<html xmlns="http://www.w3.org/1999/xhtml" lang="en-US"><head><meta charset="UTF-8"><meta http-equiv='content-language' content='en-us'/><title>SDLRC - Codified Law 58-12 - INSURANCE CLAIMS AND BENEFITS</title><meta name="Generator" content="PowerTools for Open XML"><style>span { white-space: pre-wrap; } p.s53d6a8e1fd16476f99c9ab43f011b069Normal { text-align: center; font-family: 'Times New Roman', 'serif'; font-size: 12pt; line-height: 108%; margin-top: 0; margin-left: 0; margin-right: 0; margin-bottom: .001pt; } span.s53d6a8e1fd16476f99c9ab43f011b069HG4 { font-family: 'Times New Roman', 'serif'; font-size: 12pt; font-style: normal; font-weight: normal; margin: 0; padding: 0; } span.s53d6a8e1fd16476f99c9ab43f011b069DefaultParagraphFont { font-family: 'Times New Roman', 'serif'; font-size: 12pt; font-style: normal; font-weight: normal; margin: 0; padding: 0; } span.s53d6a8e1fd16476f99c9ab43f011b069HG4C { font-family: 'Times New Roman', 'serif'; font-size: 12pt; font-style: normal; font-weight: normal; margin: 0; padding: 0; } p.s53d6a8e1fd16476f99c9ab43f011b069Normal-000000 { text-align: justify; font-family: 'Times New Roman', 'serif'; font-size: 12pt; line-height: 108%; margin-top: 0; margin-left: 0; margin-right: 0; margin-bottom: .001pt; } span.s53d6a8e1fd16476f99c9ab43f011b069000001 { font-size: 12pt; font-style: normal; font-weight: normal; margin: 0; padding: 0; } p.s53d6a8e1fd16476f99c9ab43f011b069B { margin-left: 1.38in; text-indent: -1.38in; text-align: justify; font-family: 'Times New Roman', 'serif'; font-size: 12pt; line-height: 108%; margin-top: 0; margin-right: 0; margin-bottom: .001pt; } </style><meta name="viewport" content="width=device-width, initial-scale=1"><meta name="twitter:card" content="summary"><meta property="og:title" content="SD 58-12 - INSURANCE CLAIMS AND BENEFITS"><meta property="og:description" content="SDLRC Codified Law 58-12 - INSURANCE CLAIMS AND BENEFITS"><meta property="og:type" content="website"><meta property="og:url" content="https://sdlegislature.gov/Statutes/58-12"><meta property="og:image" content="https://lawmakerdocuments.blob.core.usgovcloudapi.net/photos/logoshape.webp"><meta property="og:site_name" content="South Dakota Legislature"></head><body><div><p dir="ltr" class="s53d6a8e1fd16476f99c9ab43f011b069Normal"><span xml:space="preserve" class="s53d6a8e1fd16476f99c9ab43f011b069HG4">CHAPTER </span><a href="https://sdlegislature.gov/Statutes/Codified_Laws/DisplayStatute.aspx?Type=Statute&amp;Statute=58-12" rel="noopener"><span class="s53d6a8e1fd16476f99c9ab43f011b069DefaultParagraphFont">58-12</span></a></p><p dir="ltr" class="s53d6a8e1fd16476f99c9ab43f011b069Normal"><span class="s53d6a8e1fd16476f99c9ab43f011b069HG4C">INSURANCE CLAIMS AND BENEFITS</span></p><p dir="ltr" class="s53d6a8e1fd16476f99c9ab43f011b069Normal-000000"><span xml:space="preserve" class="s53d6a8e1fd16476f99c9ab43f011b069000001"> </span></p><p dir="ltr" class="s53d6a8e1fd16476f99c9ab43f011b069B"><a href="https://sdlegislature.gov/Statutes/Codified_Laws/DisplayStatute.aspx?Type=Statute&amp;Statute=58-12-1" rel="noopener"><span class="s53d6a8e1fd16476f99c9ab43f011b069DefaultParagraphFont">58-12-1</span></a><span xml:space="preserve" class="s53d6a8e1fd16476f99c9ab43f011b069DefaultParagraphFont">    Forms for proof of loss--Furnishing by insurer on request.</span></p><p dir="ltr" class="s53d6a8e1fd16476f99c9ab43f011b069B"><a href="https://sdlegislature.gov/Statutes/Codified_Laws/DisplayStatute.aspx?Type=Statute&amp;Statute=58-12-2" rel="noopener"><span class="s53d6a8e1fd16476f99c9ab43f011b069DefaultParagraphFont">58-12-2</span></a><span xml:space="preserve" class="s53d6a8e1fd16476f99c9ab43f011b069DefaultParagraphFont">    Acts of insurer not constituting waiver of policy provision or defense.</span></p><p dir="ltr" class="s53d6a8e1fd16476f99c9ab43f011b069B"><a href="https://sdlegislature.gov/Statutes/Codified_Laws/DisplayStatute.aspx?Type=Statute&amp;Statute=58-12-3" rel="noopener"><span class="s53d6a8e1fd16476f99c9ab43f011b069DefaultParagraphFont">58-12-3</span></a><span xml:space="preserve" class="s53d6a8e1fd16476f99c9ab43f011b069DefaultParagraphFont">    Attorney fees--Recovery in action against self-insured employer or insurer failing to pay loss--Other remedies not barred.</span></p><p dir="ltr" class="s53d6a8e1fd16476f99c9ab43f011b069B"><a href="https://sdlegislature.gov/Statutes/Codified_Laws/DisplayStatute.aspx?Type=Statute&amp;Statute=58-12-3.1" rel="noopener"><span class="s53d6a8e1fd16476f99c9ab43f011b069DefaultParagraphFont">58-12-3.1</span></a><span xml:space="preserve" class="s53d6a8e1fd16476f99c9ab43f011b069DefaultParagraphFont">    Separate hearing on attorney fees--Adding to judgment--Time allowed to request hearing.</span></p><p dir="ltr" class="s53d6a8e1fd16476f99c9ab43f011b069B"><a href="https://sdlegislature.gov/Statutes/Codified_Laws/DisplayStatute.aspx?Type=Statute&amp;Statute=58-12-4" rel="noopener"><span class="s53d6a8e1fd16476f99c9ab43f011b069DefaultParagraphFont">58-12-4</span></a><span xml:space="preserve" class="s53d6a8e1fd16476f99c9ab43f011b069DefaultParagraphFont">    Life and health insurance--Exemption of benefits and proceeds from execution.</span></p><p dir="ltr" class="s53d6a8e1fd16476f99c9ab43f011b069B"><a href="https://sdlegislature.gov/Statutes/Codified_Laws/DisplayStatute.aspx?Type=Statute&amp;Statute=58-12-5" rel="noopener"><span class="s53d6a8e1fd16476f99c9ab43f011b069DefaultParagraphFont">58-12-5</span></a><span xml:space="preserve" class="s53d6a8e1fd16476f99c9ab43f011b069DefaultParagraphFont">    Annuity contract defined.</span></p><p dir="ltr" class="s53d6a8e1fd16476f99c9ab43f011b069B"><a href="https://sdlegislature.gov/Statutes/Codified_Laws/DisplayStatute.aspx?Type=Statute&amp;Statute=58-12-6" rel="noopener"><span class="s53d6a8e1fd16476f99c9ab43f011b069DefaultParagraphFont">58-12-6</span></a><span xml:space="preserve" class="s53d6a8e1fd16476f99c9ab43f011b069DefaultParagraphFont">    Exemption of annuity contract benefits, rights, privileges, and options from execution.</span></p><p dir="ltr" class="s53d6a8e1fd16476f99c9ab43f011b069B"><a href="https://sdlegislature.gov/Statutes/Codified_Laws/DisplayStatute.aspx?Type=Statute&amp;Statute=58-12-7" rel="noopener"><span class="s53d6a8e1fd16476f99c9ab43f011b069DefaultParagraphFont">58-12-7</span></a><span xml:space="preserve" class="s53d6a8e1fd16476f99c9ab43f011b069DefaultParagraphFont">    Premiums paid on annuity with intent to defraud creditors not exempt from execution.</span></p><p dir="ltr" class="s53d6a8e1fd16476f99c9ab43f011b069B"><a href="https://sdlegislature.gov/Statutes/Codified_Laws/DisplayStatute.aspx?Type=Statute&amp;Statute=58-12-8" rel="noopener"><span class="s53d6a8e1fd16476f99c9ab43f011b069DefaultParagraphFont">58-12-8</span></a><span xml:space="preserve" class="s53d6a8e1fd16476f99c9ab43f011b069DefaultParagraphFont">    Maximum amount of annuity exemption--Excess subject to levy.</span></p><p dir="ltr" class="s53d6a8e1fd16476f99c9ab43f011b069B"><a href="https://sdlegislature.gov/Statutes/Codified_Laws/DisplayStatute.aspx?Type=Statute&amp;Statute=58-12-9" rel="noopener"><span class="s53d6a8e1fd16476f99c9ab43f011b069DefaultParagraphFont">58-12-9</span></a><span xml:space="preserve" class="s53d6a8e1fd16476f99c9ab43f011b069DefaultParagraphFont">    Application of excess annuities to judgment--Factors considered.</span></p><p dir="ltr" class="s53d6a8e1fd16476f99c9ab43f011b069B"><a href="https://sdlegislature.gov/Statutes/Codified_Laws/DisplayStatute.aspx?Type=Statute&amp;Statute=58-12-10" rel="noopener"><span class="s53d6a8e1fd16476f99c9ab43f011b069DefaultParagraphFont">58-12-10</span></a><span xml:space="preserve" class="s53d6a8e1fd16476f99c9ab43f011b069DefaultParagraphFont">    Benefits, rights, privileges, or options nontransferable under annuity contract--Not subject to commutation--Exemption from execution.</span></p><p dir="ltr" class="s53d6a8e1fd16476f99c9ab43f011b069B"><a href="https://sdlegislature.gov/Statutes/Codified_Laws/DisplayStatute.aspx?Type=Statute&amp;Statute=58-12-11" rel="noopener"><span class="s53d6a8e1fd16476f99c9ab43f011b069DefaultParagraphFont">58-12-11</span></a><span xml:space="preserve" class="s53d6a8e1fd16476f99c9ab43f011b069DefaultParagraphFont">    Payments under life or health insurance policy or annuity contract discharge insurer.</span></p><p dir="ltr" class="s53d6a8e1fd16476f99c9ab43f011b069B"><a href="https://sdlegislature.gov/Statutes/Codified_Laws/DisplayStatute.aspx?Type=Statute&amp;Statute=58-12-12" rel="noopener"><span class="s53d6a8e1fd16476f99c9ab43f011b069DefaultParagraphFont">58-12-12</span></a><span xml:space="preserve" class="s53d6a8e1fd16476f99c9ab43f011b069DefaultParagraphFont">    Use of uniform health insurance claim forms.</span></p><p dir="ltr" class="s53d6a8e1fd16476f99c9ab43f011b069B"><a href="https://sdlegislature.gov/Statutes/Codified_Laws/DisplayStatute.aspx?Type=Statute&amp;Statute=58-12-13" rel="noopener"><span class="s53d6a8e1fd16476f99c9ab43f011b069DefaultParagraphFont">58-12-13</span></a><span xml:space="preserve" class="s53d6a8e1fd16476f99c9ab43f011b069DefaultParagraphFont">    Use of claim forms required by federal law excepted.</span></p><p dir="ltr" class="s53d6a8e1fd16476f99c9ab43f011b069B"><a href="https://sdlegislature.gov/Statutes/Codified_Laws/DisplayStatute.aspx?Type=Statute&amp;Statute=58-12-14" rel="noopener"><span class="s53d6a8e1fd16476f99c9ab43f011b069DefaultParagraphFont">58-12-14</span></a><span xml:space="preserve" class="s53d6a8e1fd16476f99c9ab43f011b069DefaultParagraphFont">    Promulgation of rules for uniform health insurance claim forms.</span></p><p dir="ltr" class="s53d6a8e1fd16476f99c9ab43f011b069B"><a href="https://sdlegislature.gov/Statutes/Codified_Laws/DisplayStatute.aspx?Type=Statute&amp;Statute=58-12-15" rel="noopener"><span class="s53d6a8e1fd16476f99c9ab43f011b069DefaultParagraphFont">58-12-15</span></a><span xml:space="preserve" class="s53d6a8e1fd16476f99c9ab43f011b069DefaultParagraphFont">    Paintless dent repair defined.</span></p><p dir="ltr" class="s53d6a8e1fd16476f99c9ab43f011b069B"><a href="https://sdlegislature.gov/Statutes/Codified_Laws/DisplayStatute.aspx?Type=Statute&amp;Statute=58-12-16" rel="noopener"><span class="s53d6a8e1fd16476f99c9ab43f011b069DefaultParagraphFont">58-12-16</span></a><span xml:space="preserve" class="s53d6a8e1fd16476f99c9ab43f011b069DefaultParagraphFont">    Motor vehicle insurer must provide sufficient compensation to restore vehicle to prior condition--Adjustment for paintless dent repair permitted--Conditions.</span></p><p dir="ltr" class="s53d6a8e1fd16476f99c9ab43f011b069B"><a href="https://sdlegislature.gov/Statutes/Codified_Laws/DisplayStatute.aspx?Type=Statute&amp;Statute=58-12-17" rel="noopener"><span class="s53d6a8e1fd16476f99c9ab43f011b069DefaultParagraphFont">58-12-17</span></a><span xml:space="preserve" class="s53d6a8e1fd16476f99c9ab43f011b069DefaultParagraphFont">    Compensation when paintless dent repair method inappropriate--Requiring unreasonable travel prohibited--Repair shop as payee only if insured agrees.</span></p><p dir="ltr" class="s53d6a8e1fd16476f99c9ab43f011b069B"><a href="https://sdlegislature.gov/Statutes/Codified_Laws/DisplayStatute.aspx?Type=Statute&amp;Statute=58-12-18" rel="noopener"><span class="s53d6a8e1fd16476f99c9ab43f011b069DefaultParagraphFont">58-12-18</span></a><span xml:space="preserve" class="s53d6a8e1fd16476f99c9ab43f011b069DefaultParagraphFont">    Compliance with § </span><a href="https://sdlegislature.gov/Statutes/Codified_Laws/DisplayStatute.aspx?Type=Statute&amp;Statute=58-12-16" rel="noopener"><span class="s53d6a8e1fd16476f99c9ab43f011b069DefaultParagraphFont">58-12-16</span></a><span class="s53d6a8e1fd16476f99c9ab43f011b069DefaultParagraphFont">.</span></p><p dir="ltr" class="s53d6a8e1fd16476f99c9ab43f011b069B"><a href="https://sdlegislature.gov/Statutes/Codified_Laws/DisplayStatute.aspx?Type=Statute&amp;Statute=58-12-19" rel="noopener"><span class="s53d6a8e1fd16476f99c9ab43f011b069DefaultParagraphFont">58-12-19</span></a><span xml:space="preserve" class="s53d6a8e1fd16476f99c9ab43f011b069DefaultParagraphFont">    Clean claim defined.</span></p><p dir="ltr" class="s53d6a8e1fd16476f99c9ab43f011b069B"><a href="https://sdlegislature.gov/Statutes/Codified_Laws/DisplayStatute.aspx?Type=Statute&amp;Statute=58-12-20" rel="noopener"><span class="s53d6a8e1fd16476f99c9ab43f011b069DefaultParagraphFont">58-12-20</span></a><span xml:space="preserve" class="s53d6a8e1fd16476f99c9ab43f011b069DefaultParagraphFont">    Time limits for processing clean claims--Time limit for additional information required.</span></p><p dir="ltr" class="s53d6a8e1fd16476f99c9ab43f011b069B"><a href="https://sdlegislature.gov/Statutes/Codified_Laws/DisplayStatute.aspx?Type=Statute&amp;Statute=58-12-21" rel="noopener"><span class="s53d6a8e1fd16476f99c9ab43f011b069DefaultParagraphFont">58-12-21</span></a><span xml:space="preserve" class="s53d6a8e1fd16476f99c9ab43f011b069DefaultParagraphFont">    Applicability of §§ </span><a href="https://sdlegislature.gov/Statutes/Codified_Laws/DisplayStatute.aspx?Type=Statute&amp;Statute=58-12-19" rel="noopener"><span class="s53d6a8e1fd16476f99c9ab43f011b069DefaultParagraphFont">58-12-19</span></a><span xml:space="preserve" class="s53d6a8e1fd16476f99c9ab43f011b069DefaultParagraphFont"> to </span><a href="https://sdlegislature.gov/Statutes/Codified_Laws/DisplayStatute.aspx?Type=Statute&amp;Statute=58-12-21" rel="noopener"><span class="s53d6a8e1fd16476f99c9ab43f011b069DefaultParagraphFont">58-12-21</span></a><span class="s53d6a8e1fd16476f99c9ab43f011b069DefaultParagraphFont">--Certain policies exempt--No private right of action.</span></p><p dir="ltr" class="s53d6a8e1fd16476f99c9ab43f011b069B"><a href="https://sdlegislature.gov/Statutes/Codified_Laws/DisplayStatute.aspx?Type=Statute&amp;Statute=58-12-22" rel="noopener"><span class="s53d6a8e1fd16476f99c9ab43f011b069DefaultParagraphFont">58-12-22</span></a><span xml:space="preserve" class="s53d6a8e1fd16476f99c9ab43f011b069DefaultParagraphFont">    Information from insurer's database to Department of Social Services--Data match against recipients--Disclosure--Liability.</span></p><p dir="ltr" class="s53d6a8e1fd16476f99c9ab43f011b069B"><a href="https://sdlegislature.gov/Statutes/Codified_Laws/DisplayStatute.aspx?Type=Statute&amp;Statute=58-12-23" rel="noopener"><span class="s53d6a8e1fd16476f99c9ab43f011b069DefaultParagraphFont">58-12-23</span></a><span xml:space="preserve" class="s53d6a8e1fd16476f99c9ab43f011b069DefaultParagraphFont">    Application for or acceptance of medical assistance paid by department operates as release of information to facilitate coordination of benefits--Request.</span></p><p dir="ltr" class="s53d6a8e1fd16476f99c9ab43f011b069B"><a href="https://sdlegislature.gov/Statutes/Codified_Laws/DisplayStatute.aspx?Type=Statute&amp;Statute=58-12-24" rel="noopener"><span class="s53d6a8e1fd16476f99c9ab43f011b069DefaultParagraphFont">58-12-24</span></a><span xml:space="preserve" class="s53d6a8e1fd16476f99c9ab43f011b069DefaultParagraphFont">    Refusal of reimbursement due to manner, form, or date of claim prohibited--Time for submission of claim.</span></p><p dir="ltr" class="s53d6a8e1fd16476f99c9ab43f011b069B"><a href="https://sdlegislature.gov/Statutes/Codified_Laws/DisplayStatute.aspx?Type=Statute&amp;Statute=58-12-25" rel="noopener"><span class="s53d6a8e1fd16476f99c9ab43f011b069DefaultParagraphFont">58-12-25</span></a><span xml:space="preserve" class="s53d6a8e1fd16476f99c9ab43f011b069DefaultParagraphFont">    Reimbursement to department for cost of services.</span></p><p dir="ltr" class="s53d6a8e1fd16476f99c9ab43f011b069B"><a href="https://sdlegislature.gov/Statutes/Codified_Laws/DisplayStatute.aspx?Type=Statute&amp;Statute=58-12-26" rel="noopener"><span class="s53d6a8e1fd16476f99c9ab43f011b069DefaultParagraphFont">58-12-26</span></a><span xml:space="preserve" class="s53d6a8e1fd16476f99c9ab43f011b069DefaultParagraphFont">    Insurer defined.</span></p><p dir="ltr" class="s53d6a8e1fd16476f99c9ab43f011b069B"><a href="https://sdlegislature.gov/Statutes/Codified_Laws/DisplayStatute.aspx?Type=Statute&amp;Statute=58-12-27" rel="noopener"><span class="s53d6a8e1fd16476f99c9ab43f011b069DefaultParagraphFont">58-12-27</span></a><span xml:space="preserve" class="s53d6a8e1fd16476f99c9ab43f011b069DefaultParagraphFont">    Department defined.</span></p><p dir="ltr" class="s53d6a8e1fd16476f99c9ab43f011b069B"><a href="https://sdlegislature.gov/Statutes/Codified_Laws/DisplayStatute.aspx?Type=Statute&amp;Statute=58-12-28" rel="noopener"><span class="s53d6a8e1fd16476f99c9ab43f011b069DefaultParagraphFont">58-12-28</span></a><span xml:space="preserve" class="s53d6a8e1fd16476f99c9ab43f011b069DefaultParagraphFont">    Provisions of chapter </span><a href="https://sdlegislature.gov/Statutes/Codified_Laws/DisplayStatute.aspx?Type=Statute&amp;Statute=1-27" rel="noopener"><span class="s53d6a8e1fd16476f99c9ab43f011b069DefaultParagraphFont">1-27</span></a><span xml:space="preserve" class="s53d6a8e1fd16476f99c9ab43f011b069DefaultParagraphFont"> not applicable to insurer records.</span></p><p dir="ltr" class="s53d6a8e1fd16476f99c9ab43f011b069B"><a href="https://sdlegislature.gov/Statutes/Codified_Laws/DisplayStatute.aspx?Type=Statute&amp;Statute=58-12-29" rel="noopener"><span class="s53d6a8e1fd16476f99c9ab43f011b069DefaultParagraphFont">58-12-29</span></a><span xml:space="preserve" class="s53d6a8e1fd16476f99c9ab43f011b069DefaultParagraphFont">    </span><a href="https://sdlegislature.gov/Statutes/Codified_Laws/DisplayStatute.aspx?Type=Statute&amp;Statute=58-12-29" rel="noopener"><span class="s53d6a8e1fd16476f99c9ab43f011b069DefaultParagraphFont">58-12-29</span></a><span class="s53d6a8e1fd16476f99c9ab43f011b069DefaultParagraphFont">. Repealed by SL 2007, ch 286, § 4.</span></p><p dir="ltr" class="s53d6a8e1fd16476f99c9ab43f011b069B"><a href="https://sdlegislature.gov/Statutes/Codified_Laws/DisplayStatute.aspx?Type=Statute&amp;Statute=58-12-30" rel="noopener"><span class="s53d6a8e1fd16476f99c9ab43f011b069DefaultParagraphFont">58-12-30</span></a><span xml:space="preserve" class="s53d6a8e1fd16476f99c9ab43f011b069DefaultParagraphFont">    Annual reports of commercial property casualty insurance claims--Exception--Promulgation of rules.</span></p><p dir="ltr" class="s53d6a8e1fd16476f99c9ab43f011b069B"><a href="https://sdlegislature.gov/Statutes/Codified_Laws/DisplayStatute.aspx?Type=Statute&amp;Statute=58-12-31" rel="noopener"><span class="s53d6a8e1fd16476f99c9ab43f011b069DefaultParagraphFont">58-12-31</span></a><span xml:space="preserve" class="s53d6a8e1fd16476f99c9ab43f011b069DefaultParagraphFont">    Definitions regarding standards for claims processing.</span></p><p dir="ltr" class="s53d6a8e1fd16476f99c9ab43f011b069B"><a href="https://sdlegislature.gov/Statutes/Codified_Laws/DisplayStatute.aspx?Type=Statute&amp;Statute=58-12-32" rel="noopener"><span class="s53d6a8e1fd16476f99c9ab43f011b069DefaultParagraphFont">58-12-32</span></a><span xml:space="preserve" class="s53d6a8e1fd16476f99c9ab43f011b069DefaultParagraphFont">    Application of standards for claims investigation and disposition.</span></p><p dir="ltr" class="s53d6a8e1fd16476f99c9ab43f011b069B"><a href="https://sdlegislature.gov/Statutes/Codified_Laws/DisplayStatute.aspx?Type=Statute&amp;Statute=58-12-33" rel="noopener"><span class="s53d6a8e1fd16476f99c9ab43f011b069DefaultParagraphFont">58-12-33</span></a><span xml:space="preserve" class="s53d6a8e1fd16476f99c9ab43f011b069DefaultParagraphFont">    Flagrant or frequent violations--Notice and opportunity to correct inadvertent violations.</span></p><p dir="ltr" class="s53d6a8e1fd16476f99c9ab43f011b069B"><a href="https://sdlegislature.gov/Statutes/Codified_Laws/DisplayStatute.aspx?Type=Statute&amp;Statute=58-12-34" rel="noopener"><span class="s53d6a8e1fd16476f99c9ab43f011b069DefaultParagraphFont">58-12-34</span></a><span xml:space="preserve" class="s53d6a8e1fd16476f99c9ab43f011b069DefaultParagraphFont">    Acts constituting unfair claims practices.</span></p><p dir="ltr" class="s53d6a8e1fd16476f99c9ab43f011b069B"><a href="https://sdlegislature.gov/Statutes/Codified_Laws/DisplayStatute.aspx?Type=Statute&amp;Statute=58-12-35" rel="noopener"><span class="s53d6a8e1fd16476f99c9ab43f011b069DefaultParagraphFont">58-12-35</span></a><span xml:space="preserve" class="s53d6a8e1fd16476f99c9ab43f011b069DefaultParagraphFont">    Notice of hearing.</span></p><p dir="ltr" class="s53d6a8e1fd16476f99c9ab43f011b069B"><a href="https://sdlegislature.gov/Statutes/Codified_Laws/DisplayStatute.aspx?Type=Statute&amp;Statute=58-12-36" rel="noopener"><span class="s53d6a8e1fd16476f99c9ab43f011b069DefaultParagraphFont">58-12-36</span></a><span xml:space="preserve" class="s53d6a8e1fd16476f99c9ab43f011b069DefaultParagraphFont">    Cease and desist order--Monetary penalty--Suspension or revocation of license.</span></p><p dir="ltr" class="s53d6a8e1fd16476f99c9ab43f011b069B"><a href="https://sdlegislature.gov/Statutes/Codified_Laws/DisplayStatute.aspx?Type=Statute&amp;Statute=58-12-37" rel="noopener"><span class="s53d6a8e1fd16476f99c9ab43f011b069DefaultParagraphFont">58-12-37</span></a><span xml:space="preserve" class="s53d6a8e1fd16476f99c9ab43f011b069DefaultParagraphFont">    Promulgation of rules regarding definitions and records.</span></p></div></body></html><br /><hr><br /><html xmlns="http://www.w3.org/1999/xhtml"><head><meta charset="UTF-8" /><meta http-equiv='content-language' content='en-us'/><title>SDLRC - Codified Law 58-12 - INSURANCE CLAIMS AND BENEFITS</title><meta name="Generator" content="PowerTools for Open XML" /><style>span { white-space: pre-wrap; } p.s2074614Normal { margin-top: 0; margin-bottom: 0; text-align: justify; font-family: 'Times New Roman', 'serif'; font-size: 12pt; line-height: 108%; margin-left: 0; margin-right: 0; } span.s2074614SENU { font-family: 'Times New Roman', 'serif'; font-size: 12pt; font-style: normal; font-weight: bold; margin: 0; padding: 0; } span.s2074614CL { font-family: 'Times New Roman', 'serif'; font-size: 12pt; font-style: normal; font-weight: bold; margin: 0; padding: 0; } p.s2074614Normal-000000 { margin-top: 0; margin-bottom: 0; text-indent: 0.50in; text-align: justify; font-family: 'Times New Roman', 'serif'; font-size: 12pt; line-height: 108%; margin-left: 0; margin-right: 0; } span.s2074614DefaultParagraphFont { font-family: 'Times New Roman', 'serif'; font-size: 12pt; font-style: normal; font-weight: normal; margin: 0; padding: 0; } span.s2074614000001 { font-size: 12pt; font-style: normal; font-weight: normal; margin: 0; padding: 0; } span.s2074614SCL { font-family: 'Times New Roman', 'serif'; font-size: 12pt; font-style: normal; font-weight: bold; margin: 0; padding: 0; } span.s2074614SCL-000002 { font-family: 'Times New Roman', 'serif'; font-size: 12pt; font-style: normal; font-weight: normal; margin: 0; padding: 0; } </style></head><body><div><p dir="ltr" class="s2074614Normal"><a href="https://sdlegislature.gov/Statutes/Codified_Laws/DisplayStatute.aspx?Type=Statute&amp;Statute=58-12-1"><span class="s2074614SENU">58-12-1</span></a><span xml:space="preserve" class="s2074614SENU">. </span><span class="s2074614CL">Forms for proof of loss--Furnishing by insurer on request.</span></p><p dir="ltr" class="s2074614Normal-000000"><span class="s2074614DefaultParagraphFont">An insurer shall furnish, upon written request of any person claiming to have a loss under an insurance contract issued by such insurer, forms of proof of loss for completion by such person, but such insurer shall not, by reason of the requirement so to furnish forms, have any responsibility for or with reference to the completion of such proof or the manner of any such completion or attempted completion.</span></p><p dir="ltr" class="s2074614Normal"><span xml:space="preserve" class="s2074614000001"> </span></p><p dir="ltr" class="s2074614Normal"><span class="s2074614SCL">Source:</span><span xml:space="preserve" class="s2074614SCL-000002"> SL 1966, ch 111, ch 22, § 29.</span></p></div></body></html><br /><hr><br /><html xmlns="http://www.w3.org/1999/xhtml"><head><meta charset="UTF-8" /><meta http-equiv='content-language' content='en-us'/><title>SDLRC - Codified Law 58-12 - INSURANCE CLAIMS AND BENEFITS</title><meta name="Generator" content="PowerTools for Open XML" /><style>span { white-space: pre-wrap; } p.s2074615Normal { text-align: justify; font-family: 'Times New Roman', 'serif'; font-size: 12pt; line-height: 108%; margin-top: 0; margin-left: 0; margin-right: 0; margin-bottom: .001pt; } span.s2074615SENU { font-family: 'Times New Roman', 'serif'; font-size: 12pt; font-style: normal; font-weight: bold; margin: 0; padding: 0; } span.s2074615CL { font-family: 'Times New Roman', 'serif'; font-size: 12pt; font-style: normal; font-weight: bold; margin: 0; padding: 0; } p.s2074615Normal-000000 { text-indent: 0.50in; text-align: justify; font-family: 'Times New Roman', 'serif'; font-size: 12pt; line-height: 108%; margin-top: 0; margin-left: 0; margin-right: 0; margin-bottom: .001pt; } span.s2074615DefaultParagraphFont { font-family: 'Times New Roman', 'serif'; font-size: 12pt; font-style: normal; font-weight: normal; margin: 0; padding: 0; } p.s2074615Normal-000001 { margin-left: 0.70in; text-indent: -0.45in; text-align: justify; font-family: 'Times New Roman', 'serif'; font-size: 12pt; line-height: 108%; margin-top: 0; margin-right: 0; margin-bottom: .001pt; } span.s2074615000002 { font-size: 12pt; font-style: normal; font-weight: normal; margin: 0; padding: 0; } span.s2074615SCL { font-family: 'Times New Roman', 'serif'; font-size: 12pt; font-style: normal; font-weight: bold; margin: 0; padding: 0; } span.s2074615SCL-000003 { font-family: 'Times New Roman', 'serif'; font-size: 12pt; font-style: normal; font-weight: normal; margin: 0; padding: 0; } </style></head><body><div><p dir="ltr" class="s2074615Normal"><a href="https://sdlegislature.gov/Statutes/Codified_Laws/DisplayStatute.aspx?Type=Statute&amp;Statute=58-12-2"><span class="s2074615SENU">58-12-2</span></a><span xml:space="preserve" class="s2074615SENU">. </span><span class="s2074615CL">Acts of insurer not constituting waiver of policy provision or defense.</span></p><p dir="ltr" class="s2074615Normal-000000"><span class="s2074615DefaultParagraphFont">Without limitation of any right or defense of an insurer, none of the following acts by an insurer shall be deemed to constitute a waiver of any provision of a policy or of any defense of the insurer thereunder:</span></p><p dir="ltr" class="s2074615Normal-000001"><span class="s2074615DefaultParagraphFont">(1)    Acknowledgment of the receipt of notice of loss or claim under the policy;</span></p><p dir="ltr" class="s2074615Normal-000001"><span class="s2074615DefaultParagraphFont">(2)    Furnishing forms for reporting a loss or claim, for giving information relative thereto, or for making proof of loss or receiving or acknowledging receipt of any such forms or proof completed or uncompleted;</span></p><p dir="ltr" class="s2074615Normal-000001"><span class="s2074615DefaultParagraphFont">(3)    Investigating any loss or claim under any policy.</span></p><p dir="ltr" class="s2074615Normal"><span xml:space="preserve" class="s2074615000002"> </span></p><p dir="ltr" class="s2074615Normal"><span class="s2074615SCL">Source:</span><span xml:space="preserve" class="s2074615SCL-000003"> SL 1966, ch 111, ch 22, § 30.</span></p></div></body></html><br /><hr><br /><html xmlns="http://www.w3.org/1999/xhtml"><head><meta charset="UTF-8" /><meta http-equiv='content-language' content='en-us'/><title>SDLRC - Codified Law 58-12 - INSURANCE CLAIMS AND BENEFITS</title><meta name="Generator" content="PowerTools for Open XML" /><style>span { white-space: pre-wrap; } p.s2074616Normal { margin-top: 0; margin-bottom: 0; text-align: justify; font-family: 'Times New Roman', 'serif'; font-size: 12pt; line-height: 108%; margin-left: 0; margin-right: 0; } span.s2074616SENU { font-family: 'Times New Roman', 'serif'; font-size: 12pt; font-style: normal; font-weight: bold; margin: 0; padding: 0; } span.s2074616CL { font-family: 'Times New Roman', 'serif'; font-size: 12pt; font-style: normal; font-weight: bold; margin: 0; padding: 0; } p.s2074616Normal-000000 { margin-top: 0; margin-bottom: 0; text-indent: 0.50in; text-align: justify; font-family: 'Times New Roman', 'serif'; font-size: 12pt; line-height: 108%; margin-left: 0; margin-right: 0; } span.s2074616DefaultParagraphFont { font-family: 'Times New Roman', 'serif'; font-size: 12pt; font-style: normal; font-weight: normal; margin: 0; padding: 0; } span.s2074616000001 { font-size: 12pt; font-style: normal; font-weight: normal; margin: 0; padding: 0; } span.s2074616SCL { font-family: 'Times New Roman', 'serif'; font-size: 12pt; font-style: normal; font-weight: bold; margin: 0; padding: 0; } span.s2074616SCL-000002 { font-family: 'Times New Roman', 'serif'; font-size: 12pt; font-style: normal; font-weight: normal; margin: 0; padding: 0; } </style></head><body><div><p dir="ltr" class="s2074616Normal"><a href="https://sdlegislature.gov/Statutes/Codified_Laws/DisplayStatute.aspx?Type=Statute&amp;Statute=58-12-3"><span class="s2074616SENU">58-12-3</span></a><span xml:space="preserve" class="s2074616SENU">. </span><span class="s2074616CL">Attorney fees--Recovery in action against self-insured employer or insurer failing to pay loss--Other remedies not barred.</span></p><p dir="ltr" class="s2074616Normal-000000"><span class="s2074616DefaultParagraphFont">In all actions or proceedings hereafter commenced against any employer who is self-insured, or insurance company, including any reciprocal or interinsurance exchange, on any policy or certificate of any type or kind of insurance, if it appears from the evidence that such company or exchange has refused to pay the full amount of such loss, and that such refusal is vexatious or without reasonable cause, the Department of Labor and Regulation, the trial court and the appellate court, shall, if judgment or an award is rendered for plaintiff, allow the plaintiff a reasonable sum as an attorney's fee to be recovered and collected as a part of the costs, provided, however, that when a tender is made by such insurance company, exchange or self-insurer before the commencement of the action or proceeding in which judgment or an award is rendered and the amount recovered is not in excess of such tender, no such costs shall be allowed. The allowance of attorney fees hereunder shall not be construed to bar any other remedy, whether in tort or contract, that an insured may have against the same insurance company or self-insurer arising out of its refusal to pay such loss.</span></p><p dir="ltr" class="s2074616Normal"><span xml:space="preserve" class="s2074616000001"> </span></p><p dir="ltr" class="s2074616Normal"><span class="s2074616SCL">Source:</span><span xml:space="preserve" class="s2074616SCL-000002"> SL 1966, ch 111, ch 32, § 7; SL 1971, ch 264; SL 1972, ch 262; SL 1976, ch 311; SL 1988, ch 397; SL 2011, ch 1 (Ex. Ord. </span><a href="https://sdlegislature.gov/Statutes/Codified_Laws/DisplayStatute.aspx?Type=Statute&amp;Statute=11-1"><span class="s2074616SCL-000002">11-1</span></a><span class="s2074616SCL-000002">), § 33, eff. Apr. 12, 2011.</span></p></div></body></html><br /><hr><br /><html xmlns="http://www.w3.org/1999/xhtml"><head><meta charset="UTF-8" /><meta http-equiv='content-language' content='en-us'/><title>SDLRC - Codified Law 58-12 - INSURANCE CLAIMS AND BENEFITS</title><meta name="Generator" content="PowerTools for Open XML" /><style>span { white-space: pre-wrap; } p.s2074617Normal { margin-top: 0; margin-bottom: 0; text-align: justify; font-family: 'Times New Roman', 'serif'; font-size: 12pt; line-height: 108%; margin-left: 0; margin-right: 0; } span.s2074617SENU { font-family: 'Times New Roman', 'serif'; font-size: 12pt; font-style: normal; font-weight: bold; margin: 0; padding: 0; } span.s2074617CL { font-family: 'Times New Roman', 'serif'; font-size: 12pt; font-style: normal; font-weight: bold; margin: 0; padding: 0; } p.s2074617Normal-000000 { margin-top: 0; margin-bottom: 0; text-indent: 0.50in; text-align: justify; font-family: 'Times New Roman', 'serif'; font-size: 12pt; line-height: 108%; margin-left: 0; margin-right: 0; } span.s2074617DefaultParagraphFont { font-family: 'Times New Roman', 'serif'; font-size: 12pt; font-style: normal; font-weight: normal; margin: 0; padding: 0; } span.s2074617000001 { font-size: 12pt; font-style: normal; font-weight: normal; margin: 0; padding: 0; } span.s2074617SCL { font-family: 'Times New Roman', 'serif'; font-size: 12pt; font-style: normal; font-weight: bold; margin: 0; padding: 0; } span.s2074617SCL-000002 { font-family: 'Times New Roman', 'serif'; font-size: 12pt; font-style: normal; font-weight: normal; margin: 0; padding: 0; } </style></head><body><div><p dir="ltr" class="s2074617Normal"><a href="https://sdlegislature.gov/Statutes/Codified_Laws/DisplayStatute.aspx?Type=Statute&amp;Statute=58-12-3.1"><span class="s2074617SENU">58-12-3.1</span></a><span xml:space="preserve" class="s2074617SENU">. </span><span class="s2074617CL">Separate hearing on attorney fees--Adding to judgment--Time allowed to request hearing.</span></p><p dir="ltr" class="s2074617Normal-000000"><span xml:space="preserve" class="s2074617DefaultParagraphFont">The determination of entitlement to an allowance of attorney fees as costs and the amount thereof under § </span><a href="https://sdlegislature.gov/Statutes/Codified_Laws/DisplayStatute.aspx?Type=Statute&amp;Statute=58-12-3"><span class="s2074617DefaultParagraphFont">58-12-3</span></a><span xml:space="preserve" class="s2074617DefaultParagraphFont"> shall be made by the court or the Department of Labor and Regulation at a separate hearing of record subsequent to the entry of a judgment or award in favor of the person making claim against the insurance company, and, if an allowance is made, the amount thereof shall be inserted in or added to the judgment or award. Such a hearing shall be afforded upon the request of the claimant made within ten days after entry of the judgment or award.</span></p><p dir="ltr" class="s2074617Normal"><span xml:space="preserve" class="s2074617000001"> </span></p><p dir="ltr" class="s2074617Normal"><span class="s2074617SCL">Source:</span><span xml:space="preserve" class="s2074617SCL-000002"> SL 1973, ch 298; SL 2011, ch 1 (Ex. Ord. </span><a href="https://sdlegislature.gov/Statutes/Codified_Laws/DisplayStatute.aspx?Type=Statute&amp;Statute=11-1"><span class="s2074617SCL-000002">11-1</span></a><span class="s2074617SCL-000002">), § 33, eff. Apr. 12, 2011.</span></p></div></body></html><br /><hr><br /><html xmlns="http://www.w3.org/1999/xhtml"><head><meta charset="UTF-8" /><meta http-equiv='content-language' content='en-us'/><title>SDLRC - Codified Law 58-12 - INSURANCE CLAIMS AND BENEFITS</title><meta name="Generator" content="PowerTools for Open XML" /><style>span { white-space: pre-wrap; } p.s2074618Normal { margin-top: 0; margin-bottom: 0; text-align: justify; font-family: 'Times New Roman', 'serif'; font-size: 12pt; line-height: 108%; margin-left: 0; margin-right: 0; } span.s2074618SENU { font-family: 'Times New Roman', 'serif'; font-size: 12pt; font-style: normal; font-weight: bold; margin: 0; padding: 0; } span.s2074618CL { font-family: 'Times New Roman', 'serif'; font-size: 12pt; font-style: normal; font-weight: bold; margin: 0; padding: 0; } p.s2074618Normal-000000 { margin-top: 0; margin-bottom: 0; text-indent: 0.50in; text-align: justify; font-family: 'Times New Roman', 'serif'; font-size: 12pt; line-height: 108%; margin-left: 0; margin-right: 0; } span.s2074618DefaultParagraphFont { font-family: 'Times New Roman', 'serif'; font-size: 12pt; font-style: normal; font-weight: normal; margin: 0; padding: 0; } span.s2074618000001 { font-size: 12pt; font-style: normal; font-weight: normal; margin: 0; padding: 0; } span.s2074618SCL { font-family: 'Times New Roman', 'serif'; font-size: 12pt; font-style: normal; font-weight: bold; margin: 0; padding: 0; } span.s2074618SCL-000002 { font-family: 'Times New Roman', 'serif'; font-size: 12pt; font-style: normal; font-weight: normal; margin: 0; padding: 0; } </style></head><body><div><p dir="ltr" class="s2074618Normal"><a href="https://sdlegislature.gov/Statutes/Codified_Laws/DisplayStatute.aspx?Type=Statute&amp;Statute=58-12-4"><span class="s2074618SENU">58-12-4</span></a><span xml:space="preserve" class="s2074618SENU">. </span><span class="s2074618CL">Life and health insurance--Exemption of benefits and proceeds from execution.</span></p><p dir="ltr" class="s2074618Normal-000000"><span class="s2074618DefaultParagraphFont">The proceeds of a policy of life or health insurance to the total amount of twenty thousand dollars only, in the absence of any agreement or assignment to the contrary, shall inure to the separate use of the insured, his surviving spouse, or children, as the case may be, independently of the creditors of any of them and shall not be subject to the payment of the debts of any one or all of such persons, notwithstanding that the proceeds may be payable directly to the insured or surviving spouse or children as the named beneficiary or beneficiaries or otherwise; and the proceeds of an endowment policy, payable to the insured on attaining a certain age, to the extent of twenty thousand dollars shall at all times be exempted from the debts of such spouse or children of the insured; and the avails of any life or health insurance or other sum of money not exceeding twenty thousand dollars made payable by any mutual aid or benevolent society to any member or beneficiary spouse or children or both shall likewise be exempt.</span></p><p dir="ltr" class="s2074618Normal"><span xml:space="preserve" class="s2074618000001"> </span></p><p dir="ltr" class="s2074618Normal"><span class="s2074618SCL">Source:</span><span xml:space="preserve" class="s2074618SCL-000002"> SL 1966, ch 111, ch 22, § 31.</span></p></div></body></html><br /><hr><br /><html xmlns="http://www.w3.org/1999/xhtml"><head><meta charset="UTF-8" /><meta http-equiv='content-language' content='en-us'/><title>SDLRC - Codified Law 58-12 - INSURANCE CLAIMS AND BENEFITS</title><meta name="Generator" content="PowerTools for Open XML" /><style>span { white-space: pre-wrap; } p.s2074619Normal { margin-top: 0; margin-bottom: 0; text-align: justify; font-family: 'Times New Roman', 'serif'; font-size: 12pt; line-height: 108%; margin-left: 0; margin-right: 0; } span.s2074619SENU { font-family: 'Times New Roman', 'serif'; font-size: 12pt; font-style: normal; font-weight: bold; margin: 0; padding: 0; } span.s2074619CL { font-family: 'Times New Roman', 'serif'; font-size: 12pt; font-style: normal; font-weight: bold; margin: 0; padding: 0; } p.s2074619Normal-000000 { margin-top: 0; margin-bottom: 0; text-indent: 0.50in; text-align: justify; font-family: 'Times New Roman', 'serif'; font-size: 12pt; line-height: 108%; margin-left: 0; margin-right: 0; } span.s2074619DefaultParagraphFont { font-family: 'Times New Roman', 'serif'; font-size: 12pt; font-style: normal; font-weight: normal; margin: 0; padding: 0; } span.s2074619000001 { font-size: 12pt; font-style: normal; font-weight: normal; margin: 0; padding: 0; } span.s2074619SCL { font-family: 'Times New Roman', 'serif'; font-size: 12pt; font-style: normal; font-weight: bold; margin: 0; padding: 0; } span.s2074619SCL-000002 { font-family: 'Times New Roman', 'serif'; font-size: 12pt; font-style: normal; font-weight: normal; margin: 0; padding: 0; } </style></head><body><div><p dir="ltr" class="s2074619Normal"><a href="https://sdlegislature.gov/Statutes/Codified_Laws/DisplayStatute.aspx?Type=Statute&amp;Statute=58-12-5"><span class="s2074619SENU">58-12-5</span></a><span xml:space="preserve" class="s2074619SENU">. </span><span class="s2074619CL">Annuity contract defined.</span></p><p dir="ltr" class="s2074619Normal-000000"><span xml:space="preserve" class="s2074619DefaultParagraphFont">An annuity contract within the meaning of §§ 58-12-6 to </span><a href="https://sdlegislature.gov/Statutes/Codified_Laws/DisplayStatute.aspx?Type=Statute&amp;Statute=58-12-10"><span class="s2074619DefaultParagraphFont">58-12-10</span></a><span class="s2074619DefaultParagraphFont">, inclusive, shall be any obligation to pay certain sums at stated times, during life or lives, or for a specified term or terms, issued for a valuable consideration, regardless of whether or not such sums are payable to one or more persons, jointly or otherwise but does not include payments under life insurance contracts at stated times during life or lives, or for a specified term or terms.</span></p><p dir="ltr" class="s2074619Normal"><span xml:space="preserve" class="s2074619000001"> </span></p><p dir="ltr" class="s2074619Normal"><span class="s2074619SCL">Source:</span><span xml:space="preserve" class="s2074619SCL-000002"> SL 1966, ch 111, ch 22, § 32 (3).</span></p></div></body></html><br /><hr><br /><html xmlns="http://www.w3.org/1999/xhtml"><head><meta charset="UTF-8" /><meta http-equiv='content-language' content='en-us'/><title>SDLRC - Codified Law 58-12 - INSURANCE CLAIMS AND BENEFITS</title><meta name="Generator" content="PowerTools for Open XML" /><style>span { white-space: pre-wrap; } p.s2074620Normal { margin-top: 0; margin-bottom: 0; text-align: justify; font-family: 'Times New Roman', 'serif'; font-size: 12pt; line-height: 108%; margin-left: 0; margin-right: 0; } span.s2074620SENU { font-family: 'Times New Roman', 'serif'; font-size: 12pt; font-style: normal; font-weight: bold; margin: 0; padding: 0; } span.s2074620CL { font-family: 'Times New Roman', 'serif'; font-size: 12pt; font-style: normal; font-weight: bold; margin: 0; padding: 0; } p.s2074620Normal-000000 { margin-top: 0; margin-bottom: 0; text-indent: 0.50in; text-align: justify; font-family: 'Times New Roman', 'serif'; font-size: 12pt; line-height: 108%; margin-left: 0; margin-right: 0; } span.s2074620DefaultParagraphFont { font-family: 'Times New Roman', 'serif'; font-size: 12pt; font-style: normal; font-weight: normal; margin: 0; padding: 0; } span.s2074620000001 { font-size: 12pt; font-style: normal; font-weight: normal; margin: 0; padding: 0; } span.s2074620SCL { font-family: 'Times New Roman', 'serif'; font-size: 12pt; font-style: normal; font-weight: bold; margin: 0; padding: 0; } span.s2074620SCL-000002 { font-family: 'Times New Roman', 'serif'; font-size: 12pt; font-style: normal; font-weight: normal; margin: 0; padding: 0; } </style></head><body><div><p dir="ltr" class="s2074620Normal"><a href="https://sdlegislature.gov/Statutes/Codified_Laws/DisplayStatute.aspx?Type=Statute&amp;Statute=58-12-6"><span class="s2074620SENU">58-12-6</span></a><span xml:space="preserve" class="s2074620SENU">. </span><span class="s2074620CL">Exemption of annuity contract benefits, rights, privileges, and options from execution.</span></p><p dir="ltr" class="s2074620Normal-000000"><span xml:space="preserve" class="s2074620DefaultParagraphFont">The benefits, rights, privileges, and options which under any annuity contract heretofore or hereafter issued are due or prospectively due the annuitant, shall not be subject to execution nor shall the annuitant be compelled to exercise any such rights, powers, or options, nor shall creditors be allowed to interfere with or terminate the contract, except as provided by §§ </span><a href="https://sdlegislature.gov/Statutes/Codified_Laws/DisplayStatute.aspx?Type=Statute&amp;Statute=58-12-7"><span class="s2074620DefaultParagraphFont">58-12-7</span></a><span xml:space="preserve" class="s2074620DefaultParagraphFont"> to </span><a href="https://sdlegislature.gov/Statutes/Codified_Laws/DisplayStatute.aspx?Type=Statute&amp;Statute=58-12-9"><span class="s2074620DefaultParagraphFont">58-12-9</span></a><span class="s2074620DefaultParagraphFont">, inclusive.</span></p><p dir="ltr" class="s2074620Normal"><span xml:space="preserve" class="s2074620000001"> </span></p><p dir="ltr" class="s2074620Normal"><span class="s2074620SCL">Source:</span><span xml:space="preserve" class="s2074620SCL-000002"> SL 1966, ch 111, ch 22, § 32 (1).</span></p></div></body></html><br /><hr><br /><html xmlns="http://www.w3.org/1999/xhtml"><head><meta charset="UTF-8" /><meta http-equiv='content-language' content='en-us'/><title>SDLRC - Codified Law 58-12 - INSURANCE CLAIMS AND BENEFITS</title><meta name="Generator" content="PowerTools for Open XML" /><style>span { white-space: pre-wrap; } p.s2074621Normal { margin-top: 0; margin-bottom: 0; text-align: justify; font-family: 'Times New Roman', 'serif'; font-size: 12pt; line-height: 108%; margin-left: 0; margin-right: 0; } span.s2074621SENU { font-family: 'Times New Roman', 'serif'; font-size: 12pt; font-style: normal; font-weight: bold; margin: 0; padding: 0; } span.s2074621CL { font-family: 'Times New Roman', 'serif'; font-size: 12pt; font-style: normal; font-weight: bold; margin: 0; padding: 0; } p.s2074621Normal-000000 { margin-top: 0; margin-bottom: 0; text-indent: 0.50in; text-align: justify; font-family: 'Times New Roman', 'serif'; font-size: 12pt; line-height: 108%; margin-left: 0; margin-right: 0; } span.s2074621DefaultParagraphFont { font-family: 'Times New Roman', 'serif'; font-size: 12pt; font-style: normal; font-weight: normal; margin: 0; padding: 0; } span.s2074621000001 { font-size: 12pt; font-style: normal; font-weight: normal; margin: 0; padding: 0; } span.s2074621SCL { font-family: 'Times New Roman', 'serif'; font-size: 12pt; font-style: normal; font-weight: bold; margin: 0; padding: 0; } span.s2074621SCL-000002 { font-family: 'Times New Roman', 'serif'; font-size: 12pt; font-style: normal; font-weight: normal; margin: 0; padding: 0; } </style></head><body><div><p dir="ltr" class="s2074621Normal"><a href="https://sdlegislature.gov/Statutes/Codified_Laws/DisplayStatute.aspx?Type=Statute&amp;Statute=58-12-7"><span class="s2074621SENU">58-12-7</span></a><span xml:space="preserve" class="s2074621SENU">. </span><span class="s2074621CL">Premiums paid on annuity with intent to defraud creditors not exempt from execution.</span></p><p dir="ltr" class="s2074621Normal-000000"><span xml:space="preserve" class="s2074621DefaultParagraphFont">Section </span><a href="https://sdlegislature.gov/Statutes/Codified_Laws/DisplayStatute.aspx?Type=Statute&amp;Statute=58-12-6"><span class="s2074621DefaultParagraphFont">58-12-6</span></a><span xml:space="preserve" class="s2074621DefaultParagraphFont"> does not apply to amounts paid as premium on any such annuity with the intent to defraud creditors, with interest thereon, and of which the creditor has given the insurer written notice at its home office prior to the making of the payments to the annuitant out of which the creditor seeks to recover. Any such notice shall specify the amount claimed or such facts as will enable the insurer to ascertain such amount, and shall set forth such facts as will enable the insurer to ascertain the annuity contract, the annuitant and the payment sought to be avoided on the ground of fraud.</span></p><p dir="ltr" class="s2074621Normal"><span xml:space="preserve" class="s2074621000001"> </span></p><p dir="ltr" class="s2074621Normal"><span class="s2074621SCL">Source:</span><span xml:space="preserve" class="s2074621SCL-000002"> SL 1966, ch 111, ch 22, § 32 (1) (a).</span></p></div></body></html><br /><hr><br /><html xmlns="http://www.w3.org/1999/xhtml"><head><meta charset="UTF-8" /><meta http-equiv='content-language' content='en-us'/><title>SDLRC - Codified Law 58-12 - INSURANCE CLAIMS AND BENEFITS</title><meta name="Generator" content="PowerTools for Open XML" /><style>span { white-space: pre-wrap; } p.s2074622Normal { margin-top: 0; margin-bottom: 0; text-align: justify; font-family: 'Times New Roman', 'serif'; font-size: 12pt; line-height: 108%; margin-left: 0; margin-right: 0; } span.s2074622SENU { font-family: 'Times New Roman', 'serif'; font-size: 12pt; font-style: normal; font-weight: bold; margin: 0; padding: 0; } span.s2074622CL { font-family: 'Times New Roman', 'serif'; font-size: 12pt; font-style: normal; font-weight: bold; margin: 0; padding: 0; } p.s2074622Normal-000000 { margin-top: 0; margin-bottom: 0; text-indent: 0.50in; text-align: justify; font-family: 'Times New Roman', 'serif'; font-size: 12pt; line-height: 108%; margin-left: 0; margin-right: 0; } span.s2074622DefaultParagraphFont { font-family: 'Times New Roman', 'serif'; font-size: 12pt; font-style: normal; font-weight: normal; margin: 0; padding: 0; } span.s2074622000001 { font-size: 12pt; font-style: normal; font-weight: normal; margin: 0; padding: 0; } span.s2074622SCL { font-family: 'Times New Roman', 'serif'; font-size: 12pt; font-style: normal; font-weight: bold; margin: 0; padding: 0; } span.s2074622SCL-000002 { font-family: 'Times New Roman', 'serif'; font-size: 12pt; font-style: normal; font-weight: normal; margin: 0; padding: 0; } </style></head><body><div><p dir="ltr" class="s2074622Normal"><a href="https://sdlegislature.gov/Statutes/Codified_Laws/DisplayStatute.aspx?Type=Statute&amp;Statute=58-12-8"><span class="s2074622SENU">58-12-8</span></a><span xml:space="preserve" class="s2074622SENU">. </span><span class="s2074622CL">Maximum amount of annuity exemption--Excess subject to levy.</span></p><p dir="ltr" class="s2074622Normal-000000"><span xml:space="preserve" class="s2074622DefaultParagraphFont">The total exemption under § </span><a href="https://sdlegislature.gov/Statutes/Codified_Laws/DisplayStatute.aspx?Type=Statute&amp;Statute=58-12-6"><span class="s2074622DefaultParagraphFont">58-12-6</span></a><span xml:space="preserve" class="s2074622DefaultParagraphFont"> of benefits presently due and payable to any annuitant periodically or at stated times under all annuity contracts under which he is an annuitant, shall not at any time exceed two hundred and fifty dollars per month for the length of time represented by such installments, and such periodic payments in excess of two hundred and fifty dollars per month shall be subject to levy in the manner provided by law and the rules of court.</span></p><p dir="ltr" class="s2074622Normal"><span xml:space="preserve" class="s2074622000001"> </span></p><p dir="ltr" class="s2074622Normal"><span class="s2074622SCL">Source:</span><span xml:space="preserve" class="s2074622SCL-000002"> SL 1966, ch 111, ch 22, § 32 (1) (b).</span></p></div></body></html><br /><hr><br /><html xmlns="http://www.w3.org/1999/xhtml"><head><meta charset="UTF-8" /><meta http-equiv='content-language' content='en-us'/><title>SDLRC - Codified Law 58-12 - INSURANCE CLAIMS AND BENEFITS</title><meta name="Generator" content="PowerTools for Open XML" /><style>span { white-space: pre-wrap; } p.s2074623Normal { margin-top: 0; margin-bottom: 0; text-align: justify; font-family: 'Times New Roman', 'serif'; font-size: 12pt; line-height: 108%; margin-left: 0; margin-right: 0; } span.s2074623SENU { font-family: 'Times New Roman', 'serif'; font-size: 12pt; font-style: normal; font-weight: bold; margin: 0; padding: 0; } span.s2074623CL { font-family: 'Times New Roman', 'serif'; font-size: 12pt; font-style: normal; font-weight: bold; margin: 0; padding: 0; } p.s2074623Normal-000000 { margin-top: 0; margin-bottom: 0; text-indent: 0.50in; text-align: justify; font-family: 'Times New Roman', 'serif'; font-size: 12pt; line-height: 108%; margin-left: 0; margin-right: 0; } span.s2074623DefaultParagraphFont { font-family: 'Times New Roman', 'serif'; font-size: 12pt; font-style: normal; font-weight: normal; margin: 0; padding: 0; } span.s2074623000001 { font-size: 12pt; font-style: normal; font-weight: normal; margin: 0; padding: 0; } span.s2074623SCL { font-family: 'Times New Roman', 'serif'; font-size: 12pt; font-style: normal; font-weight: bold; margin: 0; padding: 0; } span.s2074623SCL-000002 { font-family: 'Times New Roman', 'serif'; font-size: 12pt; font-style: normal; font-weight: normal; margin: 0; padding: 0; } </style></head><body><div><p dir="ltr" class="s2074623Normal"><a href="https://sdlegislature.gov/Statutes/Codified_Laws/DisplayStatute.aspx?Type=Statute&amp;Statute=58-12-9"><span class="s2074623SENU">58-12-9</span></a><span xml:space="preserve" class="s2074623SENU">. </span><span class="s2074623CL">Application of excess annuities to judgment--Factors considered.</span></p><p dir="ltr" class="s2074623Normal-000000"><span class="s2074623DefaultParagraphFont">If the total benefits presently due and payable to any annuitant under all annuity contracts under which he is an annuitant, shall at any time exceed payment at the rate of two hundred and fifty dollars per month, then the court may order such annuitant to pay to a judgment creditor or apply on the judgment, in installments, such portion of such excess benefits as to the court may appear just and proper, after due regard for the reasonable requirements of the judgment debtor and his family, if dependent upon him, as well as any payments required to be made by the annuitant to other creditors under prior court orders.</span></p><p dir="ltr" class="s2074623Normal"><span xml:space="preserve" class="s2074623000001"> </span></p><p dir="ltr" class="s2074623Normal"><span class="s2074623SCL">Source:</span><span xml:space="preserve" class="s2074623SCL-000002"> SL 1966, ch 111, ch 22, § 32 (1) (c).</span></p></div></body></html><br /><hr><br /><html xmlns="http://www.w3.org/1999/xhtml"><head><meta charset="UTF-8" /><meta http-equiv='content-language' content='en-us'/><title>SDLRC - Codified Law 58-12 - INSURANCE CLAIMS AND BENEFITS</title><meta name="Generator" content="PowerTools for Open XML" /><style>span { white-space: pre-wrap; } p.s2074624Normal { margin-top: 0; margin-bottom: 0; text-align: justify; font-family: 'Times New Roman', 'serif'; font-size: 12pt; line-height: 108%; margin-left: 0; margin-right: 0; } span.s2074624SENU { font-family: 'Times New Roman', 'serif'; font-size: 12pt; font-style: normal; font-weight: bold; margin: 0; padding: 0; } span.s2074624CL { font-family: 'Times New Roman', 'serif'; font-size: 12pt; font-style: normal; font-weight: bold; margin: 0; padding: 0; } p.s2074624Normal-000000 { margin-top: 0; margin-bottom: 0; text-indent: 0.50in; text-align: justify; font-family: 'Times New Roman', 'serif'; font-size: 12pt; line-height: 108%; margin-left: 0; margin-right: 0; } span.s2074624DefaultParagraphFont { font-family: 'Times New Roman', 'serif'; font-size: 12pt; font-style: normal; font-weight: normal; margin: 0; padding: 0; } span.s2074624000001 { font-size: 12pt; font-style: normal; font-weight: normal; margin: 0; padding: 0; } span.s2074624SCL { font-family: 'Times New Roman', 'serif'; font-size: 12pt; font-style: normal; font-weight: bold; margin: 0; padding: 0; } span.s2074624SCL-000002 { font-family: 'Times New Roman', 'serif'; font-size: 12pt; font-style: normal; font-weight: normal; margin: 0; padding: 0; } </style></head><body><div><p dir="ltr" class="s2074624Normal"><a href="https://sdlegislature.gov/Statutes/Codified_Laws/DisplayStatute.aspx?Type=Statute&amp;Statute=58-12-10"><span class="s2074624SENU">58-12-10</span></a><span xml:space="preserve" class="s2074624SENU">. </span><span class="s2074624CL">Benefits, rights, privileges, or options nontransferable under annuity contract--Not subject to commutation--Exemption from execution.</span></p><p dir="ltr" class="s2074624Normal-000000"><span xml:space="preserve" class="s2074624DefaultParagraphFont">If an annuity contract so provides, the benefits, rights, privileges, or options accruing under such contract to a beneficiary or assignee shall not be transferable nor subject to commutation, and if the benefits are payable periodically or at stated times, the same exemptions and exceptions contained in §§ </span><a href="https://sdlegislature.gov/Statutes/Codified_Laws/DisplayStatute.aspx?Type=Statute&amp;Statute=58-12-6"><span class="s2074624DefaultParagraphFont">58-12-6</span></a><span xml:space="preserve" class="s2074624DefaultParagraphFont"> to </span><a href="https://sdlegislature.gov/Statutes/Codified_Laws/DisplayStatute.aspx?Type=Statute&amp;Statute=58-12-9"><span class="s2074624DefaultParagraphFont">58-12-9</span></a><span class="s2074624DefaultParagraphFont">, inclusive, for the annuitant, shall apply with respect to such beneficiary or assignee.</span></p><p dir="ltr" class="s2074624Normal"><span xml:space="preserve" class="s2074624000001"> </span></p><p dir="ltr" class="s2074624Normal"><span class="s2074624SCL">Source:</span><span xml:space="preserve" class="s2074624SCL-000002"> SL 1966, ch 111, ch 22, § 32 (2).</span></p></div></body></html><br /><hr><br /><html xmlns="http://www.w3.org/1999/xhtml"><head><meta charset="UTF-8" /><meta http-equiv='content-language' content='en-us'/><title>SDLRC - Codified Law 58-12 - INSURANCE CLAIMS AND BENEFITS</title><meta name="Generator" content="PowerTools for Open XML" /><style>span { white-space: pre-wrap; } p.s2074625Normal { margin-top: 0; margin-bottom: 0; text-align: justify; font-family: 'Times New Roman', 'serif'; font-size: 12pt; line-height: 108%; margin-left: 0; margin-right: 0; } span.s2074625SENU { font-family: 'Times New Roman', 'serif'; font-size: 12pt; font-style: normal; font-weight: bold; margin: 0; padding: 0; } span.s2074625CL { font-family: 'Times New Roman', 'serif'; font-size: 12pt; font-style: normal; font-weight: bold; margin: 0; padding: 0; } p.s2074625Normal-000000 { margin-top: 0; margin-bottom: 0; text-indent: 0.50in; text-align: justify; font-family: 'Times New Roman', 'serif'; font-size: 12pt; line-height: 108%; margin-left: 0; margin-right: 0; } span.s2074625DefaultParagraphFont { font-family: 'Times New Roman', 'serif'; font-size: 12pt; font-style: normal; font-weight: normal; margin: 0; padding: 0; } span.s2074625000001 { font-size: 12pt; font-style: normal; font-weight: normal; margin: 0; padding: 0; } span.s2074625SCL { font-family: 'Times New Roman', 'serif'; font-size: 12pt; font-style: normal; font-weight: bold; margin: 0; padding: 0; } span.s2074625SCL-000002 { font-family: 'Times New Roman', 'serif'; font-size: 12pt; font-style: normal; font-weight: normal; margin: 0; padding: 0; } </style></head><body><div><p dir="ltr" class="s2074625Normal"><a href="https://sdlegislature.gov/Statutes/Codified_Laws/DisplayStatute.aspx?Type=Statute&amp;Statute=58-12-11"><span class="s2074625SENU">58-12-11</span></a><span xml:space="preserve" class="s2074625SENU">. </span><span class="s2074625CL">Payments under life or health insurance policy or annuity contract discharge insurer.</span></p><p dir="ltr" class="s2074625Normal-000000"><span class="s2074625DefaultParagraphFont">Whenever the proceeds of or payments under a life or health insurance policy or annuity contract heretofore or hereafter issued become payable in accordance with the terms of such policy or contract, or the exercise of any right or privilege thereunder, payment thereof by the insurer in accordance therewith or in accordance with any written assignment thereof shall fully discharge the insurer from all claims under the policy or contract unless, before payment is made, the insurer has received at its home office written notice by or on behalf of some other person that such other person claims to be entitled to such payment or some interest in the policy or contract.</span></p><p dir="ltr" class="s2074625Normal"><span xml:space="preserve" class="s2074625000001"> </span></p><p dir="ltr" class="s2074625Normal"><span class="s2074625SCL">Source:</span><span xml:space="preserve" class="s2074625SCL-000002"> SL 1966, ch 111, ch 22, § 28.</span></p></div></body></html><br /><hr><br /><html xmlns="http://www.w3.org/1999/xhtml"><head><meta charset="UTF-8" /><meta http-equiv='content-language' content='en-us'/><title>SDLRC - Codified Law 58-12 - INSURANCE CLAIMS AND BENEFITS</title><meta name="Generator" content="PowerTools for Open XML" /><style>span { white-space: pre-wrap; } p.s2074626Normal { margin-top: 0; margin-bottom: 0; text-align: justify; font-family: 'Times New Roman', 'serif'; font-size: 12pt; line-height: 108%; margin-left: 0; margin-right: 0; } span.s2074626SENU { font-family: 'Times New Roman', 'serif'; font-size: 12pt; font-style: normal; font-weight: bold; margin: 0; padding: 0; } span.s2074626CL { font-family: 'Times New Roman', 'serif'; font-size: 12pt; font-style: normal; font-weight: bold; margin: 0; padding: 0; } p.s2074626Normal-000000 { margin-top: 0; margin-bottom: 0; text-indent: 0.50in; text-align: justify; font-family: 'Times New Roman', 'serif'; font-size: 12pt; line-height: 108%; margin-left: 0; margin-right: 0; } span.s2074626DefaultParagraphFont { font-family: 'Times New Roman', 'serif'; font-size: 12pt; font-style: normal; font-weight: normal; margin: 0; padding: 0; } span.s2074626000001 { font-size: 12pt; font-style: normal; font-weight: normal; margin: 0; padding: 0; } span.s2074626SCL { font-family: 'Times New Roman', 'serif'; font-size: 12pt; font-style: normal; font-weight: bold; margin: 0; padding: 0; } span.s2074626SCL-000002 { font-family: 'Times New Roman', 'serif'; font-size: 12pt; font-style: normal; font-weight: normal; margin: 0; padding: 0; } </style></head><body><div><p dir="ltr" class="s2074626Normal"><a href="https://sdlegislature.gov/Statutes/Codified_Laws/DisplayStatute.aspx?Type=Statute&amp;Statute=58-12-12"><span class="s2074626SENU">58-12-12</span></a><span xml:space="preserve" class="s2074626SENU">. </span><span class="s2074626CL">Use of uniform health insurance claim forms.</span></p><p dir="ltr" class="s2074626Normal-000000"><span class="s2074626DefaultParagraphFont">The director shall prescribe the use of nationally recognized uniform health insurance claim forms for hospitals and other medical or dental providers and for governmental agencies which shall be used and accepted by all insurers transacting health insurance, providing medical coverage through a personal automobile policy, workers' compensation, or otherwise providing coverage for medical services and by all hospitals and medical providers, and by governmental agencies of the state that require insurance claim forms for their records. The director shall also prescribe the use of nationally recognized uniform explanation of benefit forms by insurers.</span></p><p dir="ltr" class="s2074626Normal"><span xml:space="preserve" class="s2074626000001"> </span></p><p dir="ltr" class="s2074626Normal"><span class="s2074626SCL">Source:</span><span xml:space="preserve" class="s2074626SCL-000002"> SL 1994, ch 381, § 5.</span></p></div></body></html><br /><hr><br /><html xmlns="http://www.w3.org/1999/xhtml"><head><meta charset="UTF-8" /><meta http-equiv='content-language' content='en-us'/><title>SDLRC - Codified Law 58-12 - INSURANCE CLAIMS AND BENEFITS</title><meta name="Generator" content="PowerTools for Open XML" /><style>span { white-space: pre-wrap; } p.s2074627Normal { margin-top: 0; margin-bottom: 0; text-align: justify; font-family: 'Times New Roman', 'serif'; font-size: 12pt; line-height: 108%; margin-left: 0; margin-right: 0; } span.s2074627SENU { font-family: 'Times New Roman', 'serif'; font-size: 12pt; font-style: normal; font-weight: bold; margin: 0; padding: 0; } span.s2074627CL { font-family: 'Times New Roman', 'serif'; font-size: 12pt; font-style: normal; font-weight: bold; margin: 0; padding: 0; } p.s2074627Normal-000000 { margin-top: 0; margin-bottom: 0; text-indent: 0.50in; text-align: justify; font-family: 'Times New Roman', 'serif'; font-size: 12pt; line-height: 108%; margin-left: 0; margin-right: 0; } span.s2074627DefaultParagraphFont { font-family: 'Times New Roman', 'serif'; font-size: 12pt; font-style: normal; font-weight: normal; margin: 0; padding: 0; } span.s2074627000001 { font-size: 12pt; font-style: normal; font-weight: normal; margin: 0; padding: 0; } span.s2074627SCL { font-family: 'Times New Roman', 'serif'; font-size: 12pt; font-style: normal; font-weight: bold; margin: 0; padding: 0; } span.s2074627SCL-000002 { font-family: 'Times New Roman', 'serif'; font-size: 12pt; font-style: normal; font-weight: normal; margin: 0; padding: 0; } </style></head><body><div><p dir="ltr" class="s2074627Normal"><a href="https://sdlegislature.gov/Statutes/Codified_Laws/DisplayStatute.aspx?Type=Statute&amp;Statute=58-12-13"><span class="s2074627SENU">58-12-13</span></a><span xml:space="preserve" class="s2074627SENU">. </span><span class="s2074627CL">Use of claim forms required by federal law excepted.</span></p><p dir="ltr" class="s2074627Normal-000000"><span xml:space="preserve" class="s2074627DefaultParagraphFont">An insurer, governmental agency, hospital, or other medical or dental provider does not violate § </span><a href="https://sdlegislature.gov/Statutes/Codified_Laws/DisplayStatute.aspx?Type=Statute&amp;Statute=58-12-12"><span class="s2074627DefaultParagraphFont">58-12-12</span></a><span xml:space="preserve" class="s2074627DefaultParagraphFont"> by using a claim form or explanation of benefit form which the insurer, governmental agency, hospital, or other medical or dental provider has been required to use by federal law.</span></p><p dir="ltr" class="s2074627Normal"><span xml:space="preserve" class="s2074627000001"> </span></p><p dir="ltr" class="s2074627Normal"><span class="s2074627SCL">Source:</span><span xml:space="preserve" class="s2074627SCL-000002"> SL 1994, ch 381, § 6.</span></p></div></body></html><br /><hr><br /><html xmlns="http://www.w3.org/1999/xhtml"><head><meta charset="UTF-8" /><meta http-equiv='content-language' content='en-us'/><title>SDLRC - Codified Law 58-12 - INSURANCE CLAIMS AND BENEFITS</title><meta name="Generator" content="PowerTools for Open XML" /><style>span { white-space: pre-wrap; } p.s2074628Normal { margin-top: 0; margin-bottom: 0; text-align: justify; font-family: 'Times New Roman', 'serif'; font-size: 12pt; line-height: 108%; margin-left: 0; margin-right: 0; } span.s2074628SENU { font-family: 'Times New Roman', 'serif'; font-size: 12pt; font-style: normal; font-weight: bold; margin: 0; padding: 0; } span.s2074628CL { font-family: 'Times New Roman', 'serif'; font-size: 12pt; font-style: normal; font-weight: bold; margin: 0; padding: 0; } p.s2074628Normal-000000 { margin-top: 0; margin-bottom: 0; text-indent: 0.50in; text-align: justify; font-family: 'Times New Roman', 'serif'; font-size: 12pt; line-height: 108%; margin-left: 0; margin-right: 0; } span.s2074628DefaultParagraphFont { font-family: 'Times New Roman', 'serif'; font-size: 12pt; font-style: normal; font-weight: normal; margin: 0; padding: 0; } span.s2074628000001 { font-size: 12pt; font-style: normal; font-weight: normal; margin: 0; padding: 0; } span.s2074628SCL { font-family: 'Times New Roman', 'serif'; font-size: 12pt; font-style: normal; font-weight: bold; margin: 0; padding: 0; } span.s2074628SCL-000002 { font-family: 'Times New Roman', 'serif'; font-size: 12pt; font-style: normal; font-weight: normal; margin: 0; padding: 0; } </style></head><body><div><p dir="ltr" class="s2074628Normal"><a href="https://sdlegislature.gov/Statutes/Codified_Laws/DisplayStatute.aspx?Type=Statute&amp;Statute=58-12-14"><span class="s2074628SENU">58-12-14</span></a><span xml:space="preserve" class="s2074628SENU">. </span><span class="s2074628CL">Promulgation of rules for uniform health insurance claim forms.</span></p><p dir="ltr" class="s2074628Normal-000000"><span xml:space="preserve" class="s2074628DefaultParagraphFont">The director of insurance may, pursuant to chapter </span><a href="https://sdlegislature.gov/Statutes/Codified_Laws/DisplayStatute.aspx?Type=Statute&amp;Statute=1-26"><span class="s2074628DefaultParagraphFont">1-26</span></a><span class="s2074628DefaultParagraphFont">, promulgate rules for the creation, design, implementation, and use of uniform health insurance claim forms and explanation of benefit forms.</span></p><p dir="ltr" class="s2074628Normal"><span xml:space="preserve" class="s2074628000001"> </span></p><p dir="ltr" class="s2074628Normal"><span class="s2074628SCL">Source:</span><span xml:space="preserve" class="s2074628SCL-000002"> SL 1994, ch 381, § 7.</span></p></div></body></html><br /><hr><br /><html xmlns="http://www.w3.org/1999/xhtml"><head><meta charset="UTF-8" /><meta http-equiv='content-language' content='en-us'/><title>SDLRC - Codified Law 58-12 - INSURANCE CLAIMS AND BENEFITS</title><meta name="Generator" content="PowerTools for Open XML" /><style>span { white-space: pre-wrap; } p.s2074629Normal { margin-top: 0; margin-bottom: 0; text-align: justify; font-family: 'Times New Roman', 'serif'; font-size: 12pt; line-height: 108%; margin-left: 0; margin-right: 0; } span.s2074629SENU { font-family: 'Times New Roman', 'serif'; font-size: 12pt; font-style: normal; font-weight: bold; margin: 0; padding: 0; } span.s2074629CL { font-family: 'Times New Roman', 'serif'; font-size: 12pt; font-style: normal; font-weight: bold; margin: 0; padding: 0; } p.s2074629Normal-000000 { margin-top: 0; margin-bottom: 0; text-indent: 0.50in; text-align: justify; font-family: 'Times New Roman', 'serif'; font-size: 12pt; line-height: 108%; margin-left: 0; margin-right: 0; } span.s2074629DefaultParagraphFont { font-family: 'Times New Roman', 'serif'; font-size: 12pt; font-style: normal; font-weight: normal; margin: 0; padding: 0; } span.s2074629000001 { font-size: 12pt; font-style: normal; font-weight: normal; margin: 0; padding: 0; } span.s2074629SCL { font-family: 'Times New Roman', 'serif'; font-size: 12pt; font-style: normal; font-weight: bold; margin: 0; padding: 0; } span.s2074629SCL-000002 { font-family: 'Times New Roman', 'serif'; font-size: 12pt; font-style: normal; font-weight: normal; margin: 0; padding: 0; } </style></head><body><div><p dir="ltr" class="s2074629Normal"><a href="https://sdlegislature.gov/Statutes/Codified_Laws/DisplayStatute.aspx?Type=Statute&amp;Statute=58-12-15"><span class="s2074629SENU">58-12-15</span></a><span xml:space="preserve" class="s2074629SENU">. </span><span class="s2074629CL">Paintless dent repair defined.</span></p><p dir="ltr" class="s2074629Normal-000000"><span xml:space="preserve" class="s2074629DefaultParagraphFont">For the purposes of §§ 58-12-15 to </span><a href="https://sdlegislature.gov/Statutes/Codified_Laws/DisplayStatute.aspx?Type=Statute&amp;Statute=58-12-18"><span class="s2074629DefaultParagraphFont">58-12-18</span></a><span class="s2074629DefaultParagraphFont">, inclusive, paintless dent repair is any auto body repair that removes minor dents by using specifically designed tools to manipulate and flex the metal from the backside of the dent without the necessity of sanding, priming, or painting.</span></p><p dir="ltr" class="s2074629Normal"><span xml:space="preserve" class="s2074629000001"> </span></p><p dir="ltr" class="s2074629Normal"><span class="s2074629SCL">Source:</span><span xml:space="preserve" class="s2074629SCL-000002"> SL 2000, ch 239, § 1.