Times; font-size: 12pt; line-height: 108%; } span.s7ad542d5-bfee-484b-a58e-08ee6f8b8c07C0 { color: black; background: white; font-family: 'Times New Roman', 'serif'; font-size: 12pt; font-style: normal; font-weight: bold; margin: 0; padding: 0; } span.s7ad542d5-bfee-484b-a58e-08ee6f8b8c07C0-000000 { color: #0000FF; background: white; font-family: 'Times New Roman', 'serif'; font-size: 12pt; font-style: normal; font-weight: bold; margin: 0; padding: 0; } p.s7ad542d5-bfee-484b-a58e-08ee6f8b8c07P0 { margin-top: 0; margin-bottom: 0; margin-left: 0; margin-right: 0; text-indent: 0.00in; text-align: center; background: white; font-family: 'Times New Roman', 'serif'; font-size: 12pt; line-height: 108%; } span.s7ad542d5-bfee-484b-a58e-08ee6f8b8c07000001 { color: black; background: white; font-size: 12pt; font-style: normal; font-weight: normal; margin: 0; padding: 0; } span.s7ad542d5-bfee-484b-a58e-08ee6f8b8c07000002 { color: black; background: white; font-size: 12pt; font-style: normal; font-weight: bold; margin: 0; padding: 0; } p.s7ad542d5-bfee-484b-a58e-08ee6f8b8c07P0-000003 { margin-top: 0; margin-bottom: 0; margin-left: 0; margin-right: 0; text-indent: 0.00in; text-align: justify; background: white; font-family: 'Times New Roman', 'serif'; font-size: 12pt; line-height: 108%; } span.s7ad542d5-bfee-484b-a58e-08ee6f8b8c07C0-000004 { color: black; background: white; font-family: 'Times New Roman', 'serif'; font-size: 12pt; font-style: normal; font-weight: normal; margin: 0; padding: 0; } span.s7ad542d5-bfee-484b-a58e-08ee6f8b8c07C0-000005 { color: #0000FF; background: white; font-family: 'Times New Roman', 'serif'; font-size: 12pt; font-style: normal; font-weight: normal; margin: 0; padding: 0; } </style></head><body><div><p dir="ltr" class="s7ad542d5-bfee-484b-a58e-08ee6f8b8c07P2"><span style="white-space: pre-wrap;" xml:space="preserve" class="s7ad542d5-bfee-484b-a58e-08ee6f8b8c07C0">ARTICLE </span><a href="https://sdlegislature.gov/Rules?Rule=55:08"><span style="white-space: pre-wrap;" class="s7ad542d5-bfee-484b-a58e-08ee6f8b8c07C0-000000">55:08</span></a></p><p dir="ltr" class="s7ad542d5-bfee-484b-a58e-08ee6f8b8c07P0"><span style="white-space: pre-wrap;" xml:space="preserve" class="s7ad542d5-bfee-484b-a58e-08ee6f8b8c07000001"> </span></p><p dir="ltr" class="s7ad542d5-bfee-484b-a58e-08ee6f8b8c07P0"><span style="white-space: pre-wrap;" class="s7ad542d5-bfee-484b-a58e-08ee6f8b8c07C0">STATE EMPLOYEE BENEFITS</span></p><p dir="ltr" class="s7ad542d5-bfee-484b-a58e-08ee6f8b8c07P0"><span style="white-space: pre-wrap;" xml:space="preserve" class="s7ad542d5-bfee-484b-a58e-08ee6f8b8c07000002"> </span></p><p dir="ltr" class="s7ad542d5-bfee-484b-a58e-08ee6f8b8c07P0"><span style="white-space: pre-wrap;" xml:space="preserve" class="s7ad542d5-bfee-484b-a58e-08ee6f8b8c07000001"> </span></p><p dir="ltr" class="s7ad542d5-bfee-484b-a58e-08ee6f8b8c07P0-000003"><span style="white-space: pre-wrap;" class="s7ad542d5-bfee-484b-a58e-08ee6f8b8c07C0-000004">Chapter</span></p><p dir="ltr" class="s7ad542d5-bfee-484b-a58e-08ee6f8b8c07P0-000003"><a href="https://sdlegislature.gov/Rules?Rule=55:08:01"><span style="white-space: pre-wrap;" class="s7ad542d5-bfee-484b-a58e-08ee6f8b8c07C0-000005">55:08:01</span></a><span style="white-space: pre-wrap;" xml:space="preserve" class="s7ad542d5-bfee-484b-a58e-08ee6f8b8c07C0-000004">        Definitions.</span></p><p dir="ltr" class="s7ad542d5-bfee-484b-a58e-08ee6f8b8c07P0-000003"><a href="https://sdlegislature.gov/Rules?Rule=55:08:02"><span style="white-space: pre-wrap;" class="s7ad542d5-bfee-484b-a58e-08ee6f8b8c07C0-000005">55:08:02</span></a><span style="white-space: pre-wrap;" xml:space="preserve" class="s7ad542d5-bfee-484b-a58e-08ee6f8b8c07C0-000004">        Health benefit.</span></p><p dir="ltr" class="s7ad542d5-bfee-484b-a58e-08ee6f8b8c07P0-000003"><a href="https://sdlegislature.gov/Rules?Rule=55:08:03"><span style="white-space: pre-wrap;" class="s7ad542d5-bfee-484b-a58e-08ee6f8b8c07C0-000005">55:08:03</span></a><span style="white-space: pre-wrap;" xml:space="preserve" class="s7ad542d5-bfee-484b-a58e-08ee6f8b8c07C0-000004">        Life benefit.</span></p><p dir="ltr" class="s7ad542d5-bfee-484b-a58e-08ee6f8b8c07P0-000003"><a href="https://sdlegislature.gov/Rules?Rule=55:08:04"><span style="white-space: pre-wrap;" class="s7ad542d5-bfee-484b-a58e-08ee6f8b8c07C0-000005">55:08:04</span></a><span style="white-space: pre-wrap;" xml:space="preserve" class="s7ad542d5-bfee-484b-a58e-08ee6f8b8c07C0-000004">        </span><span style="white-space: pre-wrap;" class="s7ad542d5-bfee-484b-a58e-08ee6f8b8c07C0-000004">Repealed</span><span style="white-space: pre-wrap;" class="s7ad542d5-bfee-484b-a58e-08ee6f8b8c07C0-000004">.</span></p><p dir="ltr" class="s7ad542d5-bfee-484b-a58e-08ee6f8b8c07P0-000003"><a href="https://sdlegislature.gov/Rules?Rule=55:08:05"><span style="white-space: pre-wrap;" class="s7ad542d5-bfee-484b-a58e-08ee6f8b8c07C0-000005">55:08:05</span></a><span style="white-space: pre-wrap;" xml:space="preserve" class="s7ad542d5-bfee-484b-a58e-08ee6f8b8c07C0-000004">        Flexible benefits plan.</span></p><p dir="ltr" class="s7ad542d5-bfee-484b-a58e-08ee6f8b8c07P0-000003"><a href="https://sdlegislature.gov/Rules?Rule=55:08:06"><span style="white-space: pre-wrap;" class="s7ad542d5-bfee-484b-a58e-08ee6f8b8c07C0-000005">55:08:06</span></a><span style="white-space: pre-wrap;" xml:space="preserve" class="s7ad542d5-bfee-484b-a58e-08ee6f8b8c07C0-000004">        Claims review procedure.</span></p><p dir="ltr" class="s7ad542d5-bfee-484b-a58e-08ee6f8b8c07P0-000003"><a href="https://sdlegislature.gov/Rules?Rule=55:08:07"><span style="white-space: pre-wrap;" class="s7ad542d5-bfee-484b-a58e-08ee6f8b8c07C0-000005">55:08:07</span></a><span style="white-space: pre-wrap;" xml:space="preserve" class="s7ad542d5-bfee-484b-a58e-08ee6f8b8c07C0-000004">        Opt-out procedure.</span></p><p dir="ltr" class="s7ad542d5-bfee-484b-a58e-08ee6f8b8c07P0-000003"><span style="white-space: pre-wrap;" xml:space="preserve" class="s7ad542d5-bfee-484b-a58e-08ee6f8b8c07000001"> </span></p><p dir="ltr" class="s7ad542d5-bfee-484b-a58e-08ee6f8b8c07P0-000003"><span style="white-space: pre-wrap;" xml:space="preserve" class="s7ad542d5-bfee-484b-a58e-08ee6f8b8c07000001"> </span></p></div></body></html><br /><hr><br /><html> <head> <meta name=Generator content="Microsoft Office HTML Filter 2.0"> <meta http-equiv=Content-Type content="text/html; charset=windows-1252"> <style> <!-- --> </style> </head> <body lang=EN-US> <div> <p align=center><b>CHAPTER 55:08:01</b></p> <p align=center><b>&nbsp;</b></p> <p align=center><b>DEFINITIONS</b></p> <p>Section</p> <p><a href="DisplayRule.aspx?Rule=55:08:01:01">55:08:01:01</a>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; Definition of terms.</p> </div> </body> </html> <br /><hr><br /><html xmlns="http://www.w3.org/1999/xhtml"><head><meta charset="UTF-8" /><title></title><meta name="Generator" content="PowerTools for Open XML" /><style>p.sd0978ff1-a2b8-441e-80c1-b4dad1be9b10P0 { margin-top: 0; margin-bottom: 0; margin-left: 0; margin-right: 0; text-indent: 0.00in; text-align: justify; background: white; font-family: 'Times New Roman', 'serif'; font-size: 12pt; line-height: 108%; } span.sd0978ff1-a2b8-441e-80c1-b4dad1be9b10C0 { color: black; background: white; font-family: 'Times New Roman', 'serif'; font-size: 12pt; font-style: normal; font-weight: normal; margin: 0; padding: 0; } span.sd0978ff1-a2b8-441e-80c1-b4dad1be9b10C0-000000 { color: #0000FF; background: white; font-family: 'Times New Roman', 'serif'; font-size: 12pt; font-style: normal; font-weight: bold; margin: 0; padding: 0; } span.sd0978ff1-a2b8-441e-80c1-b4dad1be9b10C0-000001 { color: black; background: white; font-family: 'Times New Roman', 'serif'; font-size: 12pt; font-style: normal; font-weight: bold; margin: 0; padding: 0; } span.sd0978ff1-a2b8-441e-80c1-b4dad1be9b10C0-000002 { color: #0000FF; background: white; font-family: 'Times New Roman', 'serif'; font-size: 12pt; font-style: normal; font-weight: normal; margin: 0; padding: 0; } span.sd0978ff1-a2b8-441e-80c1-b4dad1be9b10000003 { color: black; background: white; font-size: 12pt; font-style: normal; font-weight: normal; margin: 0; padding: 0; } p.sd0978ff1-a2b8-441e-80c1-b4dad1be9b10P0-000004 { margin-top: 0; margin-bottom: 0; margin-left: 0; margin-right: 0; text-indent: 0.01in; text-align: justify; background: white; font-family: 'Times New Roman', 'serif'; font-size: 12pt; line-height: 108%; } </style></head><body><div><p dir="ltr" class="sd0978ff1-a2b8-441e-80c1-b4dad1be9b10P0"><span style="white-space: pre-wrap;" xml:space="preserve" class="sd0978ff1-a2b8-441e-80c1-b4dad1be9b10C0">    </span><a href="https://sdlegislature.gov/Rules?Rule=55:08:01:01"><span style="white-space: pre-wrap;" class="sd0978ff1-a2b8-441e-80c1-b4dad1be9b10C0-000000">55:08:01:01</span></a><span style="white-space: pre-wrap;" class="sd0978ff1-a2b8-441e-80c1-b4dad1be9b10C0-000001">.  Definition of terms.</span><span style="white-space: pre-wrap;" xml:space="preserve" class="sd0978ff1-a2b8-441e-80c1-b4dad1be9b10C0"> </span><span style="white-space: pre-wrap;" class="sd0978ff1-a2b8-441e-80c1-b4dad1be9b10C0">Words and phrases</span><span style="white-space: pre-wrap;" xml:space="preserve" class="sd0978ff1-a2b8-441e-80c1-b4dad1be9b10C0"> defined in SDCL </span><a href="https://sdlegislature.gov/Statutes?Statute=3-6C-1"><span style="white-space: pre-wrap;" class="sd0978ff1-a2b8-441e-80c1-b4dad1be9b10C0-000002">3-6C-1</span></a><span style="white-space: pre-wrap;" xml:space="preserve" class="sd0978ff1-a2b8-441e-80c1-b4dad1be9b10C0"> have the same meaning when used in this article. </span><span style="white-space: pre-wrap;" class="sd0978ff1-a2b8-441e-80c1-b4dad1be9b10C0">As</span><span style="white-space: pre-wrap;" xml:space="preserve" class="sd0978ff1-a2b8-441e-80c1-b4dad1be9b10C0"> used in this article:</span></p><p dir="ltr" class="sd0978ff1-a2b8-441e-80c1-b4dad1be9b10P0"><span style="white-space: pre-wrap;" xml:space="preserve" class="sd0978ff1-a2b8-441e-80c1-b4dad1be9b10000003"> </span></p><p dir="ltr" class="sd0978ff1-a2b8-441e-80c1-b4dad1be9b10P0-000004"><span style="white-space: pre-wrap;" xml:space="preserve" class="sd0978ff1-a2b8-441e-80c1-b4dad1be9b10C0">    (1)  "Adverse determination" </span><span style="white-space: pre-wrap;" xml:space="preserve" class="sd0978ff1-a2b8-441e-80c1-b4dad1be9b10C0">means </span><span style="white-space: pre-wrap;" class="sd0978ff1-a2b8-441e-80c1-b4dad1be9b10C0">a determination by the South Dakota State Employee Health Plan or its designee utilization review organization that an admission, availability of care, continued stay, or other health-care service that is a covered benefit has been reviewed and, based upon the information provided, does not meet the South Dakota State Employee Health Plan's requirements for medical necessity, appropriateness, health-care setting, level of care, or effectiveness, and the requested service or payment for the service is therefore denied, reduced, or terminated;</span></p><p dir="ltr" class="sd0978ff1-a2b8-441e-80c1-b4dad1be9b10P0-000004"><span style="white-space: pre-wrap;" xml:space="preserve" class="sd0978ff1-a2b8-441e-80c1-b4dad1be9b10000003"> </span></p><p dir="ltr" class="sd0978ff1-a2b8-441e-80c1-b4dad1be9b10P0-000004"><span style="white-space: pre-wrap;" xml:space="preserve" class="sd0978ff1-a2b8-441e-80c1-b4dad1be9b10C0">    (2)  "Claim" </span><span style="white-space: pre-wrap;" xml:space="preserve" class="sd0978ff1-a2b8-441e-80c1-b4dad1be9b10C0">means </span><span style="white-space: pre-wrap;" class="sd0978ff1-a2b8-441e-80c1-b4dad1be9b10C0">the request of coverage of an eligible employee or any other person under the South Dakota State Employee Health Plan;</span></p><p dir="ltr" class="sd0978ff1-a2b8-441e-80c1-b4dad1be9b10P0"><span style="white-space: pre-wrap;" xml:space="preserve" class="sd0978ff1-a2b8-441e-80c1-b4dad1be9b10000003"> </span></p><p dir="ltr" class="sd0978ff1-a2b8-441e-80c1-b4dad1be9b10P0"><span style="white-space: pre-wrap;" xml:space="preserve" class="sd0978ff1-a2b8-441e-80c1-b4dad1be9b10C0">    (3)  "Contract period" or "plan year" </span><span style="white-space: pre-wrap;" xml:space="preserve" class="sd0978ff1-a2b8-441e-80c1-b4dad1be9b10C0">means </span><span style="white-space: pre-wrap;" class="sd0978ff1-a2b8-441e-80c1-b4dad1be9b10C0">that period beginning on July 1 of one year and ending on June 30 of the following year;</span></p><p dir="ltr" class="sd0978ff1-a2b8-441e-80c1-b4dad1be9b10P0"><span style="white-space: pre-wrap;" xml:space="preserve" class="sd0978ff1-a2b8-441e-80c1-b4dad1be9b10000003"> </span></p><p dir="ltr" class="sd0978ff1-a2b8-441e-80c1-b4dad1be9b10P0"><span style="white-space: pre-wrap;" xml:space="preserve" class="sd0978ff1-a2b8-441e-80c1-b4dad1be9b10C0">    (4)  "Contribution or premium" </span><span style="white-space: pre-wrap;" xml:space="preserve" class="sd0978ff1-a2b8-441e-80c1-b4dad1be9b10C0">means </span><span style="white-space: pre-wrap;" class="sd0978ff1-a2b8-441e-80c1-b4dad1be9b10C0">the sum paid by or on behalf of an employee as consideration for a life, health, or flexible benefits;</span></p><p dir="ltr" class="sd0978ff1-a2b8-441e-80c1-b4dad1be9b10P0"><span style="white-space: pre-wrap;" xml:space="preserve" class="sd0978ff1-a2b8-441e-80c1-b4dad1be9b10000003"> </span></p><p dir="ltr" class="sd0978ff1-a2b8-441e-80c1-b4dad1be9b10P0"><span style="white-space: pre-wrap;" xml:space="preserve" class="sd0978ff1-a2b8-441e-80c1-b4dad1be9b10C0">    (5)  "Eligible employee" </span><span style="white-space: pre-wrap;" xml:space="preserve" class="sd0978ff1-a2b8-441e-80c1-b4dad1be9b10C0">means </span><span style="white-space: pre-wrap;" class="sd0978ff1-a2b8-441e-80c1-b4dad1be9b10C0">a permanent full-time employee, permanent part-time employee, or an employee employed by a participating unit who has worked an average of 30 hours or more per week during a 12 month period, as defined by the Patient Protection and Affordable Care Act of 2010, as amended;</span></p><p dir="ltr" class="sd0978ff1-a2b8-441e-80c1-b4dad1be9b10P0"><span style="white-space: pre-wrap;" xml:space="preserve" class="sd0978ff1-a2b8-441e-80c1-b4dad1be9b10000003"> </span></p><p dir="ltr" class="sd0978ff1-a2b8-441e-80c1-b4dad1be9b10P0"><span style="white-space: pre-wrap;" xml:space="preserve" class="sd0978ff1-a2b8-441e-80c1-b4dad1be9b10C0">    (6)  "Flexible benefits plan" </span><span style="white-space: pre-wrap;" xml:space="preserve" class="sd0978ff1-a2b8-441e-80c1-b4dad1be9b10C0">means </span><span style="white-space: pre-wrap;" class="sd0978ff1-a2b8-441e-80c1-b4dad1be9b10C0">a benefits plan that allows members to select from a list of benefits options, some or all of which may be tax-advantaged, and which may vary depending on the status of a member as either an employee or retiree. The options may include dental, vision, medical spending accounts, dependent care</span><span style="white-space: pre-wrap;" class="sd0978ff1-a2b8-441e-80c1-b4dad1be9b10C0">,</span><span style="white-space: pre-wrap;" xml:space="preserve" class="sd0978ff1-a2b8-441e-80c1-b4dad1be9b10C0"> and others as determined by the bureau;</span></p><p dir="ltr" class="sd0978ff1-a2b8-441e-80c1-b4dad1be9b10P0"><span style="white-space: pre-wrap;" xml:space="preserve" class="sd0978ff1-a2b8-441e-80c1-b4dad1be9b10000003"> </span></p><p dir="ltr" class="sd0978ff1-a2b8-441e-80c1-b4dad1be9b10P0"><span style="white-space: pre-wrap;" xml:space="preserve" class="sd0978ff1-a2b8-441e-80c1-b4dad1be9b10C0">    (7)  "Participating unit" </span><span style="white-space: pre-wrap;" xml:space="preserve" class="sd0978ff1-a2b8-441e-80c1-b4dad1be9b10C0">means </span><span style="white-space: pre-wrap;" class="sd0978ff1-a2b8-441e-80c1-b4dad1be9b10C0">any department, bureau, campus, institution, board, or commission of the state that has employees who are eligible for participation;</span><span style="white-space: pre-wrap;" xml:space="preserve" class="sd0978ff1-a2b8-441e-80c1-b4dad1be9b10C0"> and</span></p><p dir="ltr" class="sd0978ff1-a2b8-441e-80c1-b4dad1be9b10P0"><span style="white-space: pre-wrap;" xml:space="preserve" class="sd0978ff1-a2b8-441e-80c1-b4dad1be9b10000003"> </span></p><p dir="ltr" class="sd0978ff1-a2b8-441e-80c1-b4dad1be9b10P0"><span style="white-space: pre-wrap;" xml:space="preserve" class="sd0978ff1-a2b8-441e-80c1-b4dad1be9b10C0">    (8)  "Proof of insurability" </span><span style="white-space: pre-wrap;" xml:space="preserve" class="sd0978ff1-a2b8-441e-80c1-b4dad1be9b10C0">means </span><span style="white-space: pre-wrap;" class="sd0978ff1-a2b8-441e-80c1-b4dad1be9b10C0">evidence of a person's medical condition based upon a medical examination, a person's medical history, or a doctor's statement regarding a person's health</span><span style="white-space: pre-wrap;" class="sd0978ff1-a2b8-441e-80c1-b4dad1be9b10C0">.</span></p><p dir="ltr" class="sd0978ff1-a2b8-441e-80c1-b4dad1be9b10P0"><span style="white-space: pre-wrap;" xml:space="preserve" class="sd0978ff1-a2b8-441e-80c1-b4dad1be9b10000003"> </span></p><p dir="ltr" class="sd0978ff1-a2b8-441e-80c1-b4dad1be9b10P0"><span style="white-space: pre-wrap;" xml:space="preserve" class="sd0978ff1-a2b8-441e-80c1-b4dad1be9b10C0">    </span><span style="white-space: pre-wrap;" class="sd0978ff1-a2b8-441e-80c1-b4dad1be9b10C0-000001">Source:</span><span style="white-space: pre-wrap;" xml:space="preserve" class="sd0978ff1-a2b8-441e-80c1-b4dad1be9b10C0"> 38 SDR 213, effective July 1, 2012; 41 SDR 58, effective October 14, 2014; 42 SDR 97, effective January 4, 2016</span><span style="white-space: pre-wrap;" class="sd0978ff1-a2b8-441e-80c1-b4dad1be9b10C0">; 47 SDR 142, effective July 1, 2021</span><span style="white-space: pre-wrap;" class="sd0978ff1-a2b8-441e-80c1-b4dad1be9b10C0">.</span></p><p dir="ltr" class="sd0978ff1-a2b8-441e-80c1-b4dad1be9b10P0"><span style="white-space: pre-wrap;" xml:space="preserve" class="sd0978ff1-a2b8-441e-80c1-b4dad1be9b10C0">    </span><span style="white-space: pre-wrap;" class="sd0978ff1-a2b8-441e-80c1-b4dad1be9b10C0-000001">General Authority:</span><span style="white-space: pre-wrap;" xml:space="preserve" class="sd0978ff1-a2b8-441e-80c1-b4dad1be9b10C0"> SDCL </span><a href="https://sdlegislature.gov/Statutes?Statute=3-6E-13"><span style="white-space: pre-wrap;" class="sd0978ff1-a2b8-441e-80c1-b4dad1be9b10C0-000002">3-6E-13</span></a><span style="white-space: pre-wrap;" class="sd0978ff1-a2b8-441e-80c1-b4dad1be9b10C0">.</span></p><p dir="ltr" class="sd0978ff1-a2b8-441e-80c1-b4dad1be9b10P0"><span style="white-space: pre-wrap;" xml:space="preserve" class="sd0978ff1-a2b8-441e-80c1-b4dad1be9b10C0">    </span><span style="white-space: pre-wrap;" class="sd0978ff1-a2b8-441e-80c1-b4dad1be9b10C0-000001">Law Implemented:</span><span style="white-space: pre-wrap;" xml:space="preserve" class="sd0978ff1-a2b8-441e-80c1-b4dad1be9b10C0"> SDCL </span><a href="https://sdlegislature.gov/Statutes?Statute=3-6E-1"><span style="white-space: pre-wrap;" class="sd0978ff1-a2b8-441e-80c1-b4dad1be9b10C0-000002">3-6E-1</span></a><span style="white-space: pre-wrap;" class="sd0978ff1-a2b8-441e-80c1-b4dad1be9b10C0">.</span></p><p dir="ltr" class="sd0978ff1-a2b8-441e-80c1-b4dad1be9b10P0"><span style="white-space: pre-wrap;" xml:space="preserve" class="sd0978ff1-a2b8-441e-80c1-b4dad1be9b10000003"> </span></p></div></body></html><br /><hr><br /><html> <head> <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"> <title>Rule 55:08:02 HEALTH BENEFIT</title> <META NAME="Keywords" Content="Administrative Rules 55:08:02"> <META NAME="Description" Content="Administrative Rules 55:08:02 HEALTH BENEFIT"> <style> <!-- --> </style> </head> <body lang=EN-US> <div> <p align=center><b>CHAPTER 55:08:02</b></p> <p align=center><b>&nbsp;</b></p> <p align=center><b>HEALTH BENEFIT</b></p> <p>Section</p> <p><a href="DisplayRule.aspx?Rule=55:08:02:01">55:08:02:01</a>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; Election of coverage.</p> <p><a href="DisplayRule.aspx?Rule=55:08:02:02">55:08:02:02</a>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; Provision of coverage.</p> <p><a href="DisplayRule.aspx?Rule=55:08:02:03">55:08:02:03</a>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; Effective date of dependent coverage.</p> <p><a href="DisplayRule.aspx?Rule=55:08:02:04">55:08:02:04</a>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; Application for dependent coverage.</p> <p><a href="DisplayRule.aspx?Rule=55:08:02:05">55:08:02:05</a>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; Reduction in or termination of dependent coverage.</p> <p><a href="DisplayRule.aspx?Rule=55:08:02:06">55:08:02:06</a>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; Notice of ability to continue coverage.</p> </div> </body> </html> <br /><hr><br /><html> <head> <title>Rule 55:08:02:01 Election of coverage.</title> <META NAME="Keywords" Content="Administrative Rules 55:08:02:01"> <META NAME="Description" Content="Administrative Rules 55:08:02:01 Election of 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;} @font-face {font-family:Times; panose-1:2 2 6 3 5 4 5 2 3 4;} /* Style Definitions */ p.MsoNormal, li.MsoNormal, div.MsoNormal {margin:0in; margin-bottom:.0001pt; punctuation-wrap:simple; text-autospace:none; font-size:10.0pt; font-family:"Times","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='text-align:justify'><a name="_GoBack"></a><span style='font-size:12.0pt;font-family:"Times New Roman","serif"'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; <b>55:08:02:01.&nbsp;&nbsp;Election of coverage.</b> An eligible employee has 30 days from the date eligibility is determined to apply for coverage of any dependents without showing proof of insurability.</span></p> <p class=MsoNormal style='text-align:justify'><span style='font-size:12.0pt; font-family:"Times New Roman","serif"'>&nbsp;</span></p> <p class=MsoNormal style='text-align:justify'><span style='font-size:12.0pt; font-family:"Times New Roman","serif"'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; <b>Source:</b> 38 SDR 213, effective July 1, 2012; 42 SDR 97, effective January 4, 2016.</span></p> <p class=MsoNormal style='text-align:justify'><span style='font-size:12.0pt; font-family:"Times New Roman","serif"'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; <b>General Authority:</b> SDCL <A HREF="/statutes/DisplayStatute.aspx?Type=Statute&Statute=3-6E-13">3-6E-13(3)(9).</A></span></p> <p class=MsoNormal style='text-align:justify'><span style='font-size:12.0pt; font-family:"Times New Roman","serif"'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; <b>Law Implemented:</b> SDCL <A HREF="/statutes/DisplayStatute.aspx?Type=Statute&Statute=3-6E-1">3-6E-1</A>, <A HREF="/statutes/DisplayStatute.aspx?Type=Statute&Statute=3-6E-4">3-6E-4</A>, <A HREF="/statutes/DisplayStatute.aspx?Type=Statute&Statute=26">26</A> U.S.C. § 4980H.</span></p> <p class=MsoNormal style='text-align:justify'><span style='font-size:12.0pt; font-family:"Times New Roman","serif"'>&nbsp;</span></p> </div> </body> </html> <br /><hr><br /><html> <head> <title>Rule 55:08:02:02 Provision of coverage.</title> <META NAME="Keywords" Content="Administrative Rules 55:08:02:02"> <META NAME="Description" Content="Administrative Rules 55:08:02:02 Provision of 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;} @font-face {font-family:Times; panose-1:2 2 6 3 5 4 5 2 3 4;} /* Style Definitions */ p.MsoNormal, li.MsoNormal, div.MsoNormal {margin:0in; margin-bottom:.0001pt; punctuation-wrap:simple; text-autospace:none; font-size:10.0pt; font-family:"Times","serif";} .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> <div class=WordSection1> <p class=MsoNormal style='text-align:justify'><span style='font-size:12.0pt; font-family:"Times New Roman","serif"'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; <b>55:08:02:02.&nbsp;&nbsp;Provision of coverage.</b> The commissioner shall make health coverage available to eligible employees, Consolidated Omnibus Budget Reconciliation Act participants, and their dependents.</span></p> <p class=MsoNormal style='text-align:justify'><span style='font-size:12.0pt; font-family:"Times New Roman","serif"'>&nbsp;</span></p> <p class=MsoNormal style='text-align:justify'><span style='font-size:12.0pt; font-family:"Times New Roman","serif"'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; <b>Source:</b> 38 SDR 213, effective July 1, 2012.</span></p> <p class=MsoNormal style='text-align:justify'><span style='font-size:12.0pt; font-family:"Times New Roman","serif"'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; <b>General Authority:</b> SDCL <A HREF="/statutes/DisplayStatute.aspx?Type=Statute&Statute=3-6E-13">3-6E-13(2).</A></span></p> <p class=MsoNormal style='text-align:justify'><span style='font-size:12.0pt; font-family:"Times New Roman","serif"'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; <b>Law Implemented:</b> SDCL <A HREF="/statutes/DisplayStatute.aspx?Type=Statute&Statute=3-6E-1">3-6E-1</A>, <A HREF="/statutes/DisplayStatute.aspx?Type=Statute&Statute=3-6E-6">3-6E-6.</A></span></p> <p class=MsoNormal style='text-align:justify'><span style='font-size:12.0pt; font-family:"Times New Roman","serif"'>&nbsp;</span></p> </div> </body> </html> <br /><hr><br /><html xmlns="http://www.w3.org/1999/xhtml"><head><meta charset="UTF-8" /><title></title><meta name="Generator" content="PowerTools for Open XML" /><style>p.s4e3f7b89-1867-446a-b2cd-14e076e0038dP0 { margin-top: 0; margin-bottom: 0; margin-left: 0; margin-right: 0; text-indent: 0.00in; text-align: justify; background: white; font-family: 'Times New Roman', 'serif'; font-size: 12pt; line-height: 108%; } span.s4e3f7b89-1867-446a-b2cd-14e076e0038dC0 { color: black; background: white; font-family: 'Times New Roman', 'serif'; font-size: 12pt; font-style: normal; font-weight: normal; margin: 0; padding: 0; } span.s4e3f7b89-1867-446a-b2cd-14e076e0038dC0-000000 { color: #0000FF; background: white; font-family: 'Times New Roman', 'serif'; font-size: 12pt; font-style: normal; font-weight: bold; margin: 0; padding: 0; } span.s4e3f7b89-1867-446a-b2cd-14e076e0038dC0-000001 { color: black; background: white; font-family: 'Times New Roman', 'serif'; font-size: 12pt; font-style: normal; font-weight: bold; margin: 0; padding: 0; } span.s4e3f7b89-1867-446a-b2cd-14e076e0038d000002 { color: black; background: white; font-size: 12pt; font-style: normal; font-weight: normal; margin: 0; padding: 0; } span.s4e3f7b89-1867-446a-b2cd-14e076e0038dC0-000003 { color: #0000FF; background: white; font-family: 'Times New Roman', 'serif'; font-size: 12pt; font-style: normal; font-weight: normal; margin: 0; padding: 0; } </style></head><body><div><p dir="ltr" class="s4e3f7b89-1867-446a-b2cd-14e076e0038dP0"><span style="white-space: pre-wrap;" xml:space="preserve" class="s4e3f7b89-1867-446a-b2cd-14e076e0038dC0">    </span><a href="https://sdlegislature.gov/Rules?Rule=55:08:02:03"><span style="white-space: pre-wrap;" class="s4e3f7b89-1867-446a-b2cd-14e076e0038dC0-000000">55:08:02:03</span></a><span style="white-space: pre-wrap;" class="s4e3f7b89-1867-446a-b2cd-14e076e0038dC0-000001">.  Effective date of dependent coverage.</span><span style="white-space: pre-wrap;" xml:space="preserve" class="s4e3f7b89-1867-446a-b2cd-14e076e0038dC0"> Dependent coverage is effective on the </span><span style="white-space: pre-wrap;" class="s4e3f7b89-1867-446a-b2cd-14e076e0038dC0">first day of the month following the employee's hire date</span><span style="white-space: pre-wrap;" class="s4e3f7b89-1867-446a-b2cd-14e076e0038dC0">. Dependent coverage may not become effective before the effective date of the employee s coverage.</span></p><p dir="ltr" class="s4e3f7b89-1867-446a-b2cd-14e076e0038dP0"><span style="white-space: pre-wrap;" xml:space="preserve" class="s4e3f7b89-1867-446a-b2cd-14e076e0038d000002"> </span></p><p dir="ltr" class="s4e3f7b89-1867-446a-b2cd-14e076e0038dP0"><span style="white-space: pre-wrap;" xml:space="preserve" class="s4e3f7b89-1867-446a-b2cd-14e076e0038dC0">    </span><span style="white-space: pre-wrap;" class="s4e3f7b89-1867-446a-b2cd-14e076e0038dC0-000001">Source:</span><span style="white-space: pre-wrap;" xml:space="preserve" class="s4e3f7b89-1867-446a-b2cd-14e076e0038dC0"> 38 SDR 213, effective July 1, 2012</span><span style="white-space: pre-wrap;" class="s4e3f7b89-1867-446a-b2cd-14e076e0038dC0">; 47 SDR 142, effective July 1, 2021</span><span style="white-space: pre-wrap;" class="s4e3f7b89-1867-446a-b2cd-14e076e0038dC0">.</span></p><p dir="ltr" class="s4e3f7b89-1867-446a-b2cd-14e076e0038dP0"><span style="white-space: pre-wrap;" xml:space="preserve" class="s4e3f7b89-1867-446a-b2cd-14e076e0038dC0">    </span><span style="white-space: pre-wrap;" class="s4e3f7b89-1867-446a-b2cd-14e076e0038dC0-000001">General Authority:</span><span style="white-space: pre-wrap;" xml:space="preserve" class="s4e3f7b89-1867-446a-b2cd-14e076e0038dC0"> SDCL </span><a href="https://sdlegislature.gov/Statutes?Statute=3-6E-13"><span style="white-space: pre-wrap;" class="s4e3f7b89-1867-446a-b2cd-14e076e0038dC0-000003">3-6E-13</span></a><span style="white-space: pre-wrap;" class="s4e3f7b89-1867-446a-b2cd-14e076e0038dC0">(4).</span></p><p dir="ltr" class="s4e3f7b89-1867-446a-b2cd-14e076e0038dP0"><span style="white-space: pre-wrap;" xml:space="preserve" class="s4e3f7b89-1867-446a-b2cd-14e076e0038dC0">    </span><span style="white-space: pre-wrap;" class="s4e3f7b89-1867-446a-b2cd-14e076e0038dC0-000001">Law Implemented:</span><span style="white-space: pre-wrap;" xml:space="preserve" class="s4e3f7b89-1867-446a-b2cd-14e076e0038dC0"> SDCL </span><a href="https://sdlegislature.gov/Statutes?Statute=3-6E-1"><span style="white-space: pre-wrap;" class="s4e3f7b89-1867-446a-b2cd-14e076e0038dC0-000003">3-6E-1</span></a><span style="white-space: pre-wrap;" xml:space="preserve" class="s4e3f7b89-1867-446a-b2cd-14e076e0038dC0">, </span><a href="https://sdlegislature.gov/Statutes?Statute=3-6E-5"><span style="white-space: pre-wrap;" class="s4e3f7b89-1867-446a-b2cd-14e076e0038dC0-000003">3-6E-5</span></a><span style="white-space: pre-wrap;" xml:space="preserve" class="s4e3f7b89-1867-446a-b2cd-14e076e0038dC0">, </span><a href="https://sdlegislature.gov/Statutes?Statute=3-6E-6"><span style="white-space: pre-wrap;" class="s4e3f7b89-1867-446a-b2cd-14e076e0038dC0-000003">3-6E-6</span></a><span style="white-space: pre-wrap;" class="s4e3f7b89-1867-446a-b2cd-14e076e0038dC0">.</span></p><p dir="ltr" class="s4e3f7b89-1867-446a-b2cd-14e076e0038dP0"><span style="white-space: pre-wrap;" xml:space="preserve" class="s4e3f7b89-1867-446a-b2cd-14e076e0038d000002"> </span></p><p dir="ltr" class="s4e3f7b89-1867-446a-b2cd-14e076e0038dP0"><span style="white-space: pre-wrap;" xml:space="preserve" class="s4e3f7b89-1867-446a-b2cd-14e076e0038dC0">    </span><span style="white-space: pre-wrap;" class="s4e3f7b89-1867-446a-b2cd-14e076e0038dC0-000001">Editor's Note:</span><span style="white-space: pre-wrap;" xml:space="preserve" class="s4e3f7b89-1867-446a-b2cd-14e076e0038dC0"> The Legislative Research Council struck the extra "the" in front of the phrase "the first day of the month" to correct an apparent error.</span></p></div></body></html><br /><hr><br /><html> <head> <title>Rule 55:08:02:04 Application for dependent coverage.</title> <META NAME="Keywords" Content="Administrative Rules 55:08:02:04"> <META NAME="Description" Content="Administrative Rules 55:08:02:04 Application for dependent coverage."> <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;} @font-face {font-family:Times; panose-1:2 2 6 3 5 4 5 2 3 4;} /* Style Definitions */ p.MsoNormal, li.MsoNormal, div.MsoNormal {margin:0in; margin-bottom:.0001pt; font-size:10.0pt; font-family:"Times",serif; color:black;} a:link, span.MsoHyperlink {color:blue; text-decoration:underline;} a:visited, span.MsoHyperlinkFollowed {color:#954F72; text-decoration:underline;} .MsoChpDefault {font-size:10.0pt; color:black;} @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="#954F72"> <div class=WordSection1> <p class=MsoNormal style='text-align:justify'><span style='font-size:12.0pt; font-family:"Times New Roman",serif'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; <b>55:08:02:04.&nbsp;&nbsp;Application for dependent coverage.</b> An eligible employee may apply for dependent coverage within </span><span style='font-size:12.0pt;font-family:"Times New Roman",serif'>3</span><span style='font-size:12.0pt;font-family:"Times New Roman",serif'>0 days after the employee s marriage or the birth or adoption of a child. A child may be covered from birth by notification of the commissioner by the employee. Payment shall be made by payroll deduction unless otherwise authorized by the commissioner.</span></p> <p class=MsoNormal style='text-align:justify'><span style='font-size:12.0pt; font-family:"Times New Roman",serif'>&nbsp;</span></p> <p class=MsoNormal style='text-align:justify'><span style='font-size:12.0pt; font-family:"Times New Roman",serif'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; <b>Source:</b> 38 SDR 213, effective July 1, 2012</span><span style='font-size:12.0pt;font-family:"Times New Roman",serif'>; 44 SDR 99, effective December 11, 2017</span><span style='font-size:12.0pt; font-family:"Times New Roman",serif'>.</span></p> <p class=MsoNormal style='text-align:justify'><span style='font-size:12.0pt; font-family:"Times New Roman",serif'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; <b>General Authority:</b> SDCL <A HREF="/statutes/DisplayStatute.aspx?Type=Statute&Statute=3-6E-13">3-6E-13(3).</A></span></p> <p class=MsoNormal style='text-align:justify'><span style='font-size:12.0pt; font-family:"Times New Roman",serif'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; <b>Law Implemented:</b> SDCL <A HREF="/statutes/DisplayStatute.aspx?Type=Statute&Statute=3-6E-1">3-6E-1.</A></span></p> <p class=MsoNormal style='text-align:justify'><span style='font-size:12.0pt; font-family:"Times New Roman",serif'>&nbsp;</span></p> </div> </body> </html> <br /><hr><br /><html> <head> <title>Rule 55:08:02:05 Reduction in or termination of dependent coverage.</title> <META NAME="Keywords" Content="Administrative Rules 55:08:02:05"> <META NAME="Description" Content="Administrative Rules 55:08:02:05 Reduction in or termination of dependent 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;} @font-face {font-family:Times; panose-1:2 2 6 3 5 4 5 2 3 4;} /* Style Definitions */ p.MsoNormal, li.MsoNormal, div.MsoNormal {margin:0in; margin-bottom:.0001pt; punctuation-wrap:simple; text-autospace:none; font-size:10.0pt; font-family:"Times","serif";} .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> <div class=WordSection1> <p class=MsoNormal style='text-align:justify'><span style='font-size:12.0pt; font-family:"Times New Roman","serif"'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; <b>55:08:02:05.&nbsp;&nbsp;Reduction in or termination of dependent coverage.</b> An eligible employee enrolled for dependent coverage may reduce the number of dependents covered following a death, divorce, or marriage and if a dependent child becomes ineligible because of age. Dependent coverage terminates in the month following the last month in which contributions were paid. An employee shall notify the commissioner and the participating unit of any dependent who becomes ineligible for participation in the plan. Any contribution previously paid may not be refunded if coverage has been provided.</span></p> <p class=MsoNormal style='text-align:justify'><span style='font-size:12.0pt; font-family:"Times New Roman","serif"'>&nbsp;</span></p> <p class=MsoNormal style='text-align:justify'><span style='font-size:12.0pt; font-family:"Times New Roman","serif"'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; <b>Source:</b> 38 SDR 213, effective July 1, 2012.</span></p> <p class=MsoNormal style='text-align:justify'><b><span style='font-size:12.0pt; font-family:"Times New Roman","serif"'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; General Authority:</span></b><span style='font-size:12.0pt;font-family:"Times New Roman","serif"'> SDCL <A HREF="/statutes/DisplayStatute.aspx?Type=Statute&Statute=3-6E-13">3-6E-13(6).</A></span></p> <p class=MsoNormal style='text-align:justify'><span style='font-size:12.0pt; font-family:"Times New Roman","serif"'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; <b>Law Implemented:</b> SDCL <A HREF="/statutes/DisplayStatute.aspx?Type=Statute&Statute=3-6E-11">3-6E-11.</A></span></p> <p class=MsoNormal style='text-align:justify'><span style='font-size:12.0pt; font-family:"Times New Roman","serif"'>&nbsp;</span></p> </div> </body> </html> <br /><hr><br /><html> <head> <title>Rule 55:08:02:06 Notice of ability to continue coverage.</title> <META NAME="Keywords" Content="Administrative Rules 55:08:02:06"> <META NAME="Description" Content="Administrative Rules 55:08:02:06 Notice of ability to continue 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;} @font-face {font-family:Times; panose-1:2 2 6 3 5 4 5 2 3 4;} /* Style Definitions */ p.MsoNormal, li.MsoNormal, div.MsoNormal {margin:0in; margin-bottom:.0001pt; punctuation-wrap:simple; text-autospace:none; font-size:10.0pt; font-family:"Times","serif";} .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> <div class=WordSection1> <p class=MsoNormal style='text-align:justify'><span style='font-size:12.0pt; font-family:"Times New Roman","serif"'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; <b>55:08:02:06.&nbsp;&nbsp;Notice of ability to continue coverage.</b> If an eligible employee dies, is divorced or legally separated, terminates employment, has hours of employment reduced, or has a dependent who no longer qualifies as a dependent, the participating unit shall provide written notice, as applicable, to the eligible employee and the employee s affected dependent that the employee or the dependent, or both, may elect to continue health coverage.</span></p> <p class=MsoNormal style='text-align:justify'><span style='font-size:12.0pt; font-family:"Times New Roman","serif"'>&nbsp;</span></p> <p class=MsoNormal style='text-align:justify'><span style='font-size:12.0pt; font-family:"Times New Roman","serif"'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; <b>Source:</b> 38 SDR 213, effective July 1, 2012.</span></p> <p class=MsoNormal style='text-align:justify'><span style='font-size:12.0pt; font-family:"Times New Roman","serif"'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; <b>General Authority:</b> SDCL <A HREF="/statutes/DisplayStatute.aspx?Type=Statute&Statute=3-6E-13">3-6E-13(3).</A></span></p> <p class=MsoNormal style='text-align:justify'><span style='font-size:12.0pt; font-family:"Times New Roman","serif"'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; <b>Law Implemented:</b> SDCL <A HREF="/statutes/DisplayStatute.aspx?Type=Statute&Statute=3-6E-1">3-6E-1.</A></span></p> <p class=MsoNormal style='text-align:justify'><span style='font-size:12.0pt; font-family:"Times New Roman","serif"'>&nbsp;</span></p> </div> </body> </html> <br /><hr><br /><html> <head> <meta name=Generator content="Microsoft Office HTML Filter 2.0"> <meta http-equiv=Content-Type content="text/html; charset=windows-1252"> <style> <!-- --> </style> </head> <body lang=EN-US> <div> <p align=center><b>CHAPTER 55:08:03</b></p> <p align=center><b>&nbsp;</b></p> <p align=center><b>LIFE BENEFIT</b></p> <p>Section</p> <p><a href="DisplayRule.aspx?Rule=55:08:03:01">55:08:03:01</a>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; Election of employee and dependent coverage.</p> <p><a href="DisplayRule.aspx?Rule=55:08:03:02">55:08:03:02</a>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; Beginning of coverage.</p> <p><a href="DisplayRule.aspx?Rule=55:08:03:03">55:08:03:03</a>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; Election of coverage after initial eligibility period.</p> <p><a href="DisplayRule.aspx?Rule=55:08:03:04">55:08:03:04</a>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; Termination of coverage.</p> <p><a href="DisplayRule.aspx?Rule=55:08:03:05">55:08:03:05</a>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; Repealed.</p> <p><a href="DisplayRule.aspx?Rule=55:08:03:06">55:08:03:06</a>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; Basic life benefit defined.</p> </div> </body> </html> <br /><hr><br /><html> <head> <title>Rule 55:08:03:01 Election of employee and dependent coverage.</title> <META NAME="Keywords" Content="Administrative Rules 55:08:03:01"> <META NAME="Description" Content="Administrative Rules 55:08:03:01 Election of employee and dependent coverage."> <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;} @font-face {font-family:Times; panose-1:2 2 6 3 5 4 5 2 3 4;} /* Style Definitions */ p.MsoNormal, li.MsoNormal, div.MsoNormal {margin:0in; margin-bottom:.0001pt; font-size:10.0pt; font-family:"Times",serif; color:black;} a:link, span.MsoHyperlink {color:blue; text-decoration:underline;} a:visited, span.MsoHyperlinkFollowed {color:#954F72; text-decoration:underline;} .MsoChpDefault {font-size:10.0pt; color:black;} @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="#954F72"> <div class=WordSection1> <p class=MsoNormal style='text-align:justify'><span style='font-size:12.0pt; font-family:"Times New Roman",serif'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; <b>55:08:03:01.&nbsp;&nbsp;Election of employee and dependent coverage.</b> An eligible employee has 30 days from the date eligibility is determined to elect the life benefit plan to cover the employee and the employee s dependents without showing proof of insurability.</span></p> <p class=MsoNormal style='text-align:justify'><span style='font-size:12.0pt; font-family:"Times New Roman",serif'>&nbsp;</span></p> <p class=MsoNormal style='text-align:justify'><span style='font-size:12.0pt; font-family:"Times New Roman",serif'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; An eligible employee may elect dependent coverage within </span><span style='font-size:12.0pt;font-family: "Times New Roman",serif'>3</span><span style='font-size:12.0pt;font-family: "Times New Roman",serif'>0 days after marriage. If an employee elects dependent coverage, future children are automatically covered </span><span style='font-size:12.0pt;font-family:"Times New Roman",serif'>at</span><span style='font-size:12.0pt;font-family:"Times New Roman",serif'> birth.</span></p> <p class=MsoNormal style='text-align:justify'><span style='font-size:12.0pt; font-family:"Times New Roman",serif'>&nbsp;</span></p> <p class=MsoNormal style='text-align:justify'><span style='font-size:12.0pt; font-family:"Times New Roman",serif'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; <b>Source:</b> 38 SDR 213, effective July 1, 2012; 42 SDR 97, effective January 4, 2016; 44 SDR 9</span><span style='font-size:12.0pt;font-family:"Times New Roman",serif'>9</span><span style='font-size:12.0pt;font-family:"Times New Roman",serif'>, effective December 11, 2017.</span></p> <p class=MsoNormal style='text-align:justify'><span style='font-size:12.0pt; font-family:"Times New Roman",serif'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; <b>General Authority:</b> SDCL <A HREF="/statutes/DisplayStatute.aspx?Type=Statute&Statute=3-6E-13">3-6E-13(1).</A></span></p> <p class=MsoNormal style='text-align:justify'><span style='font-size:12.0pt; font-family:"Times New Roman",serif'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; <b>Law Implemented:</b> SDCL <A HREF="/statutes/DisplayStatute.aspx?Type=Statute&Statute=3-6E-1">3-6E-1.</A></span></p> <p class=MsoNormal style='text-align:justify'><span style='font-size:12.0pt; font-family:"Times New Roman",serif'>&nbsp;</span></p> </div> </body> </html> <br /><hr><br /><html xmlns="http://www.w3.org/1999/xhtml"><head><meta charset="UTF-8" /><title></title><meta name="Generator" content="PowerTools for Open XML" /><style>p.sfdfaf3ec-ea87-4b7e-a96d-1639b6c58729P0 { margin-top: 0; margin-bottom: 0; margin-left: 0; margin-right: 0; text-indent: 0.00in; text-align: justify; background: white; font-family: 'Times New Roman', 'serif'; font-size: 12pt; line-height: 108%; } span.sfdfaf3ec-ea87-4b7e-a96d-1639b6c58729C0 { color: black; background: white; font-family: 'Times New Roman', 'serif'; font-size: 12pt; font-style: normal; font-weight: normal; margin: 0; padding: 0; } span.sfdfaf3ec-ea87-4b7e-a96d-1639b6c58729C0-000000 { color: #0000FF; background: white; font-family: 'Times New Roman', 'serif'; font-size: 12pt; font-style: normal; font-weight: bold; margin: 0; padding: 0; } span.sfdfaf3ec-ea87-4b7e-a96d-1639b6c58729C0-000001 { color: black; background: white; font-family: 'Times New Roman', 'serif'; font-size: 12pt; font-style: normal; font-weight: bold; margin: 0; padding: 0; } span.sfdfaf3ec-ea87-4b7e-a96d-1639b6c58729000002 { color: black; background: white; font-size: 12pt; font-style: normal; font-weight: normal; margin: 0; padding: 0; } span.sfdfaf3ec-ea87-4b7e-a96d-1639b6c58729C0-000003 { color: #0000FF; background: white; font-family: 'Times New Roman', 'serif'; font-size: 12pt; font-style: normal; font-weight: normal; margin: 0; padding: 0; } </style></head><body><div><p dir="ltr" class="sfdfaf3ec-ea87-4b7e-a96d-1639b6c58729P0"><span style="white-space: pre-wrap;" xml:space="preserve" class="sfdfaf3ec-ea87-4b7e-a96d-1639b6c58729C0">    </span><a href="https://sdlegislature.gov/Rules?Rule=55:08:03:02"><span style="white-space: pre-wrap;" class="sfdfaf3ec-ea87-4b7e-a96d-1639b6c58729C0-000000">55:08:03:02</span></a><span style="white-space: pre-wrap;" class="sfdfaf3ec-ea87-4b7e-a96d-1639b6c58729C0-000001">.  Beginning of coverage.</span><span style="white-space: pre-wrap;" xml:space="preserve" class="sfdfaf3ec-ea87-4b7e-a96d-1639b6c58729C0"> Coverage begins </span><span style="white-space: pre-wrap;" xml:space="preserve" class="sfdfaf3ec-ea87-4b7e-a96d-1639b6c58729C0">the first day of the month following </span><span style="white-space: pre-wrap;" class="sfdfaf3ec-ea87-4b7e-a96d-1639b6c58729C0">the employee s hire date.</span></p><p dir="ltr" class="sfdfaf3ec-ea87-4b7e-a96d-1639b6c58729P0"><span style="white-space: pre-wrap;" xml:space="preserve" class="sfdfaf3ec-ea87-4b7e-a96d-1639b6c58729000002"> </span></p><p dir="ltr" class="sfdfaf3ec-ea87-4b7e-a96d-1639b6c58729P0"><span style="white-space: pre-wrap;" xml:space="preserve" class="sfdfaf3ec-ea87-4b7e-a96d-1639b6c58729C0">    </span><span style="white-space: pre-wrap;" class="sfdfaf3ec-ea87-4b7e-a96d-1639b6c58729C0-000001">Source:</span><span style="white-space: pre-wrap;" xml:space="preserve" class="sfdfaf3ec-ea87-4b7e-a96d-1639b6c58729C0"> 38 SDR 213, effective July 1, 2012</span><span style="white-space: pre-wrap;" class="sfdfaf3ec-ea87-4b7e-a96d-1639b6c58729C0">; 47 SDR 142, effective July 1, 2021</span><span style="white-space: pre-wrap;" class="sfdfaf3ec-ea87-4b7e-a96d-1639b6c58729C0">.</span></p><p dir="ltr" class="sfdfaf3ec-ea87-4b7e-a96d-1639b6c58729P0"><span style="white-space: pre-wrap;" xml:space="preserve" class="sfdfaf3ec-ea87-4b7e-a96d-1639b6c58729C0">    </span><span style="white-space: pre-wrap;" class="sfdfaf3ec-ea87-4b7e-a96d-1639b6c58729C0-000001">General Authority:</span><span style="white-space: pre-wrap;" xml:space="preserve" class="sfdfaf3ec-ea87-4b7e-a96d-1639b6c58729C0"> SDCL </span><a href="https://sdlegislature.gov/Statutes?Statute=3-6E-13"><span style="white-space: pre-wrap;" class="sfdfaf3ec-ea87-4b7e-a96d-1639b6c58729C0-000003">3-6E-13</span></a><span style="white-space: pre-wrap;" class="sfdfaf3ec-ea87-4b7e-a96d-1639b6c58729C0">(4).</span></p><p dir="ltr" class="sfdfaf3ec-ea87-4b7e-a96d-1639b6c58729P0"><span style="white-space: pre-wrap;" xml:space="preserve" class="sfdfaf3ec-ea87-4b7e-a96d-1639b6c58729C0">    </span><span style="white-space: pre-wrap;" class="sfdfaf3ec-ea87-4b7e-a96d-1639b6c58729C0-000001">Law Implemented:</span><span style="white-space: pre-wrap;" xml:space="preserve" class="sfdfaf3ec-ea87-4b7e-a96d-1639b6c58729C0"> SDCL </span><a href="https://sdlegislature.gov/Statutes?Statute=3-6E-1"><span style="white-space: pre-wrap;" class="sfdfaf3ec-ea87-4b7e-a96d-1639b6c58729C0-000003">3-6E-1</span></a><span style="white-space: pre-wrap;" xml:space="preserve" class="sfdfaf3ec-ea87-4b7e-a96d-1639b6c58729C0">, </span><a href="https://sdlegislature.gov/Statutes?Statute=3-6E-5"><span style="white-space: pre-wrap;" class="sfdfaf3ec-ea87-4b7e-a96d-1639b6c58729C0-000003">3-6E-5</span></a><span style="white-space: pre-wrap;" class="sfdfaf3ec-ea87-4b7e-a96d-1639b6c58729C0">.</span></p><p dir="ltr" class="sfdfaf3ec-ea87-4b7e-a96d-1639b6c58729P0"><span style="white-space: pre-wrap;" xml:space="preserve" class="sfdfaf3ec-ea87-4b7e-a96d-1639b6c58729000002"> </span></p></div></body></html><br /><hr><br /><html> <head> <title>Rule 55:08:03:03 Election of coverage after initial eligibility period.</title> <META NAME="Keywords" Content="Administrative Rules 55:08:03:03"> <META NAME="Description" Content="Administrative Rules 55:08:03:03 Election of coverage after initial eligibility period."> <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;} @font-face {font-family:Times; panose-1:2 2 6 3 5 4 5 2 3 4;} /* Style Definitions */ p.MsoNormal, li.MsoNormal, div.MsoNormal {margin:0in; margin-bottom:.0001pt; punctuation-wrap:simple; text-autospace:none; font-size:10.0pt; font-family:"Times","serif";} .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> <div class=WordSection1> <p class=MsoNormal style='text-align:justify'><span style='font-size:12.0pt; font-family:"Times New Roman","serif"'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; <b>55:08:03:03.&nbsp;&nbsp;Election of coverage after initial eligibility period.</b> An eligible employee may elect coverage for the employee and the employee s dependents after the initial eligibility period upon showing proof of insurability for each person to be insured and may increase the employee s coverage after the initial eligibility period upon showing proof of insurability.</span></p> <p class=MsoNormal style='text-align:justify'><span style='font-size:12.0pt; font-family:"Times New Roman","serif"'>&nbsp;</span></p> <p class=MsoNormal style='text-align:justify'><span style='font-size:12.0pt; font-family:"Times New Roman","serif"'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; <b>Source:</b> 38 SDR 213, effective July 1, 2012.</span></p> <p class=MsoNormal style='text-align:justify'><span style='font-size:12.0pt; font-family:"Times New Roman","serif"'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; <b>General Authority:</b> SDCL <A HREF="/statutes/DisplayStatute.aspx?Type=Statute&Statute=3-6E-13">3-6E-13(3).</A></span></p> <p class=MsoNormal style='text-align:justify'><span style='font-size:12.0pt; font-family:"Times New Roman","serif"'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; <b>Law Implemented:</b> SDCL <A HREF="/statutes/DisplayStatute.aspx?Type=Statute&Statute=3-6E-1">3-6E-1.</A></span></p> <p class=MsoNormal style='text-align:justify'><span style='font-size:12.0pt; font-family:"Times New Roman","serif"'>&nbsp;</span></p> </div> </body> </html> <br /><hr><br /><html xmlns="http://www.w3.org/1999/xhtml"><head><meta charset="UTF-8" /><title></title><meta name="Generator" content="PowerTools for Open XML" /><style>p.scfbb5d1b-4c71-4c8f-8061-85f67c5e9019P0 { margin-top: 0; margin-bottom: 0; margin-left: 0; margin-right: 0; text-indent: 0.00in; text-align: justify; background: white; font-family: 'Times New Roman', 'serif'; font-size: 12pt; line-height: 108%; } span.scfbb5d1b-4c71-4c8f-8061-85f67c5e9019C0 { color: black; background: white; font-family: 'Times New Roman', 'serif'; font-size: 12pt; font-style: normal; font-weight: normal; margin: 0; padding: 0; } span.scfbb5d1b-4c71-4c8f-8061-85f67c5e9019C0-000000 { color: #0000FF; background: white; font-family: 'Times New Roman', 'serif'; font-size: 12pt; font-style: normal; font-weight: bold; margin: 0; padding: 0; } span.scfbb5d1b-4c71-4c8f-8061-85f67c5e9019C0-000001 { color: black; background: white; font-family: 'Times New Roman', 'serif'; font-size: 12pt; font-style: normal; font-weight: bold; margin: 0; padding: 0; } span.scfbb5d1b-4c71-4c8f-8061-85f67c5e9019000002 { color: black; background: white; font-size: 12pt; font-style: normal; font-weight: normal; margin: 0; padding: 0; } span.scfbb5d1b-4c71-4c8f-8061-85f67c5e9019C0-000003 { color: #0000FF; background: white; font-family: 'Times New Roman', 'serif'; font-size: 12pt; font-style: normal; font-weight: normal; margin: 0; padding: 0; } </style></head><body><div><p dir="ltr" class="scfbb5d1b-4c71-4c8f-8061-85f67c5e9019P0"><span style="white-space: pre-wrap;" xml:space="preserve" class="scfbb5d1b-4c71-4c8f-8061-85f67c5e9019C0">    </span><a href="https://sdlegislature.gov/Rules?Rule=55:08:03:04"><span style="white-space: pre-wrap;" class="scfbb5d1b-4c71-4c8f-8061-85f67c5e9019C0-000000">55:08:03:04</span></a><span style="white-space: pre-wrap;" class="scfbb5d1b-4c71-4c8f-8061-85f67c5e9019C0-000001">.  Termination of coverage.</span><span style="white-space: pre-wrap;" xml:space="preserve" class="scfbb5d1b-4c71-4c8f-8061-85f67c5e9019C0"> An employee enrolled for life coverage may elect, at any time, to terminate enrollment and deductions. Coverage </span><span style="white-space: pre-wrap;" xml:space="preserve" class="scfbb5d1b-4c71-4c8f-8061-85f67c5e9019C0">continues through the last day of the month for </span><span style="white-space: pre-wrap;" class="scfbb5d1b-4c71-4c8f-8061-85f67c5e9019C0">which contributions were paid.</span></p><p dir="ltr" class="scfbb5d1b-4c71-4c8f-8061-85f67c5e9019P0"><span style="white-space: pre-wrap;" xml:space="preserve" class="scfbb5d1b-4c71-4c8f-8061-85f67c5e9019000002"> </span></p><p dir="ltr" class="scfbb5d1b-4c71-4c8f-8061-85f67c5e9019P0"><span style="white-space: pre-wrap;" xml:space="preserve" class="scfbb5d1b-4c71-4c8f-8061-85f67c5e9019C0">    </span><span style="white-space: pre-wrap;" class="scfbb5d1b-4c71-4c8f-8061-85f67c5e9019C0-000001">Source:</span><span style="white-space: pre-wrap;" xml:space="preserve" class="scfbb5d1b-4c71-4c8f-8061-85f67c5e9019C0"> 38 SDR 213, effective July 1, 2012; 41 SDR 58, effective October 14, 2014</span><span style="white-space: pre-wrap;" class="scfbb5d1b-4c71-4c8f-8061-85f67c5e9019C0">; 47 SDR 142, effective July 1, 2021</span><span style="white-space: pre-wrap;" class="scfbb5d1b-4c71-4c8f-8061-85f67c5e9019C0">.</span></p><p dir="ltr" class="scfbb5d1b-4c71-4c8f-8061-85f67c5e9019P0"><span style="white-space: pre-wrap;" xml:space="preserve" class="scfbb5d1b-4c71-4c8f-8061-85f67c5e9019C0">    </span><span style="white-space: pre-wrap;" class="scfbb5d1b-4c71-4c8f-8061-85f67c5e9019C0-000001">General Authority:</span><span style="white-space: pre-wrap;" xml:space="preserve" class="scfbb5d1b-4c71-4c8f-8061-85f67c5e9019C0"> SDCL </span><a href="https://sdlegislature.gov/Statutes?Statute=3-6E-13"><span style="white-space: pre-wrap;" class="scfbb5d1b-4c71-4c8f-8061-85f67c5e9019C0-000003">3-6E-13</span></a><span style="white-space: pre-wrap;" class="scfbb5d1b-4c71-4c8f-8061-85f67c5e9019C0">(5).</span></p><p dir="ltr" class="scfbb5d1b-4c71-4c8f-8061-85f67c5e9019P0"><span style="white-space: pre-wrap;" xml:space="preserve" class="scfbb5d1b-4c71-4c8f-8061-85f67c5e9019C0">    </span><span style="white-space: pre-wrap;" class="scfbb5d1b-4c71-4c8f-8061-85f67c5e9019C0-000001">Law Implemented:</span><span style="white-space: pre-wrap;" xml:space="preserve" class="scfbb5d1b-4c71-4c8f-8061-85f67c5e9019C0"> SDCL </span><a href="https://sdlegislature.gov/Statutes?Statute=3-6E-1"><span style="white-space: pre-wrap;" class="scfbb5d1b-4c71-4c8f-8061-85f67c5e9019C0-000003">3-6E-1</span></a><span style="white-space: pre-wrap;" class="scfbb5d1b-4c71-4c8f-8061-85f67c5e9019C0">.</span></p><p dir="ltr" class="scfbb5d1b-4c71-4c8f-8061-85f67c5e9019P0"><span style="white-space: pre-wrap;" xml:space="preserve" class="scfbb5d1b-4c71-4c8f-8061-85f67c5e9019000002"> </span></p></div></body></html><br /><hr><br /><html> <head> <title>Rule 55:08:03:05 Repealed.</title> <META NAME="Keywords" Content="Administrative Rules 55:08:03:05"> <META NAME="Description" Content="Administrative Rules 55:08:03:05 Repealed."> <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>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; <b>55:08:03:05.&nbsp;&nbsp;Continuation of coverage.</b> Repealed.</p> <p class=MsoNormal>&nbsp;</p> <p class=MsoNormal>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; <b>Source:</b> 38 SDR 213, effective July 1, 2012; repealed, 41 SDR 58, effective October 14, 2014.</p> <p class=MsoNormal>&nbsp;</p> </div> </body> </html> <br /><hr><br /><html> <head> <title>Rule 55:08:03:06 Basic life benefit defined.</title> <META NAME="Keywords" Content="Administrative Rules 55:08:03:06"> <META NAME="Description" Content="Administrative Rules 55:08:03:06 Basic life benefit defined."> <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;} @font-face {font-family:Times; panose-1:2 2 6 3 5 4 5 2 3 4;} /* Style Definitions */ p.MsoNormal, li.MsoNormal, div.MsoNormal {margin:0in; margin-bottom:.0001pt; punctuation-wrap:simple; text-autospace:none; font-size:10.0pt; font-family:"Times","serif";} .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> <div class=WordSection1> <p class=MsoNormal style='text-align:justify'><span style='font-size:12.0pt; font-family:"Times New Roman","serif"'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; <b>55:08:03:06.&nbsp;&nbsp;Basic life benefit defined.</b> The basic life benefit payable under the life benefit program is $25,000.