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Administrative Rules
Rule 20:06:55:44 Non-renewal and decertification of qualified health plans.

          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.

 

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