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.
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