</span></p></div></body></html><br /><hr><br /><html xmlns="http://www.w3.org/1999/xhtml"><head><meta charset="UTF-8" /><meta http-equiv='content-language' content='en-us'/><title>SDLRC - Codified Law 58-12 - INSURANCE CLAIMS AND BENEFITS</title><meta name="Generator" content="PowerTools for Open XML" /><style>span { white-space: pre-wrap; } p.s2074630Normal { text-align: justify; font-family: 'Times New Roman', 'serif'; font-size: 12pt; line-height: 108%; margin-top: 0; margin-left: 0; margin-right: 0; margin-bottom: .001pt; } span.s2074630SENU { font-family: 'Times New Roman', 'serif'; font-size: 12pt; font-style: normal; font-weight: bold; margin: 0; padding: 0; } span.s2074630CL { font-family: 'Times New Roman', 'serif'; font-size: 12pt; font-style: normal; font-weight: bold; margin: 0; padding: 0; } p.s2074630Normal-000000 { text-indent: 0.50in; text-align: justify; font-family: 'Times New Roman', 'serif'; font-size: 12pt; line-height: 108%; margin-top: 0; margin-left: 0; margin-right: 0; margin-bottom: .001pt; } span.s2074630DefaultParagraphFont { font-family: 'Times New Roman', 'serif'; font-size: 12pt; font-style: normal; font-weight: normal; margin: 0; padding: 0; } p.s2074630Normal-000001 { margin-left: 0.70in; text-indent: -0.45in; text-align: justify; font-family: 'Times New Roman', 'serif'; font-size: 12pt; line-height: 108%; margin-top: 0; margin-right: 0; margin-bottom: .001pt; } p.s2074630Normal-000002 { margin-left: 1.14in; text-indent: -0.44in; text-align: justify; font-family: 'Times New Roman', 'serif'; font-size: 12pt; line-height: 108%; margin-top: 0; margin-right: 0; margin-bottom: .001pt; } p.s2074630Normal-000003 { text-indent: 0.25in; text-align: justify; font-family: 'Times New Roman', 'serif'; font-size: 12pt; line-height: 108%; margin-top: 0; margin-left: 0; margin-right: 0; margin-bottom: .001pt; } span.s2074630000004 { font-size: 12pt; font-style: normal; font-weight: normal; margin: 0; padding: 0; } span.s2074630SCL { font-family: 'Times New Roman', 'serif'; font-size: 12pt; font-style: normal; font-weight: bold; margin: 0; padding: 0; } span.s2074630SCL-000005 { font-family: 'Times New Roman', 'serif'; font-size: 12pt; font-style: normal; font-weight: normal; margin: 0; padding: 0; } </style></head><body><div><p dir="ltr" class="s2074630Normal"><a href="https://sdlegislature.gov/Statutes/Codified_Laws/DisplayStatute.aspx?Type=Statute&amp;Statute=58-12-16"><span class="s2074630SENU">58-12-16</span></a><span xml:space="preserve" class="s2074630SENU">. </span><span class="s2074630CL">Motor vehicle insurer must provide sufficient compensation to restore vehicle to prior condition--Adjustment for paintless dent repair permitted--Conditions.</span></p><p dir="ltr" class="s2074630Normal-000000"><span class="s2074630DefaultParagraphFont">Any insurer providing commercial or personal motor vehicle insurance in this state responsible for repairing a damaged vehicle for which it is liable shall provide sufficient compensation to the insured to restore the vehicle to substantially the same physical condition as prior to the damage, regardless of whether the insured actually chooses to repair the vehicle. The insurer may adjust claims based in whole or in part upon the paintless dent repair method if:</span></p><p dir="ltr" class="s2074630Normal-000001"><span class="s2074630DefaultParagraphFont">(1)    The damage is such that the paintless dent repair method is likely to place the damaged area or a portion thereof in substantially the same condition as prior to the damage;</span></p><p dir="ltr" class="s2074630Normal-000001"><span class="s2074630DefaultParagraphFont">(2)    A paintless dent repair shop holding a South Dakota sales tax license is willing to perform the work as estimated within a reasonable time frame in the local market area of the insured; and</span></p><p dir="ltr" class="s2074630Normal-000001"><span class="s2074630DefaultParagraphFont">(3)    The written estimate provided to the insured prominently discloses the following:</span></p><p dir="ltr" class="s2074630Normal-000002"><span class="s2074630DefaultParagraphFont">(a)    That the repair estimate is based in whole or in part upon the paintless dent repair method. Each item of damage adjusted using that method shall be identified;</span></p><p dir="ltr" class="s2074630Normal-000002"><span class="s2074630DefaultParagraphFont">(b)    That paintless dent repair may not be the appropriate repair method for all types of damage;</span></p><p dir="ltr" class="s2074630Normal-000002"><span class="s2074630DefaultParagraphFont">(c)    That, if the insurer is liable for the damage listed on the estimate, the insurer shall provide sufficient compensation to restore the vehicle to substantially the same physical condition; and</span></p><p dir="ltr" class="s2074630Normal-000002"><span class="s2074630DefaultParagraphFont">(d)    That for any damage which paintless dent repair is appropriate, the insured may choose not to repair the vehicle or to have the vehicle repaired using a different method of repair. If the insured chooses either of these options, the insurer is liable only for the cost of the paintless dent repair method.</span></p><p dir="ltr" class="s2074630Normal-000003"><span class="s2074630DefaultParagraphFont">However, if the insurer pays the claim based upon the paintless dent repair method and paintless dent repair was attempted but was unsuccessful, the insurer is liable for any repairs necessary to the area repaired by paintless dent repair, using the conventional method of repair, to restore the vehicle to substantially the same physical condition as prior to the damage.</span></p><p dir="ltr" class="s2074630Normal"><span xml:space="preserve" class="s2074630000004"> </span></p><p dir="ltr" class="s2074630Normal"><span class="s2074630SCL">Source:</span><span xml:space="preserve" class="s2074630SCL-000005"> SL 2000, ch 239, § 2.</span></p></div></body></html><br /><hr><br /><html xmlns="http://www.w3.org/1999/xhtml"><head><meta charset="UTF-8" /><meta http-equiv='content-language' content='en-us'/><title>SDLRC - Codified Law 58-12 - INSURANCE CLAIMS AND BENEFITS</title><meta name="Generator" content="PowerTools for Open XML" /><style>span { white-space: pre-wrap; } p.s2074631Normal { margin-top: 0; margin-bottom: 0; text-align: justify; font-family: 'Times New Roman', 'serif'; font-size: 12pt; line-height: 108%; margin-left: 0; margin-right: 0; } span.s2074631SENU { font-family: 'Times New Roman', 'serif'; font-size: 12pt; font-style: normal; font-weight: bold; margin: 0; padding: 0; } span.s2074631CL { font-family: 'Times New Roman', 'serif'; font-size: 12pt; font-style: normal; font-weight: bold; margin: 0; padding: 0; } p.s2074631Normal-000000 { margin-top: 0; margin-bottom: 0; text-indent: 0.50in; text-align: justify; font-family: 'Times New Roman', 'serif'; font-size: 12pt; line-height: 108%; margin-left: 0; margin-right: 0; } span.s2074631DefaultParagraphFont { font-family: 'Times New Roman', 'serif'; font-size: 12pt; font-style: normal; font-weight: normal; margin: 0; padding: 0; } span.s2074631000001 { font-size: 12pt; font-style: normal; font-weight: normal; margin: 0; padding: 0; } span.s2074631SCL { font-family: 'Times New Roman', 'serif'; font-size: 12pt; font-style: normal; font-weight: bold; margin: 0; padding: 0; } span.s2074631SCL-000002 { font-family: 'Times New Roman', 'serif'; font-size: 12pt; font-style: normal; font-weight: normal; margin: 0; padding: 0; } </style></head><body><div><p dir="ltr" class="s2074631Normal"><a href="https://sdlegislature.gov/Statutes/Codified_Laws/DisplayStatute.aspx?Type=Statute&amp;Statute=58-12-17"><span class="s2074631SENU">58-12-17</span></a><span xml:space="preserve" class="s2074631SENU">. </span><span class="s2074631CL">Compensation when paintless dent repair method inappropriate--Requiring unreasonable travel prohibited--Repair shop as payee only if insured agrees.</span></p><p dir="ltr" class="s2074631Normal-000000"><span class="s2074631DefaultParagraphFont">If, for any portion of the vehicle's damage that the insurer has a duty to repair, the paintless dent repair method is inappropriate, the insurer shall compensate the insured for the amount necessary to complete the repairs in the local market area of the insured. The insurer may not require the insured to travel an unreasonable distance to obtain a repair estimate or to have the vehicle repaired. The insurer may not name a repair shop as payee on a compensation check or draft unless agreed to by the insured.</span></p><p dir="ltr" class="s2074631Normal"><span xml:space="preserve" class="s2074631000001"> </span></p><p dir="ltr" class="s2074631Normal"><span class="s2074631SCL">Source:</span><span xml:space="preserve" class="s2074631SCL-000002"> SL 2000, ch 239, § 3.</span></p></div></body></html><br /><hr><br /><html xmlns="http://www.w3.org/1999/xhtml"><head><meta charset="UTF-8" /><meta http-equiv='content-language' content='en-us'/><title>SDLRC - Codified Law 58-12 - INSURANCE CLAIMS AND BENEFITS</title><meta name="Generator" content="PowerTools for Open XML" /><style>span { white-space: pre-wrap; } p.s2074632Normal { margin-top: 0; margin-bottom: 0; text-align: justify; font-family: 'Times New Roman', 'serif'; font-size: 12pt; line-height: 108%; margin-left: 0; margin-right: 0; } span.s2074632SENU { font-family: 'Times New Roman', 'serif'; font-size: 12pt; font-style: normal; font-weight: bold; margin: 0; padding: 0; } span.s2074632CL { font-family: 'Times New Roman', 'serif'; font-size: 12pt; font-style: normal; font-weight: bold; margin: 0; padding: 0; } p.s2074632Normal-000000 { margin-top: 0; margin-bottom: 0; text-indent: 0.50in; text-align: justify; font-family: 'Times New Roman', 'serif'; font-size: 12pt; line-height: 108%; margin-left: 0; margin-right: 0; } span.s2074632DefaultParagraphFont { font-family: 'Times New Roman', 'serif'; font-size: 12pt; font-style: normal; font-weight: normal; margin: 0; padding: 0; } span.s2074632000001 { font-size: 12pt; font-style: normal; font-weight: normal; margin: 0; padding: 0; } span.s2074632SCL { font-family: 'Times New Roman', 'serif'; font-size: 12pt; font-style: normal; font-weight: bold; margin: 0; padding: 0; } span.s2074632SCL-000002 { font-family: 'Times New Roman', 'serif'; font-size: 12pt; font-style: normal; font-weight: normal; margin: 0; padding: 0; } </style></head><body><div><p dir="ltr" class="s2074632Normal"><a href="https://sdlegislature.gov/Statutes/Codified_Laws/DisplayStatute.aspx?Type=Statute&amp;Statute=58-12-18"><span class="s2074632SENU">58-12-18</span></a><span xml:space="preserve" class="s2074632SENU">. </span><span xml:space="preserve" class="s2074632CL">Compliance with § </span><a href="https://sdlegislature.gov/Statutes/Codified_Laws/DisplayStatute.aspx?Type=Statute&amp;Statute=58-12-16"><span class="s2074632CL">58-12-16</span></a><span class="s2074632CL">.</span></p><p dir="ltr" class="s2074632Normal-000000"><span xml:space="preserve" class="s2074632DefaultParagraphFont">An insurer may comply with § </span><a href="https://sdlegislature.gov/Statutes/Codified_Laws/DisplayStatute.aspx?Type=Statute&amp;Statute=58-12-16"><span class="s2074632DefaultParagraphFont">58-12-16</span></a><span xml:space="preserve" class="s2074632DefaultParagraphFont"> by entering into an agreement with a repairer that guarantees repairs and by notifying the insured of such an agreement.</span></p><p dir="ltr" class="s2074632Normal"><span xml:space="preserve" class="s2074632000001"> </span></p><p dir="ltr" class="s2074632Normal"><span class="s2074632SCL">Source:</span><span xml:space="preserve" class="s2074632SCL-000002"> SL 2000, ch 239, § 4.</span></p></div></body></html><br /><hr><br /><html xmlns="http://www.w3.org/1999/xhtml"><head><meta charset="UTF-8" /><meta http-equiv='content-language' content='en-us'/><title>SDLRC - Codified Law 58-12 - INSURANCE CLAIMS AND BENEFITS</title><meta name="Generator" content="PowerTools for Open XML" /><style>span { white-space: pre-wrap; } p.s2074633Normal { margin-top: 0; margin-bottom: 0; text-align: justify; font-family: 'Times New Roman', 'serif'; font-size: 12pt; line-height: 108%; margin-left: 0; margin-right: 0; } span.s2074633SENU { font-family: 'Times New Roman', 'serif'; font-size: 12pt; font-style: normal; font-weight: bold; margin: 0; padding: 0; } span.s2074633CL { font-family: 'Times New Roman', 'serif'; font-size: 12pt; font-style: normal; font-weight: bold; margin: 0; padding: 0; } p.s2074633Normal-000000 { margin-top: 0; margin-bottom: 0; text-indent: 0.50in; text-align: justify; font-family: 'Times New Roman', 'serif'; font-size: 12pt; line-height: 108%; margin-left: 0; margin-right: 0; } span.s2074633DefaultParagraphFont { font-family: 'Times New Roman', 'serif'; font-size: 12pt; font-style: normal; font-weight: normal; margin: 0; padding: 0; } span.s2074633000001 { font-size: 12pt; font-style: normal; font-weight: normal; margin: 0; padding: 0; } span.s2074633SCL { font-family: 'Times New Roman', 'serif'; font-size: 12pt; font-style: normal; font-weight: bold; margin: 0; padding: 0; } span.s2074633SCL-000002 { font-family: 'Times New Roman', 'serif'; font-size: 12pt; font-style: normal; font-weight: normal; margin: 0; padding: 0; } </style></head><body><div><p dir="ltr" class="s2074633Normal"><a href="https://sdlegislature.gov/Statutes/Codified_Laws/DisplayStatute.aspx?Type=Statute&amp;Statute=58-12-19"><span class="s2074633SENU">58-12-19</span></a><span xml:space="preserve" class="s2074633SENU">. </span><span class="s2074633CL">Clean claim defined.</span></p><p dir="ltr" class="s2074633Normal-000000"><span xml:space="preserve" class="s2074633DefaultParagraphFont">As used in §§ </span><a href="https://sdlegislature.gov/Statutes/Codified_Laws/DisplayStatute.aspx?Type=Statute&amp;Statute=58-12-19"><span class="s2074633DefaultParagraphFont">58-12-19</span></a><span xml:space="preserve" class="s2074633DefaultParagraphFont"> to </span><a href="https://sdlegislature.gov/Statutes/Codified_Laws/DisplayStatute.aspx?Type=Statute&amp;Statute=58-12-21"><span class="s2074633DefaultParagraphFont">58-12-21</span></a><span class="s2074633DefaultParagraphFont">, inclusive, the term, clean claim, means a claim for which there is no need for additional information to determine eligibility or adjudicate the claim. The term, clean claim, does not include a claim for payment of expenses incurred during a period of time for which premiums are delinquent, except to the extent otherwise required by law or a claim for which fraud is suspected.</span></p><p dir="ltr" class="s2074633Normal"><span xml:space="preserve" class="s2074633000001"> </span></p><p dir="ltr" class="s2074633Normal"><span class="s2074633SCL">Source:</span><span xml:space="preserve" class="s2074633SCL-000002"> SL 2001, ch 273, § 1.</span></p></div></body></html><br /><hr><br /><html xmlns="http://www.w3.org/1999/xhtml"><head><meta charset="UTF-8" /><meta http-equiv='content-language' content='en-us'/><title>SDLRC - Codified Law 58-12 - INSURANCE CLAIMS AND BENEFITS</title><meta name="Generator" content="PowerTools for Open XML" /><style>span { white-space: pre-wrap; } p.s2074634Normal { margin-top: 0; margin-bottom: 0; text-align: justify; font-family: 'Times New Roman', 'serif'; font-size: 12pt; line-height: 108%; margin-left: 0; margin-right: 0; } span.s2074634SENU { font-family: 'Times New Roman', 'serif'; font-size: 12pt; font-style: normal; font-weight: bold; margin: 0; padding: 0; } span.s2074634CL { font-family: 'Times New Roman', 'serif'; font-size: 12pt; font-style: normal; font-weight: bold; margin: 0; padding: 0; } p.s2074634Normal-000000 { margin-top: 0; margin-bottom: 0; text-indent: 0.50in; text-align: justify; font-family: 'Times New Roman', 'serif'; font-size: 12pt; line-height: 108%; margin-left: 0; margin-right: 0; } span.s2074634DefaultParagraphFont { font-family: 'Times New Roman', 'serif'; font-size: 12pt; font-style: normal; font-weight: normal; margin: 0; padding: 0; } span.s2074634DefaultParagraphFont-000001 { font-size: 12pt; font-style: normal; font-weight: normal; margin: 0; padding: 0; } span.s2074634000002 { font-size: 12pt; font-style: normal; font-weight: normal; margin: 0; padding: 0; } span.s2074634SCL { font-family: 'Times New Roman', 'serif'; font-size: 12pt; font-style: normal; font-weight: bold; margin: 0; padding: 0; } span.s2074634SCL-000003 { font-family: 'Times New Roman', 'serif'; font-size: 12pt; font-style: normal; font-weight: normal; margin: 0; padding: 0; } </style></head><body><div><p dir="ltr" class="s2074634Normal"><a href="https://sdlegislature.gov/Statutes/Codified_Laws/DisplayStatute.aspx?Type=Statute&amp;Statute=58-12-20"><span class="s2074634SENU">58-12-20</span></a><span xml:space="preserve" class="s2074634SENU">. </span><span class="s2074634CL">Time limits for processing clean claims--Time limit for additional information required.</span></p><p dir="ltr" class="s2074634Normal-000000"><span class="s2074634DefaultParagraphFont">Each clean claim shall be paid to the person entitled thereto, denied, or settled within thirty calendar days after receipt by the carrier if submitted electronically and within forty</span><span class="s2074634DefaultParagraphFont-000001">-</span><span class="s2074634DefaultParagraphFont">five calendar days after receipt by the carrier and if the claim is payable under the plan. If the resolution of an otherwise clean claim requires additional information, the carrier shall, within thirty calendar days after receipt of the claim, give the provider, policyholder, insured, or patient, as appropriate, a full explanation of what additional information is needed in order to determine eligibility or adjudicate the claim. The person receiving a request for additional information shall submit all additional information requested by the carrier within thirty calendar days after receipt of such request.