</span></p> <p class=MsoNormal style='text-align:justify'><span style='font-size:12.0pt; font-family:"Times New Roman","serif"'>&nbsp;</span></p> <p class=MsoNormal style='text-align:justify'><span style='font-size:12.0pt; font-family:"Times New Roman","serif"'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; <b>Source:</b> 38 SDR 213, effective July 1, 2012.</span></p> <p class=MsoNormal style='text-align:justify'><span style='font-size:12.0pt; font-family:"Times New Roman","serif"'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; <b>General Authority:</b> SDCL <A HREF="/statutes/DisplayStatute.aspx?Type=Statute&Statute=3-6E-13">3-6E-13(1).</A></span></p> <p class=MsoNormal style='text-align:justify'><span style='font-size:12.0pt; font-family:"Times New Roman","serif"'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; <b>Law Implemented:</b> SDCL <A HREF="/statutes/DisplayStatute.aspx?Type=Statute&Statute=3-6E-1">3-6E-1.</A></span></p> <p class=MsoNormal style='text-align:justify'><span style='font-size:12.0pt; font-family:"Times New Roman","serif"'>&nbsp;</span></p> </div> </body> </html> <br /><hr><br /><html xmlns="http://www.w3.org/1999/xhtml"><head><meta charset="UTF-8" /><title></title><meta name="Generator" content="PowerTools for Open XML" /><style>p.s33047615-860a-4298-bddc-783a00881293P0 { margin-top: 0; margin-bottom: 0; margin-left: 0; margin-right: 0; text-indent: 0.00in; text-align: center; background: white; font-family: 'Times New Roman', 'serif'; font-size: 12pt; line-height: 108%; } span.s33047615-860a-4298-bddc-783a00881293C0 { color: black; background: white; font-family: 'Times New Roman', 'serif'; font-size: 12pt; font-style: normal; font-weight: bold; margin: 0; padding: 0; } span.s33047615-860a-4298-bddc-783a00881293C0-000000 { color: #0000FF; background: white; font-family: 'Times New Roman', 'serif'; font-size: 12pt; font-style: normal; font-weight: bold; margin: 0; padding: 0; } span.s33047615-860a-4298-bddc-783a00881293000001 { color: black; background: white; font-size: 12pt; font-style: normal; font-weight: bold; margin: 0; padding: 0; } p.s33047615-860a-4298-bddc-783a00881293P0-000002 { margin-top: 0; margin-bottom: 0; margin-left: 0; margin-right: 0; text-indent: 0.00in; text-align: justify; background: white; font-family: 'Times New Roman', 'serif'; font-size: 12pt; line-height: 108%; } span.s33047615-860a-4298-bddc-783a00881293000003 { color: black; background: white; font-size: 12pt; font-style: normal; font-weight: normal; margin: 0; padding: 0; } span.s33047615-860a-4298-bddc-783a00881293C0-000004 { color: black; background: white; font-family: 'Times New Roman', 'serif'; font-size: 12pt; font-style: normal; font-weight: normal; margin: 0; padding: 0; } </style></head><body><div><p dir="ltr" class="s33047615-860a-4298-bddc-783a00881293P0"><span style="white-space: pre-wrap;" xml:space="preserve" class="s33047615-860a-4298-bddc-783a00881293C0">CHAPTER </span><a href="https://sdlegislature.gov/Rules?Rule=55:08:04"><span style="white-space: pre-wrap;" class="s33047615-860a-4298-bddc-783a00881293C0-000000">55:08:04</span></a></p><p dir="ltr" class="s33047615-860a-4298-bddc-783a00881293P0"><span style="white-space: pre-wrap;" xml:space="preserve" class="s33047615-860a-4298-bddc-783a00881293000001"> </span></p><p dir="ltr" class="s33047615-860a-4298-bddc-783a00881293P0"><span style="white-space: pre-wrap;" class="s33047615-860a-4298-bddc-783a00881293C0">RETIREE HEALTH BENEFIT</span></p><p dir="ltr" class="s33047615-860a-4298-bddc-783a00881293P0-000002"><span style="white-space: pre-wrap;" xml:space="preserve" class="s33047615-860a-4298-bddc-783a00881293000003"> </span></p><p dir="ltr" class="s33047615-860a-4298-bddc-783a00881293P0"><span style="white-space: pre-wrap;" class="s33047615-860a-4298-bddc-783a00881293C0-000004">(Repealed)</span></p><p dir="ltr" class="s33047615-860a-4298-bddc-783a00881293P0-000002"><span style="white-space: pre-wrap;" xml:space="preserve" class="s33047615-860a-4298-bddc-783a00881293000003"> </span></p><p dir="ltr" class="s33047615-860a-4298-bddc-783a00881293P0-000002"><span style="white-space: pre-wrap;" xml:space="preserve" class="s33047615-860a-4298-bddc-783a00881293000003"> </span></p><p dir="ltr" class="s33047615-860a-4298-bddc-783a00881293P0-000002"><span style="white-space: pre-wrap;" xml:space="preserve" class="s33047615-860a-4298-bddc-783a00881293000003"> </span></p></div></body></html><br /><hr><br /><html xmlns="http://www.w3.org/1999/xhtml"><head><meta charset="UTF-8" /><title></title><meta name="Generator" content="PowerTools for Open XML" /><style>p.s06abdfee-b153-48d4-aa2a-20c15cc7d4d8P0 { margin-top: 0; margin-bottom: 0; margin-left: 0; margin-right: 0; text-indent: 0.00in; text-align: justify; background: white; font-family: 'Times New Roman', 'serif'; font-size: 12pt; line-height: 108%; } span.s06abdfee-b153-48d4-aa2a-20c15cc7d4d8C0 { color: black; background: white; font-family: 'Times New Roman', 'serif'; font-size: 12pt; font-style: normal; font-weight: normal; margin: 0; padding: 0; } span.s06abdfee-b153-48d4-aa2a-20c15cc7d4d8C0-000000 { color: #0000FF; background: white; font-family: 'Times New Roman', 'serif'; font-size: 12pt; font-style: normal; font-weight: bold; margin: 0; padding: 0; } span.s06abdfee-b153-48d4-aa2a-20c15cc7d4d8C0-000001 { color: black; background: white; font-family: 'Times New Roman', 'serif'; font-size: 12pt; font-style: normal; font-weight: bold; margin: 0; padding: 0; } span.s06abdfee-b153-48d4-aa2a-20c15cc7d4d8000002 { color: black; background: white; font-size: 12pt; font-style: normal; font-weight: normal; margin: 0; padding: 0; } </style></head><body><div><p dir="ltr" class="s06abdfee-b153-48d4-aa2a-20c15cc7d4d8P0"><span style="white-space: pre-wrap;" xml:space="preserve" class="s06abdfee-b153-48d4-aa2a-20c15cc7d4d8C0">    </span><a href="https://sdlegislature.gov/Rules?Rule=55:08:04:01"><span style="white-space: pre-wrap;" class="s06abdfee-b153-48d4-aa2a-20c15cc7d4d8C0-000000">55:08:04:01</span></a><span style="white-space: pre-wrap;" class="s06abdfee-b153-48d4-aa2a-20c15cc7d4d8C0-000001">.  Eligibility of retiree and dependents.</span><span style="white-space: pre-wrap;" xml:space="preserve" class="s06abdfee-b153-48d4-aa2a-20c15cc7d4d8C0"> </span><span style="white-space: pre-wrap;" class="s06abdfee-b153-48d4-aa2a-20c15cc7d4d8C0">Repealed</span><span style="white-space: pre-wrap;" class="s06abdfee-b153-48d4-aa2a-20c15cc7d4d8C0">.</span></p><p dir="ltr" class="s06abdfee-b153-48d4-aa2a-20c15cc7d4d8P0"><span style="white-space: pre-wrap;" xml:space="preserve" class="s06abdfee-b153-48d4-aa2a-20c15cc7d4d8000002"> </span></p><p dir="ltr" class="s06abdfee-b153-48d4-aa2a-20c15cc7d4d8P0"><span style="white-space: pre-wrap;" xml:space="preserve" class="s06abdfee-b153-48d4-aa2a-20c15cc7d4d8C0">    </span><span style="white-space: pre-wrap;" class="s06abdfee-b153-48d4-aa2a-20c15cc7d4d8C0-000001">Source:</span><span style="white-space: pre-wrap;" xml:space="preserve" class="s06abdfee-b153-48d4-aa2a-20c15cc7d4d8C0"> 38 SDR 213, effective July 1, 2012</span><span style="white-space: pre-wrap;" class="s06abdfee-b153-48d4-aa2a-20c15cc7d4d8C0">; 47 SDR 142, effective July 1, 2021</span><span style="white-space: pre-wrap;" class="s06abdfee-b153-48d4-aa2a-20c15cc7d4d8C0">.</span></p><p dir="ltr" class="s06abdfee-b153-48d4-aa2a-20c15cc7d4d8P0"><span style="white-space: pre-wrap;" xml:space="preserve" class="s06abdfee-b153-48d4-aa2a-20c15cc7d4d8000002"> </span></p></div></body></html><br /><hr><br /><html xmlns="http://www.w3.org/1999/xhtml"><head><meta charset="UTF-8" /><title></title><meta name="Generator" content="PowerTools for Open XML" /><style>p.s36ed10b4-ce79-4e6f-8120-f14161a7f03dP0 { margin-top: 0; margin-bottom: 0; margin-left: 0; margin-right: 0; text-indent: 0.00in; text-align: justify; background: white; font-family: 'Times New Roman', 'serif'; font-size: 12pt; line-height: 108%; } span.s36ed10b4-ce79-4e6f-8120-f14161a7f03dC0 { color: black; background: white; font-family: 'Times New Roman', 'serif'; font-size: 12pt; font-style: normal; font-weight: normal; margin: 0; padding: 0; } span.s36ed10b4-ce79-4e6f-8120-f14161a7f03dC0-000000 { color: #0000FF; background: white; font-family: 'Times New Roman', 'serif'; font-size: 12pt; font-style: normal; font-weight: bold; margin: 0; padding: 0; } span.s36ed10b4-ce79-4e6f-8120-f14161a7f03dC0-000001 { color: black; background: white; font-family: 'Times New Roman', 'serif'; font-size: 12pt; font-style: normal; font-weight: bold; margin: 0; padding: 0; } span.s36ed10b4-ce79-4e6f-8120-f14161a7f03d000002 { color: black; background: white; font-size: 12pt; font-style: normal; font-weight: normal; margin: 0; padding: 0; } </style></head><body><div><p dir="ltr" class="s36ed10b4-ce79-4e6f-8120-f14161a7f03dP0"><span style="white-space: pre-wrap;" xml:space="preserve" class="s36ed10b4-ce79-4e6f-8120-f14161a7f03dC0">    </span><a href="https://sdlegislature.gov/Rules?Rule=55:08:04:02"><span style="white-space: pre-wrap;" class="s36ed10b4-ce79-4e6f-8120-f14161a7f03dC0-000000">55:08:04:02</span></a><span style="white-space: pre-wrap;" class="s36ed10b4-ce79-4e6f-8120-f14161a7f03dC0-000001">.  Election of coverage by retiree.</span><span style="white-space: pre-wrap;" xml:space="preserve" class="s36ed10b4-ce79-4e6f-8120-f14161a7f03dC0"> </span><span style="white-space: pre-wrap;" class="s36ed10b4-ce79-4e6f-8120-f14161a7f03dC0">Repealed</span><span style="white-space: pre-wrap;" class="s36ed10b4-ce79-4e6f-8120-f14161a7f03dC0">.</span></p><p dir="ltr" class="s36ed10b4-ce79-4e6f-8120-f14161a7f03dP0"><span style="white-space: pre-wrap;" xml:space="preserve" class="s36ed10b4-ce79-4e6f-8120-f14161a7f03d000002"> </span></p><p dir="ltr" class="s36ed10b4-ce79-4e6f-8120-f14161a7f03dP0"><span style="white-space: pre-wrap;" xml:space="preserve" class="s36ed10b4-ce79-4e6f-8120-f14161a7f03dC0">    </span><span style="white-space: pre-wrap;" class="s36ed10b4-ce79-4e6f-8120-f14161a7f03dC0-000001">Source:</span><span style="white-space: pre-wrap;" xml:space="preserve" class="s36ed10b4-ce79-4e6f-8120-f14161a7f03dC0"> 38 SDR 213, effective July 1, 2012</span><span style="white-space: pre-wrap;" class="s36ed10b4-ce79-4e6f-8120-f14161a7f03dC0">; 47 SDR 142, effective July 1, 2021</span><span style="white-space: pre-wrap;" class="s36ed10b4-ce79-4e6f-8120-f14161a7f03dC0">.</span></p><p dir="ltr" class="s36ed10b4-ce79-4e6f-8120-f14161a7f03dP0"><span style="white-space: pre-wrap;" xml:space="preserve" class="s36ed10b4-ce79-4e6f-8120-f14161a7f03d000002"> </span></p></div></body></html><br /><hr><br /><html xmlns="http://www.w3.org/1999/xhtml"><head><meta charset="UTF-8" /><title></title><meta name="Generator" content="PowerTools for Open XML" /><style>p.sff5d5cad-12c7-421d-8614-4eb41f8c65a2P0 { margin-top: 0; margin-bottom: 0; margin-left: 0; margin-right: 0; text-indent: 0.00in; text-align: justify; background: white; font-family: 'Times New Roman', 'serif'; font-size: 12pt; line-height: 108%; } span.sff5d5cad-12c7-421d-8614-4eb41f8c65a2C0 { color: black; background: white; font-family: 'Times New Roman', 'serif'; font-size: 12pt; font-style: normal; font-weight: normal; margin: 0; padding: 0; } span.sff5d5cad-12c7-421d-8614-4eb41f8c65a2C0-000000 { color: #0000FF; background: white; font-family: 'Times New Roman', 'serif'; font-size: 12pt; font-style: normal; font-weight: bold; margin: 0; padding: 0; } span.sff5d5cad-12c7-421d-8614-4eb41f8c65a2C0-000001 { color: black; background: white; font-family: 'Times New Roman', 'serif'; font-size: 12pt; font-style: normal; font-weight: bold; margin: 0; padding: 0; } span.sff5d5cad-12c7-421d-8614-4eb41f8c65a2000002 { color: black; background: white; font-size: 12pt; font-style: normal; font-weight: normal; margin: 0; padding: 0; } </style></head><body><div><p dir="ltr" class="sff5d5cad-12c7-421d-8614-4eb41f8c65a2P0"><span style="white-space: pre-wrap;" xml:space="preserve" class="sff5d5cad-12c7-421d-8614-4eb41f8c65a2C0">    </span><a href="https://sdlegislature.gov/Rules?Rule=55:08:04:03"><span style="white-space: pre-wrap;" class="sff5d5cad-12c7-421d-8614-4eb41f8c65a2C0-000000">55:08:04:03</span></a><span style="white-space: pre-wrap;" class="sff5d5cad-12c7-421d-8614-4eb41f8c65a2C0-000001">.  Election of coverage by retiree after expiration of initial eligibility period.</span><span style="white-space: pre-wrap;" xml:space="preserve" class="sff5d5cad-12c7-421d-8614-4eb41f8c65a2C0"> </span><span style="white-space: pre-wrap;" class="sff5d5cad-12c7-421d-8614-4eb41f8c65a2C0">Repealed</span><span style="white-space: pre-wrap;" class="sff5d5cad-12c7-421d-8614-4eb41f8c65a2C0">.</span></p><p dir="ltr" class="sff5d5cad-12c7-421d-8614-4eb41f8c65a2P0"><span style="white-space: pre-wrap;" xml:space="preserve" class="sff5d5cad-12c7-421d-8614-4eb41f8c65a2000002"> </span></p><p dir="ltr" class="sff5d5cad-12c7-421d-8614-4eb41f8c65a2P0"><span style="white-space: pre-wrap;" xml:space="preserve" class="sff5d5cad-12c7-421d-8614-4eb41f8c65a2C0">    </span><span style="white-space: pre-wrap;" class="sff5d5cad-12c7-421d-8614-4eb41f8c65a2C0-000001">Source:</span><span style="white-space: pre-wrap;" xml:space="preserve" class="sff5d5cad-12c7-421d-8614-4eb41f8c65a2C0"> 38 SDR 213, effective July 1, 2012; 41 SDR 58, effective October 14, 2014</span><span style="white-space: pre-wrap;" class="sff5d5cad-12c7-421d-8614-4eb41f8c65a2C0">; 47 SDR 142, effective July 1, 2021</span><span style="white-space: pre-wrap;" class="sff5d5cad-12c7-421d-8614-4eb41f8c65a2C0">.</span></p><p dir="ltr" class="sff5d5cad-12c7-421d-8614-4eb41f8c65a2P0"><span style="white-space: pre-wrap;" xml:space="preserve" class="sff5d5cad-12c7-421d-8614-4eb41f8c65a2000002"> </span></p></div></body></html><br /><hr><br /><html xmlns="http://www.w3.org/1999/xhtml"><head><meta charset="UTF-8" /><title></title><meta name="Generator" content="PowerTools for Open XML" /><style>p.sa728f7dd-9185-40f8-bc1e-fd3f85c07082P0 { margin-top: 0; margin-bottom: 0; margin-left: 0; margin-right: 0; text-indent: 0.00in; text-align: justify; background: white; font-family: 'Times New Roman', 'serif'; font-size: 12pt; line-height: 108%; } span.sa728f7dd-9185-40f8-bc1e-fd3f85c07082C0 { color: black; background: white; font-family: 'Times New Roman', 'serif'; font-size: 12pt; font-style: normal; font-weight: normal; margin: 0; padding: 0; } span.sa728f7dd-9185-40f8-bc1e-fd3f85c07082C0-000000 { color: #0000FF; background: white; font-family: 'Times New Roman', 'serif'; font-size: 12pt; font-style: normal; font-weight: bold; margin: 0; padding: 0; } span.sa728f7dd-9185-40f8-bc1e-fd3f85c07082C0-000001 { color: black; background: white; font-family: 'Times New Roman', 'serif'; font-size: 12pt; font-style: normal; font-weight: bold; margin: 0; padding: 0; } span.sa728f7dd-9185-40f8-bc1e-fd3f85c07082000002 { color: black; background: white; font-size: 12pt; font-style: normal; font-weight: normal; margin: 0; padding: 0; } </style></head><body><div><p dir="ltr" class="sa728f7dd-9185-40f8-bc1e-fd3f85c07082P0"><span style="white-space: pre-wrap;" xml:space="preserve" class="sa728f7dd-9185-40f8-bc1e-fd3f85c07082C0">    </span><a href="https://sdlegislature.gov/Rules?Rule=55:08:04:04"><span style="white-space: pre-wrap;" class="sa728f7dd-9185-40f8-bc1e-fd3f85c07082C0-000000">55:08:04:04</span></a><span style="white-space: pre-wrap;" class="sa728f7dd-9185-40f8-bc1e-fd3f85c07082C0-000001">.  