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Administrative Rules
Rule 20:06:56:11 Levels of coverage.

          20:06:56:11.  Levels of coverage. The levels of coverage are calculated as follows:

 

          (1)  A bronze health plan is a health plan that has an actuarial value of 60 percent;

          (2)  A silver health plan is a health plan that has an actuarial value of 70 percent;

          (3)  A gold health plan is a health plan that has an actuarial value of 80 percent; and

          (4)  A platinum health plan is a health plan that has an actuarial value of 90 percent.

 

          Actuarial value within a de minimis variation determines whether a health plan offers a bronze, silver, gold, or platinum level of coverage.

 

          Source: 39 SDR 203, effective June 10, 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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