20:06:55:44. Non-renewal and decertification of qualified health plans. If a qualified health plan issuer elects not to seek recertification with the director, the qualified health plan issuer must:
(1) Notify the director of its decision prior to the beginning of the recertification process;
(2) Fulfill its obligation to cover benefits for each enrollee through the end of the plan or benefit year;
(3) Fulfill data reporting obligations from the last plan or benefit year of the certification;
(4) Provide notice to enrollee in writing; and
(5) Terminate coverage for enrollees in the qualified health plan once 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.