Beginning of coverage.</span><span style="white-space: pre-wrap;" xml:space="preserve" class="sa728f7dd-9185-40f8-bc1e-fd3f85c07082C0"> </span><span style="white-space: pre-wrap;" class="sa728f7dd-9185-40f8-bc1e-fd3f85c07082C0">Repealed</span><span style="white-space: pre-wrap;" class="sa728f7dd-9185-40f8-bc1e-fd3f85c07082C0">.</span></p><p dir="ltr" class="sa728f7dd-9185-40f8-bc1e-fd3f85c07082P0"><span style="white-space: pre-wrap;" xml:space="preserve" class="sa728f7dd-9185-40f8-bc1e-fd3f85c07082000002"> </span></p><p dir="ltr" class="sa728f7dd-9185-40f8-bc1e-fd3f85c07082P0"><span style="white-space: pre-wrap;" xml:space="preserve" class="sa728f7dd-9185-40f8-bc1e-fd3f85c07082C0">    </span><span style="white-space: pre-wrap;" class="sa728f7dd-9185-40f8-bc1e-fd3f85c07082C0-000001">Source:</span><span style="white-space: pre-wrap;" xml:space="preserve" class="sa728f7dd-9185-40f8-bc1e-fd3f85c07082C0"> 38 SDR 213, effective July 1, 2012</span><span style="white-space: pre-wrap;" class="sa728f7dd-9185-40f8-bc1e-fd3f85c07082C0">; 47 SDR 142, effective July 1, 2021</span><span style="white-space: pre-wrap;" class="sa728f7dd-9185-40f8-bc1e-fd3f85c07082C0">.</span></p><p dir="ltr" class="sa728f7dd-9185-40f8-bc1e-fd3f85c07082P0"><span style="white-space: pre-wrap;" xml:space="preserve" class="sa728f7dd-9185-40f8-bc1e-fd3f85c07082000002"> </span></p></div></body></html><br /><hr><br /><html xmlns="http://www.w3.org/1999/xhtml"><head><meta charset="UTF-8" /><title></title><meta name="Generator" content="PowerTools for Open XML" /><style>p.sde2aae0b-5a05-4c08-ac4e-f1342636c8f9P0 { margin-top: 0; margin-bottom: 0; margin-left: 0; margin-right: 0; text-indent: 0.00in; text-align: justify; background: white; font-family: 'Times New Roman', 'serif'; font-size: 12pt; line-height: 108%; } span.sde2aae0b-5a05-4c08-ac4e-f1342636c8f9C0 { color: black; background: white; font-family: 'Times New Roman', 'serif'; font-size: 12pt; font-style: normal; font-weight: normal; margin: 0; padding: 0; } span.sde2aae0b-5a05-4c08-ac4e-f1342636c8f9C0-000000 { color: #0000FF; background: white; font-family: 'Times New Roman', 'serif'; font-size: 12pt; font-style: normal; font-weight: bold; margin: 0; padding: 0; } span.sde2aae0b-5a05-4c08-ac4e-f1342636c8f9C0-000001 { color: black; background: white; font-family: 'Times New Roman', 'serif'; font-size: 12pt; font-style: normal; font-weight: bold; margin: 0; padding: 0; } span.sde2aae0b-5a05-4c08-ac4e-f1342636c8f9000002 { color: black; background: white; font-size: 12pt; font-style: normal; font-weight: normal; margin: 0; padding: 0; } </style></head><body><div><p dir="ltr" class="sde2aae0b-5a05-4c08-ac4e-f1342636c8f9P0"><span style="white-space: pre-wrap;" xml:space="preserve" class="sde2aae0b-5a05-4c08-ac4e-f1342636c8f9C0">    </span><a href="https://sdlegislature.gov/Rules?Rule=55:08:04:05"><span style="white-space: pre-wrap;" class="sde2aae0b-5a05-4c08-ac4e-f1342636c8f9C0-000000">55:08:04:05</span></a><span style="white-space: pre-wrap;" class="sde2aae0b-5a05-4c08-ac4e-f1342636c8f9C0-000001">.  Payment of contributions.</span><span style="white-space: pre-wrap;" xml:space="preserve" class="sde2aae0b-5a05-4c08-ac4e-f1342636c8f9C0"> </span><span style="white-space: pre-wrap;" class="sde2aae0b-5a05-4c08-ac4e-f1342636c8f9C0">Repealed</span><span style="white-space: pre-wrap;" class="sde2aae0b-5a05-4c08-ac4e-f1342636c8f9C0">.</span></p><p dir="ltr" class="sde2aae0b-5a05-4c08-ac4e-f1342636c8f9P0"><span style="white-space: pre-wrap;" xml:space="preserve" class="sde2aae0b-5a05-4c08-ac4e-f1342636c8f9000002"> </span></p><p dir="ltr" class="sde2aae0b-5a05-4c08-ac4e-f1342636c8f9P0"><span style="white-space: pre-wrap;" xml:space="preserve" class="sde2aae0b-5a05-4c08-ac4e-f1342636c8f9C0">    </span><span style="white-space: pre-wrap;" class="sde2aae0b-5a05-4c08-ac4e-f1342636c8f9C0-000001">Source:</span><span style="white-space: pre-wrap;" xml:space="preserve" class="sde2aae0b-5a05-4c08-ac4e-f1342636c8f9C0"> 38 SDR 213, effective July 1, 2012</span><span style="white-space: pre-wrap;" class="sde2aae0b-5a05-4c08-ac4e-f1342636c8f9C0">; 47 SDR 142, effective July 1, 2021</span><span style="white-space: pre-wrap;" class="sde2aae0b-5a05-4c08-ac4e-f1342636c8f9C0">.</span></p><p dir="ltr" class="sde2aae0b-5a05-4c08-ac4e-f1342636c8f9P0"><span style="white-space: pre-wrap;" xml:space="preserve" class="sde2aae0b-5a05-4c08-ac4e-f1342636c8f9000002"> </span></p></div></body></html><br /><hr><br /><html xmlns="http://www.w3.org/1999/xhtml"><head><meta charset="UTF-8" /><title></title><meta name="Generator" content="PowerTools for Open XML" /><style>p.sef57bf11-5cf3-4122-94ef-8924e5d702acP0 { margin-top: 0; margin-bottom: 0; margin-left: 0; margin-right: 0; text-indent: 0.00in; text-align: justify; background: white; font-family: 'Times New Roman', 'serif'; font-size: 12pt; line-height: 108%; } span.sef57bf11-5cf3-4122-94ef-8924e5d702acC0 { color: black; background: white; font-family: 'Times New Roman', 'serif'; font-size: 12pt; font-style: normal; font-weight: normal; margin: 0; padding: 0; } span.sef57bf11-5cf3-4122-94ef-8924e5d702acC0-000000 { color: #0000FF; background: white; font-family: 'Times New Roman', 'serif'; font-size: 12pt; font-style: normal; font-weight: bold; margin: 0; padding: 0; } span.sef57bf11-5cf3-4122-94ef-8924e5d702acC0-000001 { color: black; background: white; font-family: 'Times New Roman', 'serif'; font-size: 12pt; font-style: normal; font-weight: bold; margin: 0; padding: 0; } span.sef57bf11-5cf3-4122-94ef-8924e5d702ac000002 { color: black; background: white; font-size: 12pt; font-style: normal; font-weight: normal; margin: 0; padding: 0; } </style></head><body><div><p dir="ltr" class="sef57bf11-5cf3-4122-94ef-8924e5d702acP0"><span style="white-space: pre-wrap;" xml:space="preserve" class="sef57bf11-5cf3-4122-94ef-8924e5d702acC0">    </span><a href="https://sdlegislature.gov/Rules?Rule=55:08:04:06"><span style="white-space: pre-wrap;" class="sef57bf11-5cf3-4122-94ef-8924e5d702acC0-000000">55:08:04:06</span></a><span style="white-space: pre-wrap;" class="sef57bf11-5cf3-4122-94ef-8924e5d702acC0-000001">.  Termination of coverage.</span><span style="white-space: pre-wrap;" xml:space="preserve" class="sef57bf11-5cf3-4122-94ef-8924e5d702acC0"> </span><span style="white-space: pre-wrap;" class="sef57bf11-5cf3-4122-94ef-8924e5d702acC0">Repealed</span><span style="white-space: pre-wrap;" class="sef57bf11-5cf3-4122-94ef-8924e5d702acC0">.</span></p><p dir="ltr" class="sef57bf11-5cf3-4122-94ef-8924e5d702acP0"><span style="white-space: pre-wrap;" xml:space="preserve" class="sef57bf11-5cf3-4122-94ef-8924e5d702ac000002"> </span></p><p dir="ltr" class="sef57bf11-5cf3-4122-94ef-8924e5d702acP0"><span style="white-space: pre-wrap;" xml:space="preserve" class="sef57bf11-5cf3-4122-94ef-8924e5d702acC0">    </span><span style="white-space: pre-wrap;" class="sef57bf11-5cf3-4122-94ef-8924e5d702acC0-000001">Source:</span><span style="white-space: pre-wrap;" xml:space="preserve" class="sef57bf11-5cf3-4122-94ef-8924e5d702acC0"> 38 SDR 213, effective July 1, 2012</span><span style="white-space: pre-wrap;" class="sef57bf11-5cf3-4122-94ef-8924e5d702acC0">; 47 SDR 142, effective July 1, 2021</span><span style="white-space: pre-wrap;" class="sef57bf11-5cf3-4122-94ef-8924e5d702acC0">.</span></p><p dir="ltr" class="sef57bf11-5cf3-4122-94ef-8924e5d702acP0"><span style="white-space: pre-wrap;" xml:space="preserve" class="sef57bf11-5cf3-4122-94ef-8924e5d702ac000002"> </span></p></div></body></html><br /><hr><br /><html xmlns="http://www.w3.org/1999/xhtml"><head><meta charset="UTF-8" /><title></title><meta name="Generator" content="PowerTools for Open XML" /><style>p.s5ba7baca-29fe-49ba-967f-bcc1bdcc14ebP0 { margin-top: 0; margin-bottom: 0; margin-left: 0; margin-right: 0; text-indent: 0.00in; text-align: justify; background: white; font-family: 'Times New Roman', 'serif'; font-size: 12pt; line-height: 108%; } span.s5ba7baca-29fe-49ba-967f-bcc1bdcc14ebC0 { color: black; background: white; font-family: 'Times New Roman', 'serif'; font-size: 12pt; font-style: normal; font-weight: normal; margin: 0; padding: 0; } span.s5ba7baca-29fe-49ba-967f-bcc1bdcc14ebC0-000000 { color: #0000FF; background: white; font-family: 'Times New Roman', 'serif'; font-size: 12pt; font-style: normal; font-weight: bold; margin: 0; padding: 0; } span.s5ba7baca-29fe-49ba-967f-bcc1bdcc14ebC0-000001 { color: black; background: white; font-family: 'Times New Roman', 'serif'; font-size: 12pt; font-style: normal; font-weight: bold; margin: 0; padding: 0; } span.s5ba7baca-29fe-49ba-967f-bcc1bdcc14eb000002 { color: black; background: white; font-size: 12pt; font-style: normal; font-weight: normal; margin: 0; padding: 0; } </style></head><body><div><p dir="ltr" class="s5ba7baca-29fe-49ba-967f-bcc1bdcc14ebP0"><span style="white-space: pre-wrap;" xml:space="preserve" class="s5ba7baca-29fe-49ba-967f-bcc1bdcc14ebC0">    </span><a href="https://sdlegislature.gov/Rules?Rule=55:08:04:07"><span style="white-space: pre-wrap;" class="s5ba7baca-29fe-49ba-967f-bcc1bdcc14ebC0-000000">55:08:04:07</span></a><span style="white-space: pre-wrap;" class="s5ba7baca-29fe-49ba-967f-bcc1bdcc14ebC0-000001">.  Continuation of coverage of dependents of deceased retiree.</span><span style="white-space: pre-wrap;" xml:space="preserve" class="s5ba7baca-29fe-49ba-967f-bcc1bdcc14ebC0"> </span><span style="white-space: pre-wrap;" class="s5ba7baca-29fe-49ba-967f-bcc1bdcc14ebC0">Repealed</span><span style="white-space: pre-wrap;" class="s5ba7baca-29fe-49ba-967f-bcc1bdcc14ebC0">.</span></p><p dir="ltr" class="s5ba7baca-29fe-49ba-967f-bcc1bdcc14ebP0"><span style="white-space: pre-wrap;" xml:space="preserve" class="s5ba7baca-29fe-49ba-967f-bcc1bdcc14eb000002"> </span></p><p dir="ltr" class="s5ba7baca-29fe-49ba-967f-bcc1bdcc14ebP0"><span style="white-space: pre-wrap;" xml:space="preserve" class="s5ba7baca-29fe-49ba-967f-bcc1bdcc14ebC0">    </span><span style="white-space: pre-wrap;" class="s5ba7baca-29fe-49ba-967f-bcc1bdcc14ebC0-000001">Source:</span><span style="white-space: pre-wrap;" xml:space="preserve" class="s5ba7baca-29fe-49ba-967f-bcc1bdcc14ebC0"> 38 SDR 213, effective July 1, 2012</span><span style="white-space: pre-wrap;" class="s5ba7baca-29fe-49ba-967f-bcc1bdcc14ebC0">; 47 SDR 142, effective July 1, 2021</span><span style="white-space: pre-wrap;" class="s5ba7baca-29fe-49ba-967f-bcc1bdcc14ebC0">.</span></p><p dir="ltr" class="s5ba7baca-29fe-49ba-967f-bcc1bdcc14ebP0"><span style="white-space: pre-wrap;" xml:space="preserve" class="s5ba7baca-29fe-49ba-967f-bcc1bdcc14eb000002"> </span></p></div></body></html><br /><hr><br /><html> <head> <meta name=Generator content="Microsoft Office HTML Filter 2.0"> <meta http-equiv=Content-Type content="text/html; charset=windows-1252"> <style> <!-- --> </style> </head> <body lang=EN-US> <div> <p align=center><b>CHAPTER 55:08:05</b></p> <p align=center><b>&nbsp;</b></p> <p align=center><b>FLEXIBLE BENEFITS PLAN</b></p> <p>Section</p> <p><a href="DisplayRule.aspx?Rule=55:08:05:01">55:08:05:01</a>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; Eligibility.</p> <p><a href="DisplayRule.aspx?Rule=55:08:05:02">55:08:05:02</a>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; Election to participate.</p> <p><a href="DisplayRule.aspx?Rule=55:08:05:03">55:08:05:03</a>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; Changes in election.</p> <p><a href="DisplayRule.aspx?Rule=55:08:05:04">55:08:05:04</a>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; Notice of ability to continue participation.</p> </div> </body> </html> <br /><hr><br /><html> <head> <title>Rule 55:08:05:01 Eligibility.</title> <META NAME="Keywords" Content="Administrative Rules 55:08:05:01"> <META NAME="Description" Content="Administrative Rules 55:08:05:01 Eligibility."> <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; font-size:12.0pt; font-family:"Times New Roman","serif";} .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> <div class=WordSection1> <p class=MsoNormal style='text-align:justify'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; <b>55:08:05:01.&nbsp;&nbsp;Eligibility.</b> Any eligible employee may participate in the flexible benefits plan. If an eligible employee retires, the retiree may apply to participate in the flexible benefits plan for 18 months after the eligible employee retires.</p> <p class=MsoNormal style='text-align:justify'>&nbsp;</p> <p class=MsoNormal style='text-align:justify'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; <b>Source:</b> 38 SDR 213, effective July 1, 2012.</p> <p class=MsoNormal style='text-align:justify'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; <b>General Authority:</b> SDCL <A HREF="/statutes/DisplayStatute.aspx?Type=Statute&Statute=3-6E-13">3-6E-13(2).</A></p> <p class=MsoNormal style='text-align:justify'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; <b>Law Implemented:</b> SDCL <A HREF="/statutes/DisplayStatute.aspx?Type=Statute&Statute=3-6E-1">3-6E-1.</A></p> <p class=MsoNormal style='text-align:justify'>&nbsp;</p> </div> </body> </html> <br /><hr><br /><html> <head> <title>Rule 55:08:05:02 Election to participate.</title> <META NAME="Keywords" Content="Administrative Rules 55:08:05:02"> <META NAME="Description" Content="Administrative Rules 55:08:05:02 Election to participate."> <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; font-size:12.0pt; font-family:"Times New Roman","serif";} .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> <div class=WordSection1> <p class=MsoNormal style='text-align:justify'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; <b>55:08:05:02.&nbsp;&nbsp;Election to participate.</b> An eligible employee may file an election to participate in the flexible benefits plan for the employee or the employee s dependents in the office of the commissioner. Once made, an election shall remain in effect for the entire plan year.</p> <p class=MsoNormal style='text-align:justify'>&nbsp;</p> <p class=MsoNormal style='text-align:justify'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; <b>Source:</b> 38 SDR 213, effective July 1, 2012.</p> <p class=MsoNormal style='text-align:justify'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; <b>General Authority:</b> SDCL <A HREF="/statutes/DisplayStatute.aspx?Type=Statute&Statute=3-6E-13">3-6E-13(3).</A></p> <p class=MsoNormal style='text-align:justify'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; <b>Law Implemented:</b> SDCL <A HREF="/statutes/DisplayStatute.aspx?Type=Statute&Statute=3-6E-1">3-6E-1.</A></p> <p class=MsoNormal style='text-align:justify'>&nbsp;</p> </div> </body> </html> <br /><hr><br /><html> <head> <title>Rule 55:08:05:03 Changes in election.</title> <META NAME="Keywords" Content="Administrative Rules 55:08:05:03"> <META NAME="Description" Content="Administrative Rules 55:08:05:03 Changes in election."> <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; font-size:12.0pt; font-family:"Times New Roman",serif; color:black;} a:link, span.MsoHyperlink {color:blue; text-decoration:underline;} a:visited, span.MsoHyperlinkFollowed {color:#954F72; text-decoration:underline;} .MsoChpDefault {font-size:10.0pt; color:black;} @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="#954F72"> <div class=WordSection1> <p class=MsoNormal style='text-align:justify'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; <b>55:08:05:03.&nbsp;&nbsp;Changes in election.</b> An eligible employee may change the employee s election when there has been a marriage, birth or adoption, divorce, change in school status or jobs, or death. The change shall be made within 30 days after the change in family status and shall be consistent with the change in family status. A new employee may make the election at the time the employee is initially hired or within 30 days thereafter. An election or change in election shall be in writing on a form provided by the commissioner. A new election may be made for each plan year during annual enrollment.</p> <p class=MsoNormal style='text-align:justify'>&nbsp;</p> <p class=MsoNormal style='text-align:justify'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; If a former employee is rehired within a plan year, the employee s election at the time of the employee s previous employment continues unless there has been a change in family status during the break in service. If applicable, changes shall be consistent with the change in family status.</p> <p class=MsoNormal style='text-align:justify'>&nbsp;</p> <p class=MsoNormal style='text-align:justify'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; <b>Source:</b> 38 SDR 213, effective July 1, 2012; 44 SDR 99, effective December 11, 2017.</p> <p class=MsoNormal style='text-align:justify'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; <b>General Authority:</b> SDCL <A HREF="/statutes/DisplayStatute.aspx?Type=Statute&Statute=3-6E-13">3-6E-13(3).</A></p> <p class=MsoNormal style='text-align:justify'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; <b>Law Implemented:</b> SDCL <A HREF="/statutes/DisplayStatute.aspx?Type=Statute&Statute=3-6E-1">3-6E-1.</A></p> <p class=MsoNormal style='text-align:justify'>&nbsp;</p> </div> </body> </html> <br /><hr><br /><html> <head> <title>Rule 55:08:05:04 Notice of ability to continue participation.</title> <META NAME="Keywords" Content="Administrative Rules 55:08:05:04"> <META NAME="Description" Content="Administrative Rules 55:08:05:04 Notice of ability to continue participation."> <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; font-size:12.0pt; font-family:"Times New Roman","serif";} .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> <div class=WordSection1> <p class=MsoNormal style='text-align:justify'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; <b>55:08:05:04.&nbsp;&nbsp;Notice of ability to continue participation.</b> If an eligible employee dies, is divorced or legally separated, is terminated from employment, has the hours of employment reduced, or has a dependent who no longer qualifies as a dependent, the participating unit shall provide written notice, as applicable, to the eligible employee and the employee s affected dependent that the employee or the dependent, or both, may elect to continue to participate in flexible benefits.</p> <p class=MsoNormal style='text-align:justify'>&nbsp;</p> <p class=MsoNormal style='text-align:justify'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; <b>Source:</b> 38 SDR 213, effective July 1, 2012.</p> <p class=MsoNormal style='text-align:justify'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; <b>General Authority:</b> SDCL <A HREF="/statutes/DisplayStatute.aspx?Type=Statute&Statute=3-6E-13">3-6E-13(3).</A></p> <p class=MsoNormal style='text-align:justify'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; <b>Law Implemented:</b> SDCL <A HREF="/statutes/DisplayStatute.aspx?Type=Statute&Statute=3-6E-1">3-6E-1.</A></p> <p class=MsoNormal style='text-align:justify'>&nbsp;</p> </div> </body> </html> <br /><hr><br /><html> <head> <meta name=Generator content="Microsoft Office HTML Filter 2.0"> <meta http-equiv=Content-Type content="text/html; charset=windows-1252"> <style> <!-- --> </style> </head> <body lang=EN-US> <div> <p align=center><b>CHAPTER 55:08:06</b></p> <p align=center><b>&nbsp;</b></p> <p align=center><b>CLAIMS REVIEW PROCEDURE</b></p> <p>Section</p> <p><a href="DisplayRule.aspx?Rule=55:08:06:01">55:08:06:01</a>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; Notice of denial of claim.</p> <p><a href="DisplayRule.aspx?Rule=55:08:06:02">55:08:06:02</a>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; Appeal from denial of claim.</p> <p><a href="DisplayRule.aspx?Rule=55:08:06:03">55:08:06:03</a>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; Appeal procedure.</p> <p><a href="DisplayRule.aspx?Rule=55:08:06:04">55:08:06:04</a>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; Repealed.</p> <p><a href="DisplayRule.aspx?Rule=55:08:06:05">55:08:06:05</a>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; Failure to comply with time limits.</p> <p><a href="DisplayRule.aspx?Rule=55:08:06:06">55:08:06:06</a>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; Delivery requirements for written notice.</p> </div> </body> </html> <br /><hr><br /><html> <head> <title>Rule 55:08:06:01 Notice of denial of claim.</title> <META NAME="Keywords" Content="Administrative Rules 55:08:06:01"> <META NAME="Description" Content="Administrative Rules 55:08:06:01 Notice of denial of claim."> <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; font-size:12.0pt; font-family:"Times New Roman","serif";} .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> <div class=WordSection1> <p class=MsoNormal style='text-align:justify'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; <b>55:08:06:01.&nbsp;&nbsp;Notice of denial of claim.</b> The benefits manager shall provide written notice to an eligible employee whose claim for benefits is denied. The notice shall include the specific reason for denial, including reference to the plan provision upon which denial is based, and a description of additional material or information necessary for the eligible employee to complete the employee s claim, including an explanation of the claims review procedure.</p> <p class=MsoNormal style='text-align:justify'>&nbsp;</p> <p class=MsoNormal style='text-align:justify'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; <b>Source:</b> 38 SDR 213, effective July 1, 2012.</p> <p class=MsoNormal style='text-align:justify'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; <b>General Authority:</b> SDCL <A HREF="/statutes/DisplayStatute.aspx?Type=Statute&Statute=3-6E-13">3-6E-13.</A></p> <p class=MsoNormal style='text-align:justify'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; <b>Law Implemented:</b> SDCL <A HREF="/statutes/DisplayStatute.aspx?Type=Statute&Statute=3-6E-1">3-6E-1.</A></p> <p class=MsoNormal style='text-align:justify'>&nbsp;</p> </div> </body> </html> <br /><hr><br /><html> <head> <title>Rule 55:08:06:02 Appeal from denial of claim.</title> <META NAME="Keywords" Content="Administrative Rules 55:08:06:02"> <META NAME="Description" Content="Administrative Rules 55:08:06:02 Appeal from denial of claim."> <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;} @font-face {font-family:Times; panose-1:2 2 6 3 5 4 5 2 3 4;} /* Style Definitions */ p.MsoNormal, li.MsoNormal, div.MsoNormal {margin:0in; margin-bottom:.0001pt; punctuation-wrap:simple; text-autospace:none; font-size:10.0pt; font-family:"Times","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='text-align:justify'><a name="_GoBack"></a><span style='font-size:12.0pt;font-family:"Times New Roman","serif"'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; <b>55:08:06:02.&nbsp;&nbsp;Appeal from denial of claim.</b> An eligible employee or any other person whose claim for benefits under chapter 55:08:02 is denied may appeal to the benefits manager within 30 days after receipt of the notice of adverse determination. The benefits manager shall investigate and make a decision within 30 days after receipt of the complaint. If the benefits manager upholds an adverse determination, the eligible employee or any other person will be notified of their right to an external review. The eligible employee or any other person has four months after receipt of notice of an adverse determination to request an external review.</span></p> <p class=MsoNormal style='text-align:justify'><span style='font-size:12.0pt; font-family:"Times New Roman","serif"'>&nbsp;</span></p> <p class=MsoNormal style='text-align:justify'><span style='font-size:12.0pt; font-family:"Times New Roman","serif"'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; <b>Source:</b> 38 SDR 213, effective July 1, 2012; 42 SDR 97, effective January 4, 2016.</span></p> <p class=MsoNormal style='text-align:justify'><span style='font-size:12.0pt; font-family:"Times New Roman","serif"'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; <b>General Authority:</b> SDCL <A HREF="/statutes/DisplayStatute.aspx?Type=Statute&Statute=3-6E-13">3-6E-13.</A></span></p> <p class=MsoNormal style='text-align:justify'><span style='font-size:12.0pt; font-family:"Times New Roman","serif"'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; <b>Law Implemented:</b> SDCL <A HREF="/statutes/DisplayStatute.aspx?Type=Statute&Statute=3-6E-1">3-6E-1</A>, <A HREF="/statutes/DisplayStatute.aspx?Type=Statute&Statute=45">45</A> C.F.R. § 147.136.</span></p> <p class=MsoNormal style='text-align:justify'><span style='font-size:12.0pt; font-family:"Times New Roman","serif"'>&nbsp;</span></p> </div> </body> </html> <br /><hr><br /><html> <head> <title>Rule 55:08:06:03 Appeal procedure.</title> <META NAME="Keywords" Content="Administrative Rules 55:08:06:03"> <META NAME="Description" Content="Administrative Rules 55:08:06:03 Appeal procedure."> <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;} @font-face {font-family:Times; panose-1:2 2 6 3 5 4 5 2 3 4;} /* Style Definitions */ p.MsoNormal, li.MsoNormal, div.MsoNormal {margin:0in; margin-bottom:.0001pt; punctuation-wrap:simple; text-autospace:none; font-size:10.0pt; font-family:"Times","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='text-align:justify'><a name="_GoBack"></a><span style='font-size:12.0pt;font-family:"Times New Roman","serif"'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; <b>55:08:06:03.&nbsp;&nbsp;Appeal procedure.</b> An eligible employee or any other person whose claim has been denied and desires to appeal the adverse determination of the benefits manager may request an external review by filing a request for external review with an independent review organization through the Department of Labor and Regulation, Division of Insurance under ARSD 20:06:53 within four months after receipt of notice of an adverse determination.</span></p> <p class=MsoNormal style='text-align:justify'><span style='font-size:12.0pt; font-family:"Times New Roman","serif"'>&nbsp;</span></p> <p class=MsoNormal style='text-align:justify'><span style='font-size:12.0pt; font-family:"Times New Roman","serif"'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; An independent review organization's external review decision is binding on the South Dakota State Employee Health Plan except to the extent the South Dakota State Employee Health Plan has other remedies available under applicable state law. An independent review organization's external review decision is binding on the eligible employee or any other person except to the extent the eligible employee or any other person has other remedies available under applicable federal or state law.</span></p> <p class=MsoNormal style='text-align:justify'><span style='font-size:12.0pt; font-family:"Times New Roman","serif"'>&nbsp;</span></p> <p class=MsoNormal style='text-align:justify'><span style='font-size:12.0pt; font-family:"Times New Roman","serif"'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; <b>Source:</b> 38 SDR 213, effective July 1, 2012; 42 SDR 97, effective January 4, 2016.</span></p> <p class=MsoNormal style='text-align:justify'><span style='font-size:12.0pt; font-family:"Times New Roman","serif"'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; <b>General Authority:</b> SDCL <A HREF="/statutes/DisplayStatute.aspx?Type=Statute&Statute=3-6E-13">3-6E-13.</A></span></p> <p class=MsoNormal style='text-align:justify'><span style='font-size:12.0pt; font-family:"Times New Roman","serif"'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; <b>Law Implemented:</b> SDCL <A HREF="/statutes/DisplayStatute.aspx?Type=Statute&Statute=3-6E-1">3-6E-1</A>, <A HREF="/statutes/DisplayStatute.aspx?Type=Statute&Statute=45">45</A> C.F.R. § 147.136.