</span></p><p dir="ltr" class="s2074634Normal"><span xml:space="preserve" class="s2074634000002"> </span></p><p dir="ltr" class="s2074634Normal"><span class="s2074634SCL">Source:</span><span xml:space="preserve" class="s2074634SCL-000003"> SL 2001, ch 273, § 2.</span></p></div></body></html><br /><hr><br /><html xmlns="http://www.w3.org/1999/xhtml"><head><meta charset="UTF-8" /><meta http-equiv='content-language' content='en-us'/><title>SDLRC - Codified Law 58-12 - INSURANCE CLAIMS AND BENEFITS</title><meta name="Generator" content="PowerTools for Open XML" /><style>span { white-space: pre-wrap; } p.s2074635Normal { margin-top: 0; margin-bottom: 0; text-align: justify; font-family: 'Times New Roman', 'serif'; font-size: 12pt; line-height: 108%; margin-left: 0; margin-right: 0; } span.s2074635SENU { font-family: 'Times New Roman', 'serif'; font-size: 12pt; font-style: normal; font-weight: bold; margin: 0; padding: 0; } span.s2074635CL { font-family: 'Times New Roman', 'serif'; font-size: 12pt; font-style: normal; font-weight: bold; margin: 0; padding: 0; } p.s2074635Normal-000000 { margin-top: 0; margin-bottom: 0; text-indent: 0.50in; text-align: justify; font-family: 'Times New Roman', 'serif'; font-size: 12pt; line-height: 108%; margin-left: 0; margin-right: 0; } span.s2074635DefaultParagraphFont { font-family: 'Times New Roman', 'serif'; font-size: 12pt; font-style: normal; font-weight: normal; margin: 0; padding: 0; } span.s2074635DefaultParagraphFont-000001 { font-size: 12pt; font-style: normal; font-weight: normal; margin: 0; padding: 0; } span.s2074635000002 { font-size: 12pt; font-style: normal; font-weight: normal; margin: 0; padding: 0; } span.s2074635SCL { font-family: 'Times New Roman', 'serif'; font-size: 12pt; font-style: normal; font-weight: bold; margin: 0; padding: 0; } span.s2074635SCL-000003 { font-family: 'Times New Roman', 'serif'; font-size: 12pt; font-style: normal; font-weight: normal; margin: 0; padding: 0; } </style></head><body><div><p dir="ltr" class="s2074635Normal"><a href="https://sdlegislature.gov/Statutes/Codified_Laws/DisplayStatute.aspx?Type=Statute&amp;Statute=58-12-21"><span class="s2074635SENU">58-12-21</span></a><span xml:space="preserve" class="s2074635SENU">. </span><span xml:space="preserve" class="s2074635CL">Applicability of §§ </span><a href="https://sdlegislature.gov/Statutes/Codified_Laws/DisplayStatute.aspx?Type=Statute&amp;Statute=58-12-19"><span class="s2074635CL">58-12-19</span></a><span xml:space="preserve" class="s2074635CL"> to </span><a href="https://sdlegislature.gov/Statutes/Codified_Laws/DisplayStatute.aspx?Type=Statute&amp;Statute=58-12-21"><span class="s2074635CL">58-12-21</span></a><span class="s2074635CL">--Certain policies exempt--No private right of action.</span></p><p dir="ltr" class="s2074635Normal-000000"><span xml:space="preserve" class="s2074635DefaultParagraphFont">Sections </span><a href="https://sdlegislature.gov/Statutes/Codified_Laws/DisplayStatute.aspx?Type=Statute&amp;Statute=58-12-19"><span class="s2074635DefaultParagraphFont">58-12-19</span></a><span xml:space="preserve" class="s2074635DefaultParagraphFont"> to </span><a href="https://sdlegislature.gov/Statutes/Codified_Laws/DisplayStatute.aspx?Type=Statute&amp;Statute=58-12-21"><span class="s2074635DefaultParagraphFont">58-12-21</span></a><span xml:space="preserve" class="s2074635DefaultParagraphFont">, inclusive, apply to any health insurer or health maintenance organization that issues health insurance coverage pursuant to chapters </span><a href="https://sdlegislature.gov/Statutes/Codified_Laws/DisplayStatute.aspx?Type=Statute&amp;Statute=58-17"><span class="s2074635DefaultParagraphFont">58-17</span></a><span xml:space="preserve" class="s2074635DefaultParagraphFont">, </span><a href="https://sdlegislature.gov/Statutes/Codified_Laws/DisplayStatute.aspx?Type=Statute&amp;Statute=58-18"><span class="s2074635DefaultParagraphFont">58-18</span></a><span xml:space="preserve" class="s2074635DefaultParagraphFont">, </span><a href="https://sdlegislature.gov/Statutes/Codified_Laws/DisplayStatute.aspx?Type=Statute&amp;Statute=58-18B"><span class="s2074635DefaultParagraphFont">58-18B</span></a><span xml:space="preserve" class="s2074635DefaultParagraphFont">, </span><a href="https://sdlegislature.gov/Statutes/Codified_Laws/DisplayStatute.aspx?Type=Statute&amp;Statute=58-37A"><span class="s2074635DefaultParagraphFont">58-37A</span></a><span xml:space="preserve" class="s2074635DefaultParagraphFont">, </span><a href="https://sdlegislature.gov/Statutes/Codified_Laws/DisplayStatute.aspx?Type=Statute&amp;Statute=58-38"><span class="s2074635DefaultParagraphFont">58-38</span></a><span xml:space="preserve" class="s2074635DefaultParagraphFont">, </span><a href="https://sdlegislature.gov/Statutes/Codified_Laws/DisplayStatute.aspx?Type=Statute&amp;Statute=58-39"><span class="s2074635DefaultParagraphFont">58-39</span></a><span xml:space="preserve" class="s2074635DefaultParagraphFont">, </span><a href="https://sdlegislature.gov/Statutes/Codified_Laws/DisplayStatute.aspx?Type=Statute&amp;Statute=58-40"><span class="s2074635DefaultParagraphFont">58-40</span></a><span xml:space="preserve" class="s2074635DefaultParagraphFont">, and </span><a href="https://sdlegislature.gov/Statutes/Codified_Laws/DisplayStatute.aspx?Type=Statute&amp;Statute=58-41"><span class="s2074635DefaultParagraphFont">58-41</span></a><span xml:space="preserve" class="s2074635DefaultParagraphFont">. Nothing in §§ </span><a href="https://sdlegislature.gov/Statutes/Codified_Laws/DisplayStatute.aspx?Type=Statute&amp;Statute=58-12-19"><span class="s2074635DefaultParagraphFont">58-12-19</span></a><span xml:space="preserve" class="s2074635DefaultParagraphFont"> to </span><a href="https://sdlegislature.gov/Statutes/Codified_Laws/DisplayStatute.aspx?Type=Statute&amp;Statute=58-12-21"><span class="s2074635DefaultParagraphFont">58-12-21</span></a><span class="s2074635DefaultParagraphFont">, inclusive, apply to disability income policies or certificates, accident only, credit health, workers' compensation, long</span><span class="s2074635DefaultParagraphFont-000001">-</span><span xml:space="preserve" class="s2074635DefaultParagraphFont">term care, medicare supplement, automobile medical payment, or other types of health insurance that are not medical expense policies or certificates. Nothing in §§ </span><a href="https://sdlegislature.gov/Statutes/Codified_Laws/DisplayStatute.aspx?Type=Statute&amp;Statute=58-12-19"><span class="s2074635DefaultParagraphFont">58-12-19</span></a><span xml:space="preserve" class="s2074635DefaultParagraphFont"> to </span><a href="https://sdlegislature.gov/Statutes/Codified_Laws/DisplayStatute.aspx?Type=Statute&amp;Statute=58-12-21"><span class="s2074635DefaultParagraphFont">58-12-21</span></a><span class="s2074635DefaultParagraphFont">, inclusive, grants a private right of action.</span></p><p dir="ltr" class="s2074635Normal"><span xml:space="preserve" class="s2074635000002"> </span></p><p dir="ltr" class="s2074635Normal"><span class="s2074635SCL">Source:</span><span xml:space="preserve" class="s2074635SCL-000003"> SL 2001, ch 273, § 3.</span></p></div></body></html><br /><hr><br /><html xmlns="http://www.w3.org/1999/xhtml" lang="en-US"><head><meta charset="UTF-8"><meta http-equiv='content-language' content='en-us'/><title>SDLRC - Codified Law 58-12 - INSURANCE CLAIMS AND BENEFITS</title><meta name="Generator" content="PowerTools for Open XML"><style>span { white-space: pre-wrap; } p.s2082880Normal { text-indent: 0.50in; text-align: justify; font-family: 'Times New Roman', 'serif'; font-size: 12pt; line-height: 108%; margin-top: 0; margin-left: 0; margin-right: 0; margin-bottom: .001pt; } span.s2082880SENU { font-family: 'Times New Roman', 'serif'; font-size: 12pt; font-style: normal; font-weight: bold; margin: 0; padding: 0; } span.s2082880CL { font-family: 'Times New Roman', 'serif'; font-size: 12pt; font-style: normal; font-weight: bold; margin: 0; padding: 0; } p.s2082880Statute { text-indent: 0.50in; text-align: justify; font-family: 'Times New Roman', 'serif'; font-size: 12pt; line-height: 108%; margin-top: 0; margin-left: 0; margin-right: 0; margin-bottom: .001pt; } span.s2082880DefaultParagraphFont { font-family: 'Times New Roman', 'serif'; font-size: 12pt; font-style: normal; font-weight: normal; margin: 0; padding: 0; } p.s2082880Statute-000000 { text-indent: 0.25in; text-align: justify; font-family: 'Times New Roman', 'serif'; font-size: 12pt; line-height: 108%; margin-top: 0; margin-left: 0; margin-right: 0; margin-bottom: .001pt; } p.s2082880StatuteNumber1 { margin-left: 0.70in; text-indent: -0.45in; text-align: justify; font-family: 'Times New Roman', 'serif'; font-size: 12pt; line-height: 108%; margin-top: 0; margin-right: 0; margin-bottom: .001pt; } span.s2082880000001 { font-size: 12pt; font-style: normal; font-weight: normal; margin: 0; padding: 0; } p.s2082880NoIndent { text-indent: 0.00in; text-align: justify; font-family: 'Times New Roman', 'serif'; font-size: 12pt; line-height: 108%; margin-top: 0; margin-left: 0; margin-right: 0; margin-bottom: .001pt; } span.s2082880DefaultParagraphFont-000002 { font-family: 'Times New Roman', 'serif'; font-size: 12pt; font-style: normal; font-weight: bold; margin: 0; padding: 0; } span.s2082880SCL { font-family: 'Times New Roman', 'serif'; font-size: 12pt; font-style: normal; font-weight: normal; margin: 0; padding: 0; } </style><meta name="viewport" content="width=device-width, initial-scale=1"><meta name="twitter:card" content="summary"><meta property="og:title" content="SD 58-12-22 - Information from insurer's database to Department of Social Services--Data match against recipients--Disclosure--Liability."><meta property="og:description" content="SDLRC Codified Law 58-12-22 - Information from insurer's database to Department of Social Services--Data match against recipients--Disclosure--Liability."><meta property="og:type" content="website"><meta property="og:url" content="https://sdlegislature.gov/Statutes?Statute=58-12-22"><meta property="og:image" content="https://lawmakerdocuments.blob.core.usgovcloudapi.net/photos/logoshape.webp"><meta property="og:site_name" content="South Dakota Legislature"></head><body><div><p dir="ltr" class="s2082880Normal"><a href="https://sdlegislature.gov/Statutes/Codified_Laws/DisplayStatute.aspx?Type=Statute&amp;Statute=58-12-22" rel="noopener"><span class="s2082880SENU">58-12-22</span></a><span xml:space="preserve" class="s2082880SENU">. </span><span xml:space="preserve" class="s2082880CL">Information from insurer's database to Department of Social Services--Data match against recipients--Disclosure--Liability. </span></p><p dir="ltr" class="s2082880Statute"><span xml:space="preserve" class="s2082880DefaultParagraphFont">Within sixty days of a request from the department, the department and an insurer shall negotiate an acceptable format for the transmission of information from the insurer's database of policy holders, sponsors, subscribers, covered individuals in South Dakota, and coverage dates. The format must include the data elements, medium, frequency of reporting, any costs of the insurer to be reimbursed, and procedures that will be followed when a data match is found. The Department of Social Services shall match the name, address, date of birth, and social security number if available, of the insured's policyholders, sponsors, subscribers, and covered individuals against the medicaid eligible recipients and recipients of support enforcement services as defined in subdivision </span><a href="https://sdlegislature.gov/Statutes/Codified_Laws/DisplayStatute.aspx?Type=Statute&amp;Statute=25-7A-1" rel="noopener"><span class="s2082880DefaultParagraphFont">25-7A-1</span></a><span class="s2082880DefaultParagraphFont">(19).</span></p><p dir="ltr" class="s2082880Statute-000000"><span class="s2082880DefaultParagraphFont">Upon discovery of a match, the department may incorporate the following information into its recipient database:</span></p><p dir="ltr" class="s2082880StatuteNumber1"><span class="s2082880DefaultParagraphFont">(1)    The name, address, date of birth, social security number if available, and the unique health care identification number of the covered individual;</span></p><p dir="ltr" class="s2082880StatuteNumber1"><span class="s2082880DefaultParagraphFont">(2)    The name, address, date of birth, social security number if available, policy number, and group identification number of the policyholder, sponsor, or subscriber;</span></p><p dir="ltr" class="s2082880StatuteNumber1"><span class="s2082880DefaultParagraphFont">(3)    The name and address of the employer if it is an employer-employee benefit plan;</span></p><p dir="ltr" class="s2082880StatuteNumber1"><span class="s2082880DefaultParagraphFont">(4)    Types of covered services under the plan or policy;</span></p><p dir="ltr" class="s2082880StatuteNumber1"><span class="s2082880DefaultParagraphFont">(5)    Coverage effective date and termination of coverage date for each covered individual; and</span></p><p dir="ltr" class="s2082880StatuteNumber1"><span class="s2082880DefaultParagraphFont">(6)    The name and address of the claim administrator for the policy or plan.</span></p><p dir="ltr" class="s2082880Statute-000000"><span xml:space="preserve" class="s2082880DefaultParagraphFont">The department may not use or disclose any information provided by the insurer other than as permitted or required by law. The insurer may not be held liable for the release of insurance coverage information to the department or the director by any party when done so under the authority of §§ </span><a href="https://sdlegislature.gov/Statutes/Codified_Laws/DisplayStatute.aspx?Type=Statute&amp;Statute=58-12-22" rel="noopener"><span class="s2082880DefaultParagraphFont">58-12-22</span></a><span xml:space="preserve" class="s2082880DefaultParagraphFont"> to </span><a href="https://sdlegislature.gov/Statutes/Codified_Laws/DisplayStatute.aspx?Type=Statute&amp;Statute=58-12-28" rel="noopener"><span class="s2082880DefaultParagraphFont">58-12-28</span></a><span class="s2082880DefaultParagraphFont">, inclusive.</span></p><p dir="ltr" class="s2082880Normal"><span xml:space="preserve" class="s2082880000001"> </span></p><p dir="ltr" class="s2082880NoIndent"><span xml:space="preserve" class="s2082880DefaultParagraphFont-000002">Source: </span><span class="s2082880SCL">SL 2005, ch 263, § 1; SL 2021, ch 210, § 5.</span></p></div></body></html><br /><hr><br /><html xmlns="http://www.w3.org/1999/xhtml"><head><meta charset="UTF-8" /><meta http-equiv='content-language' content='en-us'/><title>SDLRC - Codified Law 58-12 - INSURANCE CLAIMS AND BENEFITS</title><meta name="Generator" content="PowerTools for Open XML" /><style>span { white-space: pre-wrap; } p.s2074637Normal { text-align: justify; font-family: 'Times New Roman', 'serif'; font-size: 12pt; line-height: 108%; margin-top: 0; margin-left: 0; margin-right: 0; margin-bottom: .001pt; } span.s2074637SENU { font-family: 'Times New Roman', 'serif'; font-size: 12pt; font-style: normal; font-weight: bold; margin: 0; padding: 0; } span.s2074637CL { font-family: 'Times New Roman', 'serif'; font-size: 12pt; font-style: normal; font-weight: bold; margin: 0; padding: 0; } p.s2074637Normal-000000 { text-indent: 0.50in; text-align: justify; font-family: 'Times New Roman', 'serif'; font-size: 12pt; line-height: 108%; margin-top: 0; margin-left: 0; margin-right: 0; margin-bottom: .001pt; } span.s2074637DefaultParagraphFont { font-family: 'Times New Roman', 'serif'; font-size: 12pt; font-style: normal; font-weight: normal; margin: 0; padding: 0; } p.s2074637Normal-000001 { margin-left: 0.70in; text-indent: -0.45in; text-align: justify; font-family: 'Times New Roman', 'serif'; font-size: 12pt; line-height: 108%; margin-top: 0; margin-right: 0; margin-bottom: .001pt; } p.s2074637Normal-000002 { text-indent: 0.25in; text-align: justify; font-family: 'Times New Roman', 'serif'; font-size: 12pt; line-height: 108%; margin-top: 0; margin-left: 0; margin-right: 0; margin-bottom: .001pt; } span.s2074637000003 { font-size: 12pt; font-style: normal; font-weight: normal; margin: 0; padding: 0; } span.s2074637SCL { font-family: 'Times New Roman', 'serif'; font-size: 12pt; font-style: normal; font-weight: bold; margin: 0; padding: 0; } span.s2074637SCL-000004 { font-family: 'Times New Roman', 'serif'; font-size: 12pt; font-style: normal; font-weight: normal; margin: 0; padding: 0; } </style></head><body><div><p dir="ltr" class="s2074637Normal"><a href="https://sdlegislature.gov/Statutes/Codified_Laws/DisplayStatute.aspx?Type=Statute&amp;Statute=58-12-23"><span class="s2074637SENU">58-12-23</span></a><span xml:space="preserve" class="s2074637SENU">. </span><span class="s2074637CL">Application for or acceptance of medical assistance paid by department operates as release of information to facilitate coordination of benefits--Request.</span></p><p dir="ltr" class="s2074637Normal-000000"><span class="s2074637DefaultParagraphFont">Notwithstanding any provision of a policy, plan, contract, or certificate, an insurer shall recognize that an application for medical assistance or acceptance of medical assistance, paid by the Department of Social Services operates as a release of any information kept by the insurer that would facilitate efficient coordination of benefits between the department and the insurer, which may include:</span></p><p dir="ltr" class="s2074637Normal-000001"><span class="s2074637DefaultParagraphFont">(1)    The name, address, date of birth, social security number if available, and unique health care identification number of the covered individual;</span></p><p dir="ltr" class="s2074637Normal-000001"><span class="s2074637DefaultParagraphFont">(2)    The name, address, date of birth, social security number if available, policy number, group identification number of the policyholder, sponsor, or subscriber;</span></p><p dir="ltr" class="s2074637Normal-000001"><span class="s2074637DefaultParagraphFont">(3)    The name and address of the employer if it is an employer-employee benefit plan; types of services covered under the plan or policy; and the name and address of the claims administrator for the policy or plan;</span></p><p dir="ltr" class="s2074637Normal-000001"><span class="s2074637DefaultParagraphFont">(4)    Previously paid benefits including the name and address of the payee; and</span></p><p dir="ltr" class="s2074637Normal-000001"><span class="s2074637DefaultParagraphFont">(5)    The name and address of claims processing or administration centers, or both.</span></p><p dir="ltr" class="s2074637Normal-000002"><span class="s2074637DefaultParagraphFont">Upon written request by the department, the insurer shall provide the requested information in writing within thirty calendar days of receipt of the request.</span></p><p dir="ltr" class="s2074637Normal"><span xml:space="preserve" class="s2074637000003"> </span></p><p dir="ltr" class="s2074637Normal"><span class="s2074637SCL">Source:</span><span xml:space="preserve" class="s2074637SCL-000004"> SL 2005, ch 263, § 2; SL 2007, ch 286, § 1.</span></p></div></body></html><br /><hr><br /><html xmlns="http://www.w3.org/1999/xhtml"><head><meta charset="UTF-8" /><meta http-equiv='content-language' content='en-us'/><title>SDLRC - Codified Law 58-12 - INSURANCE CLAIMS AND BENEFITS</title><meta name="Generator" content="PowerTools for Open XML" /><style>span { white-space: pre-wrap; } p.s2074638Normal { margin-top: 0; margin-bottom: 0; text-align: justify; font-family: 'Times New Roman', 'serif'; font-size: 12pt; line-height: 108%; margin-left: 0; margin-right: 0; } span.s2074638SENU { font-family: 'Times New Roman', 'serif'; font-size: 12pt; font-style: normal; font-weight: bold; margin: 0; padding: 0; } span.s2074638CL { font-family: 'Times New Roman', 'serif'; font-size: 12pt; font-style: normal; font-weight: bold; margin: 0; padding: 0; } p.s2074638Normal-000000 { margin-top: 0; margin-bottom: 0; text-indent: 0.50in; text-align: justify; font-family: 'Times New Roman', 'serif'; font-size: 12pt; line-height: 108%; margin-left: 0; margin-right: 0; } span.s2074638DefaultParagraphFont { font-family: 'Times New Roman', 'serif'; font-size: 12pt; font-style: normal; font-weight: normal; margin: 0; padding: 0; } span.s2074638000001 { font-size: 12pt; font-style: normal; font-weight: normal; margin: 0; padding: 0; } span.s2074638SCL { font-family: 'Times New Roman', 'serif'; font-size: 12pt; font-style: normal; font-weight: bold; margin: 0; padding: 0; } span.s2074638SCL-000002 { font-family: 'Times New Roman', 'serif'; font-size: 12pt; font-style: normal; font-weight: normal; margin: 0; padding: 0; } </style></head><body><div><p dir="ltr" class="s2074638Normal"><a href="https://sdlegislature.gov/Statutes/Codified_Laws/DisplayStatute.aspx?Type=Statute&amp;Statute=58-12-24"><span class="s2074638SENU">58-12-24</span></a><span xml:space="preserve" class="s2074638SENU">. </span><span class="s2074638CL">Refusal of reimbursement due to manner, form, or date of claim prohibited--Time for submission of claim.</span></p><p dir="ltr" class="s2074638Normal-000000"><span class="s2074638DefaultParagraphFont">Notwithstanding any provision of a policy, plan, contract, or certificate, no insurer may refuse to reimburse the Department of Social Services for medical assistance paid by the department on the basis of the date of submission of the claim, the type or format of the claim form, or a failure to present proper documentation at the point-of-sale for which reimbursement is sought, if the claim is submitted within three years from the date the item or service was furnished and any action by the department to enforce its rights with respect to such claim is commenced within six years of the department's submission of such claim.</span></p><p dir="ltr" class="s2074638Normal"><span xml:space="preserve" class="s2074638000001"> </span></p><p dir="ltr" class="s2074638Normal"><span class="s2074638SCL">Source:</span><span xml:space="preserve" class="s2074638SCL-000002"> SL 2005, ch 263, § 3; SL 2007, ch 286, § 2.</span></p></div></body></html><br /><hr><br /><html xmlns="http://www.w3.org/1999/xhtml"><head><meta charset="UTF-8" /><meta http-equiv='content-language' content='en-us'/><title>SDLRC - Codified Law 58-12 - INSURANCE CLAIMS AND BENEFITS</title><meta name="Generator" content="PowerTools for Open XML" /><style>span { white-space: pre-wrap; } p.s2074639Normal { margin-top: 0; margin-bottom: 0; text-align: justify; font-family: 'Times New Roman', 'serif'; font-size: 12pt; line-height: 108%; margin-left: 0; margin-right: 0; } span.s2074639SENU { font-family: 'Times New Roman', 'serif'; font-size: 12pt; font-style: normal; font-weight: bold; margin: 0; padding: 0; } span.s2074639CL { font-family: 'Times New Roman', 'serif'; font-size: 12pt; font-style: normal; font-weight: bold; margin: 0; padding: 0; } p.s2074639Normal-000000 { margin-top: 0; margin-bottom: 0; text-indent: 0.50in; text-align: justify; font-family: 'Times New Roman', 'serif'; font-size: 12pt; line-height: 108%; margin-left: 0; margin-right: 0; } span.s2074639DefaultParagraphFont { font-family: 'Times New Roman', 'serif'; font-size: 12pt; font-style: normal; font-weight: normal; margin: 0; padding: 0; } span.s2074639000001 { font-size: 12pt; font-style: normal; font-weight: normal; margin: 0; padding: 0; } span.s2074639SCL { font-family: 'Times New Roman', 'serif'; font-size: 12pt; font-style: normal; font-weight: bold; margin: 0; padding: 0; } span.s2074639SCL-000002 { font-family: 'Times New Roman', 'serif'; font-size: 12pt; font-style: normal; font-weight: normal; margin: 0; padding: 0; } </style></head><body><div><p dir="ltr" class="s2074639Normal"><a href="https://sdlegislature.gov/Statutes/Codified_Laws/DisplayStatute.aspx?Type=Statute&amp;Statute=58-12-25"><span class="s2074639SENU">58-12-25</span></a><span xml:space="preserve" class="s2074639SENU">. </span><span class="s2074639CL">Reimbursement to department for cost of services.</span></p><p dir="ltr" class="s2074639Normal-000000"><span class="s2074639DefaultParagraphFont">If the Department of Social Services notifies an insurer that the department has paid for services on behalf of an individual who is covered under an individual, group, or blanket health insurance policy or contract that the insurer issued, delivered, entered into, or renewed in the state, to the extent that the insurer is legally liable, it shall reimburse the department for the cost of the services, regardless of any provision in the health insurance policy or contract that requires payment to the policy holder, subscriber, or another payee. If the insurer, after notice from the department, issues payment to any payee other than the department, the insurer remains liable to the department for the amount of benefits paid to the other party.</span></p><p dir="ltr" class="s2074639Normal"><span xml:space="preserve" class="s2074639000001"> </span></p><p dir="ltr" class="s2074639Normal"><span class="s2074639SCL">Source:</span><span xml:space="preserve" class="s2074639SCL-000002"> SL 2005, ch 263, § 4.</span></p><p dir="ltr" class="s2074639Normal"><span xml:space="preserve" class="s2074639000001"> </span></p></div></body></html><br /><hr><br /><html xmlns="http://www.w3.org/1999/xhtml" lang="en-US"><head><meta charset="UTF-8"><meta http-equiv='content-language' content='en-us'/><title>SDLRC - Codified Law 58-12 - INSURANCE CLAIMS AND BENEFITS</title><meta name="Generator" content="PowerTools for Open XML"><style>span { white-space: pre-wrap; } p.s2082879Normal { text-indent: 0.50in; text-align: justify; font-family: 'Times New Roman', 'serif'; font-size: 12pt; line-height: 108%; margin-top: 0; margin-left: 0; margin-right: 0; margin-bottom: .001pt; } span.s2082879SENU { font-family: 'Times New Roman', 'serif'; font-size: 12pt; font-style: normal; font-weight: bold; margin: 0; padding: 0; } span.s2082879CL { font-family: 'Times New Roman', 'serif'; font-size: 12pt; font-style: normal; font-weight: bold; margin: 0; padding: 0; } p.s2082879Statute { text-indent: 0.50in; text-align: justify; font-family: 'Times New Roman', 'serif'; font-size: 12pt; line-height: 108%; margin-top: 0; margin-left: 0; margin-right: 0; margin-bottom: .001pt; } span.s2082879DefaultParagraphFont { font-family: 'Times New Roman', 'serif'; font-size: 12pt; font-style: normal; font-weight: normal; margin: 0; padding: 0; } p.s2082879StatuteNumber1 { margin-left: 0.70in; text-indent: -0.45in; text-align: justify; font-family: 'Times New Roman', 'serif'; font-size: 12pt; line-height: 108%; margin-top: 0; margin-right: 0; margin-bottom: .001pt; } span.s2082879000000 { font-size: 12pt; font-style: normal; font-weight: normal; margin: 0; padding: 0; } p.s2082879NoIndent { text-indent: 0.00in; text-align: justify; font-family: 'Times New Roman', 'serif'; font-size: 12pt; line-height: 108%; margin-top: 0; margin-left: 0; margin-right: 0; margin-bottom: .001pt; } span.s2082879DefaultParagraphFont-000001 { font-family: 'Times New Roman', 'serif'; font-size: 12pt; font-style: normal; font-weight: bold; margin: 0; padding: 0; } span.s2082879SCL { font-family: 'Times New Roman', 'serif'; font-size: 12pt; font-style: normal; font-weight: normal; margin: 0; padding: 0; } </style><meta name="viewport" content="width=device-width, initial-scale=1"><meta name="twitter:card" content="summary"><meta property="og:title" content="SD 58-12-26 - Insurer defined."><meta property="og:description" content="SDLRC Codified Law 58-12-26 - Insurer defined."><meta property="og:type" content="website"><meta property="og:url" content="https://sdlegislature.gov/Statutes?Statute=58-12-26"><meta property="og:image" content="https://lawmakerdocuments.blob.core.usgovcloudapi.net/photos/logoshape.webp"><meta property="og:site_name" content="South Dakota Legislature"></head><body><div><p dir="ltr" class="s2082879Normal"><a href="https://sdlegislature.gov/Statutes/Codified_Laws/DisplayStatute.aspx?Type=Statute&amp;Statute=58-12-26" rel="noopener"><span class="s2082879SENU">58-12-26</span></a><span xml:space="preserve" class="s2082879SENU">. </span><span xml:space="preserve" class="s2082879CL">Insurer defined. </span></p><p dir="ltr" class="s2082879Statute"><span xml:space="preserve" class="s2082879DefaultParagraphFont">For the purposes of §§ </span><a href="https://sdlegislature.gov/Statutes/Codified_Laws/DisplayStatute.aspx?Type=Statute&amp;Statute=58-12-22" rel="noopener"><span class="s2082879DefaultParagraphFont">58-12-22</span></a><span xml:space="preserve" class="s2082879DefaultParagraphFont"> to </span><a href="https://sdlegislature.gov/Statutes/Codified_Laws/DisplayStatute.aspx?Type=Statute&amp;Statute=58-12-28" rel="noopener"><span class="s2082879DefaultParagraphFont">58-12-28</span></a><span class="s2082879DefaultParagraphFont">, inclusive, the term, insurer, means:</span></p><p dir="ltr" class="s2082879StatuteNumber1"><span class="s2082879DefaultParagraphFont">(1)    Any commercial insurance company, employer-employee benefit plan, health maintenance organization, professional association, service benefit plan, public self-funded employer or pool, union, or fraternal group selling or otherwise offering individual or group health insurance coverage including self-insured and self-funded plans;</span></p><p dir="ltr" class="s2082879StatuteNumber1"><span class="s2082879DefaultParagraphFont">(2)    Any profit or nonprofit prepaid plan offering either medical services of full or partial payment for services included in the department's medicaid plan;</span></p><p dir="ltr" class="s2082879StatuteNumber1"><span class="s2082879DefaultParagraphFont">(3)    Any other entity offering health benefits for which a medicaid recipient may be eligible in addition to public medical assistance;</span></p><p dir="ltr" class="s2082879StatuteNumber1"><span class="s2082879DefaultParagraphFont">(4)    Any managed care organization, third-party administrator, pharmacy benefits manager, or other entity which processes claims, administers services, or otherwise manages health benefits on behalf of any of the aforementioned insurers; or</span></p><p dir="ltr" class="s2082879StatuteNumber1"><span class="s2082879DefaultParagraphFont">(5)    Any other party that is by statute, contract, or agreement, legally responsible for payment of a claim for a health care item or service including workers' compensation, automobile insurance, and liability insurance plans.</span></p><p dir="ltr" class="s2082879Normal"><span xml:space="preserve" class="s2082879000000"> </span></p><p dir="ltr" class="s2082879NoIndent"><span xml:space="preserve" class="s2082879DefaultParagraphFont-000001">Source: </span><span class="s2082879SCL">SL 2005, ch 263, § 5; SL 2007, ch 286, § 3; SL 2021, ch 210, § 6.</span></p></div></body></html><br /><hr><br /><html xmlns="http://www.w3.org/1999/xhtml" lang="en-US"><head><meta charset="UTF-8"><meta http-equiv='content-language' content='en-us'/><title>SDLRC - Codified Law 58-12 - INSURANCE CLAIMS AND BENEFITS</title><meta name="Generator" content="PowerTools for Open XML"><style>span { white-space: pre-wrap; } p.s2082878Normal { text-indent: 0.50in; text-align: justify; font-family: 'Times New Roman', 'serif'; font-size: 12pt; line-height: 108%; margin-top: 0; margin-left: 0; margin-right: 0; margin-bottom: .001pt; } span.s2082878SENU { font-family: 'Times New Roman', 'serif'; font-size: 12pt; font-style: normal; font-weight: bold; margin: 0; padding: 0; } span.s2082878CL { font-family: 'Times New Roman', 'serif'; font-size: 12pt; font-style: normal; font-weight: bold; margin: 0; padding: 0; } p.s2082878Statute { text-indent: 0.50in; text-align: justify; font-family: 'Times New Roman', 'serif'; font-size: 12pt; line-height: 108%; margin-top: 0; margin-left: 0; margin-right: 0; margin-bottom: .001pt; } span.s2082878DefaultParagraphFont { font-family: 'Times New Roman', 'serif'; font-size: 12pt; font-style: normal; font-weight: normal; margin: 0; padding: 0; } span.s2082878000000 { font-size: 12pt; font-style: normal; font-weight: normal; margin: 0; padding: 0; } p.s2082878NoIndent { text-indent: 0.00in; text-align: justify; font-family: 'Times New Roman', 'serif'; font-size: 12pt; line-height: 108%; margin-top: 0; margin-left: 0; margin-right: 0; margin-bottom: .001pt; } span.s2082878DefaultParagraphFont-000001 { font-family: 'Times New Roman', 'serif'; font-size: 12pt; font-style: normal; font-weight: bold; margin: 0; padding: 0; } span.s2082878SCL { font-family: 'Times New Roman', 'serif'; font-size: 12pt; font-style: normal; font-weight: normal; margin: 0; padding: 0; } </style><meta name="viewport" content="width=device-width, initial-scale=1"><meta name="twitter:card" content="summary"><meta property="og:title" content="SD 58-12-27 - Department defined."><meta property="og:description" content="SDLRC Codified Law 58-12-27 - Department defined."><meta property="og:type" content="website"><meta property="og:url" content="https://sdlegislature.gov/Statutes?Statute=58-12-27"><meta property="og:image" content="https://lawmakerdocuments.blob.core.usgovcloudapi.net/photos/logoshape.webp"><meta property="og:site_name" content="South Dakota Legislature"></head><body><div><p dir="ltr" class="s2082878Normal"><a href="https://sdlegislature.gov/Statutes/Codified_Laws/DisplayStatute.aspx?Type=Statute&amp;Statute=58-12-27" rel="noopener"><span class="s2082878SENU">58-12-27</span></a><span xml:space="preserve" class="s2082878SENU">. </span><span xml:space="preserve" class="s2082878CL">Department defined. </span></p><p dir="ltr" class="s2082878Statute"><span xml:space="preserve" class="s2082878DefaultParagraphFont">For the purposes of §§ </span><a href="https://sdlegislature.gov/Statutes/Codified_Laws/DisplayStatute.aspx?Type=Statute&amp;Statute=58-12-22" rel="noopener"><span class="s2082878DefaultParagraphFont">58-12-22</span></a><span xml:space="preserve" class="s2082878DefaultParagraphFont"> to </span><a href="https://sdlegislature.gov/Statutes/Codified_Laws/DisplayStatute.aspx?Type=Statute&amp;Statute=58-12-28" rel="noopener"><span class="s2082878DefaultParagraphFont">58-12-28</span></a><span xml:space="preserve" class="s2082878DefaultParagraphFont">, inclusive, the term, department, means the Department of Social Services, or an entity under contract with the Department of Social Services to carry out the functions of §§ </span><a href="https://sdlegislature.gov/Statutes/Codified_Laws/DisplayStatute.aspx?Type=Statute&amp;Statute=58-12-22" rel="noopener"><span class="s2082878DefaultParagraphFont">58-12-22</span></a><span xml:space="preserve" class="s2082878DefaultParagraphFont"> to </span><a href="https://sdlegislature.gov/Statutes/Codified_Laws/DisplayStatute.aspx?Type=Statute&amp;Statute=58-12-28" rel="noopener"><span class="s2082878DefaultParagraphFont">58-12-28</span></a><span class="s2082878DefaultParagraphFont">, inclusive.</span></p><p dir="ltr" class="s2082878Normal"><span xml:space="preserve" class="s2082878000000"> </span></p><p dir="ltr" class="s2082878NoIndent"><span xml:space="preserve" class="s2082878DefaultParagraphFont-000001">Source: </span><span class="s2082878SCL">SL 2005, ch 263, § 6; SL 2021, ch 210, § 7.