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.