</span></p> <p class=MsoNormal style='text-align:justify'><span style='font-size:12.0pt; font-family:"Times New Roman","serif"'>&nbsp;</span></p> </div> </body> </html> <br /><hr><br /><html> <head> <title>Rule 55:08:06:04 Repealed.</title> <META NAME="Keywords" Content="Administrative Rules 55:08:06:04"> <META NAME="Description" Content="Administrative Rules 55:08:06:04 Repealed."> <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;} @font-face {font-family:Times; panose-1:2 2 6 3 5 4 5 2 3 4;} /* Style Definitions */ p.MsoNormal, li.MsoNormal, div.MsoNormal {margin:0in; margin-bottom:.0001pt; punctuation-wrap:simple; text-autospace:none; font-size:10.0pt; font-family:"Times","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='text-align:justify'><a name="_GoBack"></a><span style='font-size:12.0pt;font-family:"Times New Roman","serif"'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; <b>55:08:06:04.&nbsp;&nbsp;Decision of commissioner appealable.</b> Repealed.</span></p> <p class=MsoNormal style='text-align:justify'><span style='font-size:12.0pt; font-family:"Times New Roman","serif"'>&nbsp;</span></p> <p class=MsoNormal style='text-align:justify'><span style='font-size:12.0pt; font-family:"Times New Roman","serif"'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; <b>Source:</b> 38 SDR 213, effective July 1, 2012; 42 SDR 97, effective January 4, 2016.</span></p> <p class=MsoNormal style='text-align:justify'><span style='font-size:12.0pt; font-family:"Times New Roman","serif"'>&nbsp;</span></p> </div> </body> </html> <br /><hr><br /><html> <head> <title>Rule 55:08:06:05 Failure to comply with time limits.</title> <META NAME="Keywords" Content="Administrative Rules 55:08:06:05"> <META NAME="Description" Content="Administrative Rules 55:08:06:05 Failure to comply with time limits."> <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;} @font-face {font-family:Times; panose-1:2 2 6 3 5 4 5 2 3 4;} /* Style Definitions */ p.MsoNormal, li.MsoNormal, div.MsoNormal {margin:0in; margin-bottom:.0001pt; punctuation-wrap:simple; text-autospace:none; font-size:10.0pt; font-family:"Times","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='text-align:justify'><a name="_GoBack"></a><span style='font-size:12.0pt;font-family:"Times New Roman","serif"'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; <b>55:08:06:05.&nbsp;&nbsp;Failure to comply with time limits.</b> Failure by an eligible employee or any other person whose claim has been denied to comply with time limits in this chapter constitutes a withdrawal of the claim. Failure of the benefits manager to comply with the time limits allows the claimant to initiate the next successive step of the procedure. A party may agree to a time extension requested in writing by the other party.</span></p> <p class=MsoNormal style='text-align:justify'><span style='font-size:12.0pt; font-family:"Times New Roman","serif"'>&nbsp;</span></p> <p class=MsoNormal style='text-align:justify'><span style='font-size:12.0pt; font-family:"Times New Roman","serif"'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; <b>Source:</b> 38 SDR 213, effective July 1, 2012; 42 SDR 97, effective January 4, 2016.</span></p> <p class=MsoNormal style='text-align:justify'><span style='font-size:12.0pt; font-family:"Times New Roman","serif"'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; <b>General Authority:</b> SDCL <A HREF="/statutes/DisplayStatute.aspx?Type=Statute&Statute=3-6E-13">3-6E-13.</A></span></p> <p class=MsoNormal style='text-align:justify'><span style='font-size:12.0pt; font-family:"Times New Roman","serif"'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; <b>Law Implemented:</b> SDCL <A HREF="/statutes/DisplayStatute.aspx?Type=Statute&Statute=3-6E-1">3-6E-1.</A></span></p> <p class=MsoNormal style='text-align:justify'><span style='font-size:12.0pt; font-family:"Times New Roman","serif"'>&nbsp;</span></p> </div> </body> </html> <br /><hr><br /><html> <head> <title>Rule 55:08:06:06 Delivery requirements for written notice.</title> <META NAME="Keywords" Content="Administrative Rules 55:08:06:06"> <META NAME="Description" Content="Administrative Rules 55:08:06:06 Delivery requirements for written notice."> <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; font-size:12.0pt; font-family:"Times New Roman","serif";} .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> <div class=WordSection1> <p class=MsoNormal style='text-align:justify'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; <b>55:08:06:06.&nbsp;&nbsp;Delivery requirements for written notice.</b> A written notice required by this chapter shall be delivered personally or mailed. The notice is effective on the date of the receipt.</p> <p class=MsoNormal style='text-align:justify'>&nbsp;</p> <p class=MsoNormal style='text-align:justify'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; <b>Source:</b> 38 SDR 213, effective July 1, 2012.</p> <p class=MsoNormal style='text-align:justify'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; <b>General Authority:</b> SDCL <A HREF="/statutes/DisplayStatute.aspx?Type=Statute&Statute=3-6E-13">3-6E-13.</A></p> <p class=MsoNormal style='text-align:justify'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; <b>Law Implemented:</b> SDCL <A HREF="/statutes/DisplayStatute.aspx?Type=Statute&Statute=3-6E-1">3-6E-1.</A></p> <p class=MsoNormal style='text-align:justify'>&nbsp;</p> </div> </body> </html> <br /><hr><br /><html> <head> <meta name=Generator content="Microsoft Office HTML Filter 2.0"> <meta http-equiv=Content-Type content="text/html; charset=windows-1252"> <style> <!-- --> </style> </head> <body lang=EN-US> <div> <p align=center><b>CHAPTER 55:08:07</b></p> <p align=center><b>&nbsp;</b></p> <p align=center><b>OPT-OUT PROCEDURE</b></p> <p>Section</p> <p><a href="DisplayRule.aspx?Rule=55:08:07:01">55:08:07:01</a>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; Election not to participate.</p> <p><a href="DisplayRule.aspx?Rule=55:08:07:02">55:08:07:02</a>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; Conditions for rescinding election not to participate.</p> <p><a href="DisplayRule.aspx?Rule=55:08:07:03">55:08:07:03</a>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; Costs incurred during period of nonparticipation not covered.</p> <p><a href="DisplayRule.aspx?Rule=55:08:07:04">55:08:07:04</a>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; Repealed.</p> </div> </body> </html> <br /><hr><br /><html> <head> <title>Rule 55:08:07:01 Election not to participate.</title> <META NAME="Keywords" Content="Administrative Rules 55:08:07:01"> <META NAME="Description" Content="Administrative Rules 55:08:07:01 Election not to participate."> <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; font-size:12.0pt; font-family:"Times New Roman","serif";} .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> <div class=WordSection1> <p class=MsoNormal style='text-align:justify'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; <b>55:08:07:01.&nbsp;&nbsp;Election not to participate.</b> A new employee may elect not to participate in the state employee health benefit plan pursuant to SDCL <A HREF="/statutes/DisplayStatute.aspx?Type=Statute&Statute=3-6E-4">3-6E-4</A>, upon the new employee s initial opportunity to enroll. An employee may elect not to participate in the state employee health benefit plan pursuant to SDCL 3-6E-4 during the annual enrollment period. Each plan year, the employee shall provide documentation to the benefit plan administrator that the employee is covered by another group health insurance plan as either a spouse or dependent. The documentation of other coverage shall identify the effective dates for the coverage and the family members that are covered. If an employee elects not to participate in the state employee health benefit plan, the employee s family members are not eligible to participate in the state s plan.</p> <p class=MsoNormal style='text-align:justify'>&nbsp;</p> <p class=MsoNormal style='text-align:justify'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; <b>Source:</b> 38 SDR 213, effective July 1, 2012.</p> <p class=MsoNormal style='text-align:justify'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; <b>General Authority:</b> SDCL <A HREF="/statutes/DisplayStatute.aspx?Type=Statute&Statute=3-6E-13">3-6E-13(3).</A></p> <p class=MsoNormal style='text-align:justify'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; <b>Law Implemented:</b> SDCL <A HREF="/statutes/DisplayStatute.aspx?Type=Statute&Statute=3-6E-1">3-6E-1</A>, <A HREF="/statutes/DisplayStatute.aspx?Type=Statute&Statute=3-6E-4">3-6E-4.</A></p> <p class=MsoNormal style='text-align:justify'>&nbsp;</p> </div> </body> </html> <br /><hr><br /><html> <head> <title>Rule 55:08:07:02 Conditions for rescinding election not to participate.</title> <META NAME="Keywords" Content="Administrative Rules 55:08:07:02"> <META NAME="Description" Content="Administrative Rules 55:08:07:02 Conditions for rescinding election not to participate."> <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; font-size:12.0pt; font-family:"Times New Roman","serif";} .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> <div class=WordSection1> <p class=MsoNormal style='text-align:justify'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; <b>55:08:07:02.&nbsp;&nbsp;Conditions for rescinding election not to participate.</b> An employee may rescind the election not to participate in the state employee health benefit plan at any time outside the annual enrollment period if the employee loses the other group health insurance coverage because the employee is divorced or legally separated, the spouse is terminated, the spouse s hours of employment are reduced, or the employee no longer qualifies as a dependent. The employee shall provide proof of the loss of other group coverage to the benefit plan administrator.</p> <p class=MsoNormal style='text-align:justify'>&nbsp;</p> <p class=MsoNormal style='text-align:justify'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; If the election not to participate is rescinded by the member within the current plan year for any of the reasons listed in this section, the employee may enroll for coverage under the terms of the current state employee health benefit plan. An employee may rescind the election not to participate in the state employee health benefit plan for any reason during the annual health benefit enrollment period.</p> <p class=MsoNormal style='text-align:justify'>&nbsp;</p> <p class=MsoNormal style='text-align:justify'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; <b>Source:</b> 38 SDR 213, effective July 1, 2012.</p> <p class=MsoNormal style='text-align:justify'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; <b>General Authority:</b> SDCL <A HREF="/statutes/DisplayStatute.aspx?Type=Statute&Statute=3-6E-13">3-6E-13(3).</A></p> <p class=MsoNormal style='text-align:justify'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; <b>Law Implemented:</b> SDCL <A HREF="/statutes/DisplayStatute.aspx?Type=Statute&Statute=3-6E-1">3-6E-1</A>, <A HREF="/statutes/DisplayStatute.aspx?Type=Statute&Statute=3-6E-5">3-6E-5.</A></p> <p class=MsoNormal style='text-align:justify'>&nbsp;</p> </div> </body> </html> <br /><hr><br /><html> <head> <title>Rule 55:08:07:03 Costs incurred during period of nonparticipation not covered.</title> <META NAME="Keywords" Content="Administrative Rules 55:08:07:03"> <META NAME="Description" Content="Administrative Rules 55:08:07:03 Costs incurred during period of nonparticipation not covered."> <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; font-size:12.0pt; font-family:"Times New Roman","serif";} .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> <div class=WordSection1> <p class=MsoNormal style='text-align:justify'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; <b>55:08:07:03.&nbsp;&nbsp;Costs incurred during period of nonparticipation not covered.</b> Costs that were incurred by an employee or the employee s dependents while the employee was not participating in the state employee health benefit plan are not covered expenses under the state employee health benefit plan.</p> <p class=MsoNormal style='text-align:justify'>&nbsp;</p> <p class=MsoNormal style='text-align:justify'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; <b>Source:</b> 38 SDR 213, effective July 1, 2012.</p> <p class=MsoNormal style='text-align:justify'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; <b>General Authority:</b> SDCL <A HREF="/statutes/DisplayStatute.aspx?Type=Statute&Statute=3-6E-13">3-6E-13(1).</A></p> <p class=MsoNormal style='text-align:justify'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; <b>Law Implemented:</b> SDCL <A HREF="/statutes/DisplayStatute.aspx?Type=Statute&Statute=3-6E-1">3-6E-1.</A></p> <p class=MsoNormal style='text-align:justify'>&nbsp;</p> </div> </body> </html> <br /><hr><br /><html> <head> <title>Rule 55:08:07:04 Repealed.</title> <META NAME="Keywords" Content="Administrative Rules 55:08:07:04"> <META NAME="Description" Content="Administrative Rules 55:08:07:04 Repealed."> <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;} @font-face {font-family:Times; panose-1:2 2 6 3 5 4 5 2 3 4;} /* Style Definitions */ p.MsoNormal, li.MsoNormal, div.MsoNormal {margin:0in; margin-bottom:.0001pt; punctuation-wrap:simple; text-autospace:none; font-size:10.0pt; font-family:"Times","serif";} /* Page Definitions */ @page WordSection1 {size:8.5in 11.0in; margin:49.5pt 1.0in 49.5pt 63.0pt;} div.WordSection1 {page:WordSection1;} --> </style> </head> <body lang=EN-US> <div class=WordSection1> <p class=MsoNormal style='text-align:justify'><a name="_GoBack"></a><span style='font-size:12.0pt;font-family:"Times New Roman","serif"'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; <b>55:08:07:04.&nbsp;&nbsp;Conditions upon return to the plan.</b> Repealed.</span></p> <p class=MsoNormal style='text-align:justify'><span style='font-size:12.0pt; font-family:"Times New Roman","serif"'>&nbsp;</span></p> <p class=MsoNormal style='text-align:justify'><span style='font-size:12.0pt; font-family:"Times New Roman","serif"'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; <b>Source:</b> 38 SDR 213, effective July 1, 2012; 42 SDR 97, effective January 4, 2016.</span></p> <p class=MsoNormal style='text-align:justify'><span style='font-size:12.0pt; font-family:"Times New Roman","serif"'>&nbsp;</span></p> </div> </body> </html>