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Administrative Rules
Rule 20:06:55:43 Decertification of qualified health plan.

          20:06:55:43.  Decertification of qualified health plan. If an issuer offering a qualified health plan is no longer in compliance with the general certification criteria as outlined in § 20:06:55:35 the issuer may not offer coverage through an Exchange.

 

          If a qualified health plan is decertified or otherwise not approved to offer coverage through an Exchange the qualified health plan issuer must terminate coverage for enrollees only after:

 

          (1)  The plan provides notification as described in § 20:06:55:46; and

          (2)  Enrollees have an opportunity to enroll in other coverage.

 

          Source: 39 SDR 203, adopted June 10, 2013, effective January 1, 2014.

          General Authority: SDCL 58-17-87, 58-18-79.

          Law Implemented: SDCL 58-17-87, 58-18-79, 58-18-80.

 

Online Archived History: