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Administrative Rules
Rule 20:06:56:04 Substantially equal benefits.

          20:06:56:04.  Substantially equal benefits. Plans must provide for benefits that are substantially equal to the essential health benefits-benchmark plan including:

 

          (1)  Covered benefits listed in § 20:06:56:02;

          (2)  Limitations on coverage including coverage of benefit amount, duration, and scope; and

          (3)  Prescription drug benefits described in § 20:06:56:08.

 

          Source: 39 SDR 203, effective June 10, 2013; 40 SDR 102, effective December 3, 2013

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

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

 

Online Archived History: