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Administrative Rules
Rule 20:06:53:30 Health carrier required to approve upon reversal by expedited review.

          20:06:53:30.  Health carrier required to approve upon reversal by expedited review. Upon receipt of the notice a decision pursuant to § 20:06:53:29 reversing the adverse determination or final adverse determination, the health carrier immediately shall approve the coverage that was the subject of the adverse determination or final adverse determination.

 

          Source: 37 SDR 48, effective September 22, 2010; 37 SDR 241, effective July 1, 2011.

          General Authority: SDCL 58-17-87, 58-17H-49, 58-17I-16, 58-18-79.

          Law Implemented: SDCL 58-17-87, 58-18-79.

 

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