</span></p></div></body></html><br /><hr><br /><html xmlns="http://www.w3.org/1999/xhtml"><head><meta charset="UTF-8" /><meta http-equiv='content-language' content='en-us'/><title>SDLRC - Codified Law 58-12 - INSURANCE CLAIMS AND BENEFITS</title><meta name="Generator" content="PowerTools for Open XML" /><style>span { white-space: pre-wrap; } p.s2074642Normal { margin-top: 0; margin-bottom: 0; text-align: justify; font-family: 'Times New Roman', 'serif'; font-size: 12pt; line-height: 108%; margin-left: 0; margin-right: 0; } span.s2074642SENU { font-family: 'Times New Roman', 'serif'; font-size: 12pt; font-style: normal; font-weight: bold; margin: 0; padding: 0; } span.s2074642CL { font-family: 'Times New Roman', 'serif'; font-size: 12pt; font-style: normal; font-weight: bold; margin: 0; padding: 0; } p.s2074642Normal-000000 { margin-top: 0; margin-bottom: 0; text-indent: 0.50in; text-align: justify; font-family: 'Times New Roman', 'serif'; font-size: 12pt; line-height: 108%; margin-left: 0; margin-right: 0; } span.s2074642DefaultParagraphFont { font-family: 'Times New Roman', 'serif'; font-size: 12pt; font-style: normal; font-weight: normal; margin: 0; padding: 0; } span.s2074642000001 { font-size: 12pt; font-style: normal; font-weight: normal; margin: 0; padding: 0; } span.s2074642SCL { font-family: 'Times New Roman', 'serif'; font-size: 12pt; font-style: normal; font-weight: bold; margin: 0; padding: 0; } span.s2074642SCL-000002 { font-family: 'Times New Roman', 'serif'; font-size: 12pt; font-style: normal; font-weight: normal; margin: 0; padding: 0; } </style></head><body><div><p dir="ltr" class="s2074642Normal"><a href="https://sdlegislature.gov/Statutes/Codified_Laws/DisplayStatute.aspx?Type=Statute&amp;Statute=58-12-28"><span class="s2074642SENU">58-12-28</span></a><span xml:space="preserve" class="s2074642SENU">. </span><span xml:space="preserve" class="s2074642CL">Provisions of chapter </span><a href="https://sdlegislature.gov/Statutes/Codified_Laws/DisplayStatute.aspx?Type=Statute&amp;Statute=1-27"><span class="s2074642CL">1-27</span></a><span xml:space="preserve" class="s2074642CL"> not applicable to insurer records.</span></p><p dir="ltr" class="s2074642Normal-000000"><span xml:space="preserve" class="s2074642DefaultParagraphFont">The provisions of chapter </span><a href="https://sdlegislature.gov/Statutes/Codified_Laws/DisplayStatute.aspx?Type=Statute&amp;Statute=1-27"><span class="s2074642DefaultParagraphFont">1-27</span></a><span xml:space="preserve" class="s2074642DefaultParagraphFont"> do not apply to any records the insurer is required to provide to the department.</span></p><p dir="ltr" class="s2074642Normal"><span xml:space="preserve" class="s2074642000001"> </span></p><p dir="ltr" class="s2074642Normal"><span class="s2074642SCL">Source:</span><span xml:space="preserve" class="s2074642SCL-000002"> SL 2005, ch 263, § 7.</span></p><p dir="ltr" class="s2074642Normal"><span xml:space="preserve" class="s2074642000001"> </span></p></div></body></html><br /><hr><br /> <HTML> <HEAD> <HTML> <HEAD> <meta http-equiv='content-language' content='en-us'/><title>SDLRC - Codified Law 58-12 - INSURANCE CLAIMS AND BENEFITS58-12-29 </title> <META NAME="Keywords" Content="South Dakota Codified Laws SDCL 58-12-29 "> <META NAME="Description" Content="South Dakota Codified Laws 58-12-29"> </HEAD> <BODY> <!-- File converted by Wp2Html Version 4.0 --> <!-- Email Andrew@brackenbeds.co.uk for more details --> <!-- WP Style Open: System_34 --><!-- WP Style End: System_34 --> <Div align="full"> <!-- WP Paired Style On: SENU -->&nbsp;&nbsp;&nbsp;&nbsp;<!-- WP Style End: SENU --> 58-12-29. <!-- WP Paired Style Off: SENU -->&nbsp;<!-- WP Style End: SENU --> Repealed by SL 2007, ch 286, &#167;&nbsp;4.<p> </BODY> </HTML> <br /><hr><br /><html xmlns="http://www.w3.org/1999/xhtml"><head><meta charset="UTF-8" /><meta http-equiv='content-language' content='en-us'/><title>SDLRC - Codified Law 58-12 - INSURANCE CLAIMS AND BENEFITS</title><meta name="Generator" content="PowerTools for Open XML" /><style>span { white-space: pre-wrap; } p.s2074644Normal { margin-top: 0; margin-bottom: 0; text-align: justify; font-family: 'Times New Roman', 'serif'; font-size: 12pt; line-height: 108%; margin-left: 0; margin-right: 0; } span.s2074644SENU { font-family: 'Times New Roman', 'serif'; font-size: 12pt; font-style: normal; font-weight: bold; margin: 0; padding: 0; } span.s2074644CL { font-family: 'Times New Roman', 'serif'; font-size: 12pt; font-style: normal; font-weight: bold; margin: 0; padding: 0; } p.s2074644Normal-000000 { margin-top: 0; margin-bottom: 0; text-indent: 0.50in; text-align: justify; font-family: 'Times New Roman', 'serif'; font-size: 12pt; line-height: 108%; margin-left: 0; margin-right: 0; } span.s2074644DefaultParagraphFont { font-family: 'Times New Roman', 'serif'; font-size: 12pt; font-style: normal; font-weight: normal; margin: 0; padding: 0; } span.s2074644000001 { font-size: 12pt; font-style: normal; font-weight: normal; margin: 0; padding: 0; } span.s2074644SCL { font-family: 'Times New Roman', 'serif'; font-size: 12pt; font-style: normal; font-weight: bold; margin: 0; padding: 0; } span.s2074644SCL-000002 { font-family: 'Times New Roman', 'serif'; font-size: 12pt; font-style: normal; font-weight: normal; margin: 0; padding: 0; } </style></head><body><div><p dir="ltr" class="s2074644Normal"><a href="https://sdlegislature.gov/Statutes/Codified_Laws/DisplayStatute.aspx?Type=Statute&amp;Statute=58-12-30"><span class="s2074644SENU">58-12-30</span></a><span xml:space="preserve" class="s2074644SENU">. </span><span class="s2074644CL">Annual reports of commercial property casualty insurance claims--Exception--Promulgation of rules.</span></p><p dir="ltr" class="s2074644Normal-000000"><span xml:space="preserve" class="s2074644DefaultParagraphFont">Any carrier who is or has provided commercial property casualty coverage in this state shall provide, at the written request of the insured, annual reports of the claims experience of that insured for the immediate past policy period and for any time frames which are not in excess of three years prior to the policy period for which the request was made. A carrier is not required to provide any claim information that pertains to a prior carrier's experience with that insured. The claims report shall be in sufficient detail so as to provide the insured with data sufficient to assess the insured's future commercial property casualty insurance needs. The director may promulgate rules pursuant to chapter </span><a href="https://sdlegislature.gov/Statutes/Codified_Laws/DisplayStatute.aspx?Type=Statute&amp;Statute=1-26"><span class="s2074644DefaultParagraphFont">1-26</span></a><span xml:space="preserve" class="s2074644DefaultParagraphFont"> regarding the content and time frames for the annual reports.</span></p><p dir="ltr" class="s2074644Normal"><span xml:space="preserve" class="s2074644000001"> </span></p><p dir="ltr" class="s2074644Normal"><span class="s2074644SCL">Source:</span><span xml:space="preserve" class="s2074644SCL-000002"> SL 2007, ch 287, § 1.</span></p></div></body></html><br /><hr><br /><html xmlns="http://www.w3.org/1999/xhtml"><head><meta charset="UTF-8" /><meta http-equiv='content-language' content='en-us'/><title>SDLRC - Codified Law 58-12 - INSURANCE CLAIMS AND BENEFITS</title><meta name="Generator" content="PowerTools for Open XML" /><style>span { white-space: pre-wrap; } p.s2074645Normal { text-align: justify; font-family: 'Times New Roman', 'serif'; font-size: 12pt; line-height: 108%; margin-top: 0; margin-left: 0; margin-right: 0; margin-bottom: .001pt; } span.s2074645SENU { font-family: 'Times New Roman', 'serif'; font-size: 12pt; font-style: normal; font-weight: bold; margin: 0; padding: 0; } span.s2074645CL { font-family: 'Times New Roman', 'serif'; font-size: 12pt; font-style: normal; font-weight: bold; margin: 0; padding: 0; } p.s2074645Normal-000000 { text-indent: 0.50in; text-align: justify; font-family: 'Times New Roman', 'serif'; font-size: 12pt; line-height: 108%; margin-top: 0; margin-left: 0; margin-right: 0; margin-bottom: .001pt; } span.s2074645DefaultParagraphFont { font-family: 'Times New Roman', 'serif'; font-size: 12pt; font-style: normal; font-weight: normal; margin: 0; padding: 0; } p.s2074645Normal-000001 { margin-left: 0.70in; text-indent: -0.45in; text-align: justify; font-family: 'Times New Roman', 'serif'; font-size: 12pt; line-height: 108%; margin-top: 0; margin-right: 0; margin-bottom: .001pt; } span.s2074645000002 { font-size: 12pt; font-style: normal; font-weight: normal; margin: 0; padding: 0; } span.s2074645SCL { font-family: 'Times New Roman', 'serif'; font-size: 12pt; font-style: normal; font-weight: bold; margin: 0; padding: 0; } span.s2074645SCL-000003 { font-family: 'Times New Roman', 'serif'; font-size: 12pt; font-style: normal; font-weight: normal; margin: 0; padding: 0; } </style></head><body><div><p dir="ltr" class="s2074645Normal"><a href="https://sdlegislature.gov/Statutes/Codified_Laws/DisplayStatute.aspx?Type=Statute&amp;Statute=58-12-31"><span class="s2074645SENU">58-12-31</span></a><span xml:space="preserve" class="s2074645SENU">. </span><span class="s2074645CL">Definitions regarding standards for claims processing.</span></p><p dir="ltr" class="s2074645Normal-000000"><span xml:space="preserve" class="s2074645DefaultParagraphFont">Terms used in §§ </span><a href="https://sdlegislature.gov/Statutes/Codified_Laws/DisplayStatute.aspx?Type=Statute&amp;Statute=58-12-31"><span class="s2074645DefaultParagraphFont">58-12-31</span></a><span xml:space="preserve" class="s2074645DefaultParagraphFont"> to </span><a href="https://sdlegislature.gov/Statutes/Codified_Laws/DisplayStatute.aspx?Type=Statute&amp;Statute=58-12-37"><span class="s2074645DefaultParagraphFont">58-12-37</span></a><span class="s2074645DefaultParagraphFont">, inclusive, mean:</span></p><p dir="ltr" class="s2074645Normal-000001"><span class="s2074645DefaultParagraphFont">(1)    "Director," the director of the South Dakota Division of Insurance;</span></p><p dir="ltr" class="s2074645Normal-000001"><span class="s2074645DefaultParagraphFont">(2)    "Insured," the party named on a policy or certificate as the individual with legal rights to the benefits provided by the policy;</span></p><p dir="ltr" class="s2074645Normal-000001"><span xml:space="preserve" class="s2074645DefaultParagraphFont">(3)    "Insurer," a person, reciprocal exchange, interinsurer, Lloyd's insurer, fraternal benefit society, and any other legal entity engaged in the business of insurance, including claim agents, brokers, adjusters, and third party administrators. The term also includes medical service plans, hospital service plans, health maintenance organizations, prepaid limited health care service plans, dental plans, and optometric plans. This term does not include any insurance producer licensed pursuant to chapter </span><a href="https://sdlegislature.gov/Statutes/Codified_Laws/DisplayStatute.aspx?Type=Statute&amp;Statute=58-30"><span class="s2074645DefaultParagraphFont">58-30</span></a><span class="s2074645DefaultParagraphFont">, unless an insurance producer is directly involved in the adjudication of claims;</span></p><p dir="ltr" class="s2074645Normal-000001"><span class="s2074645DefaultParagraphFont">(4)    "Person," a natural or artificial entity, including individuals, partnerships, associations, trusts, or corporations;</span></p><p dir="ltr" class="s2074645Normal-000001"><span class="s2074645DefaultParagraphFont">(5)    "Policy," or "certificate," a contract of insurance, indemnity, medical, health, or hospital service, or annuity issued. The term does not include contracts of workers' compensation, fidelity, suretyship, or boiler and machinery insurance.</span></p><p dir="ltr" class="s2074645Normal"><span xml:space="preserve" class="s2074645000002"> </span></p><p dir="ltr" class="s2074645Normal"><span class="s2074645SCL">Source:</span><span xml:space="preserve" class="s2074645SCL-000003"> SL 2014, ch 235, § 1.</span></p></div></body></html><br /><hr><br /><html xmlns="http://www.w3.org/1999/xhtml"><head><meta charset="UTF-8" /><meta http-equiv='content-language' content='en-us'/><title>SDLRC - Codified Law 58-12 - INSURANCE CLAIMS AND BENEFITS</title><meta name="Generator" content="PowerTools for Open XML" /><style>span { white-space: pre-wrap; } p.s2074646Normal { margin-top: 0; margin-bottom: 0; text-align: justify; font-family: 'Times New Roman', 'serif'; font-size: 12pt; line-height: 108%; margin-left: 0; margin-right: 0; } span.s2074646SENU { font-family: 'Times New Roman', 'serif'; font-size: 12pt; font-style: normal; font-weight: bold; margin: 0; padding: 0; } span.s2074646CL { font-family: 'Times New Roman', 'serif'; font-size: 12pt; font-style: normal; font-weight: bold; margin: 0; padding: 0; } p.s2074646Normal-000000 { margin-top: 0; margin-bottom: 0; text-indent: 0.50in; text-align: justify; font-family: 'Times New Roman', 'serif'; font-size: 12pt; line-height: 108%; margin-left: 0; margin-right: 0; } span.s2074646DefaultParagraphFont { font-family: 'Times New Roman', 'serif'; font-size: 12pt; font-style: normal; font-weight: normal; margin: 0; padding: 0; } span.s2074646000001 { font-size: 12pt; font-style: normal; font-weight: normal; margin: 0; padding: 0; } span.s2074646SCL { font-family: 'Times New Roman', 'serif'; font-size: 12pt; font-style: normal; font-weight: bold; margin: 0; padding: 0; } span.s2074646SCL-000002 { font-family: 'Times New Roman', 'serif'; font-size: 12pt; font-style: normal; font-weight: normal; margin: 0; padding: 0; } </style></head><body><div><p dir="ltr" class="s2074646Normal"><a href="https://sdlegislature.gov/Statutes/Codified_Laws/DisplayStatute.aspx?Type=Statute&amp;Statute=58-12-32"><span class="s2074646SENU">58-12-32</span></a><span xml:space="preserve" class="s2074646SENU">. </span><span class="s2074646CL">Application of standards for claims investigation and disposition.</span></p><p dir="ltr" class="s2074646Normal-000000"><span xml:space="preserve" class="s2074646DefaultParagraphFont">The provisions of §§ </span><a href="https://sdlegislature.gov/Statutes/Codified_Laws/DisplayStatute.aspx?Type=Statute&amp;Statute=58-12-31"><span class="s2074646DefaultParagraphFont">58-12-31</span></a><span xml:space="preserve" class="s2074646DefaultParagraphFont"> to </span><a href="https://sdlegislature.gov/Statutes/Codified_Laws/DisplayStatute.aspx?Type=Statute&amp;Statute=58-12-37"><span class="s2074646DefaultParagraphFont">58-12-37</span></a><span xml:space="preserve" class="s2074646DefaultParagraphFont">, inclusive, set forth standards for claim investigation and disposition of claims arising under policies or certificates of insurance issued to residents of South Dakota. It does not apply to claims involving workers' compensation, fidelity, suretyship, or boiler and machinery insurance. Nothing in §§ </span><a href="https://sdlegislature.gov/Statutes/Codified_Laws/DisplayStatute.aspx?Type=Statute&amp;Statute=58-12-31"><span class="s2074646DefaultParagraphFont">58-12-31</span></a><span xml:space="preserve" class="s2074646DefaultParagraphFont"> to </span><a href="https://sdlegislature.gov/Statutes/Codified_Laws/DisplayStatute.aspx?Type=Statute&amp;Statute=58-12-37"><span class="s2074646DefaultParagraphFont">58-12-37</span></a><span xml:space="preserve" class="s2074646DefaultParagraphFont">, inclusive, may be construed to create or imply a private cause of action for violation of §§ </span><a href="https://sdlegislature.gov/Statutes/Codified_Laws/DisplayStatute.aspx?Type=Statute&amp;Statute=58-12-31"><span class="s2074646DefaultParagraphFont">58-12-31</span></a><span xml:space="preserve" class="s2074646DefaultParagraphFont"> to </span><a href="https://sdlegislature.gov/Statutes/Codified_Laws/DisplayStatute.aspx?Type=Statute&amp;Statute=58-12-37"><span class="s2074646DefaultParagraphFont">58-12-37</span></a><span xml:space="preserve" class="s2074646DefaultParagraphFont">, inclusive. No disposition under the provisions of §§ </span><a href="https://sdlegislature.gov/Statutes/Codified_Laws/DisplayStatute.aspx?Type=Statute&amp;Statute=58-12-31"><span class="s2074646DefaultParagraphFont">58-12-31</span></a><span xml:space="preserve" class="s2074646DefaultParagraphFont"> to </span><a href="https://sdlegislature.gov/Statutes/Codified_Laws/DisplayStatute.aspx?Type=Statute&amp;Statute=58-12-37"><span class="s2074646DefaultParagraphFont">58-12-37</span></a><span class="s2074646DefaultParagraphFont">, inclusive, or any rule promulgated thereto may be used as evidence in any civil litigation. Nothing herein alters the rules of evidence as contained in title 19.</span></p><p dir="ltr" class="s2074646Normal"><span xml:space="preserve" class="s2074646000001"> </span></p><p dir="ltr" class="s2074646Normal"><span class="s2074646SCL">Source:</span><span xml:space="preserve" class="s2074646SCL-000002"> SL 2014, ch 235, § 2.</span></p></div></body></html><br /><hr><br /><html xmlns="http://www.w3.org/1999/xhtml"><head><meta charset="UTF-8" /><meta http-equiv='content-language' content='en-us'/><title>SDLRC - Codified Law 58-12 - INSURANCE CLAIMS AND BENEFITS</title><meta name="Generator" content="PowerTools for Open XML" /><style>span { white-space: pre-wrap; } p.s2074647Normal { text-align: justify; font-family: 'Times New Roman', 'serif'; font-size: 12pt; line-height: 108%; margin-top: 0; margin-left: 0; margin-right: 0; margin-bottom: .001pt; } span.s2074647SENU { font-family: 'Times New Roman', 'serif'; font-size: 12pt; font-style: normal; font-weight: bold; margin: 0; padding: 0; } span.s2074647CL { font-family: 'Times New Roman', 'serif'; font-size: 12pt; font-style: normal; font-weight: bold; margin: 0; padding: 0; } p.s2074647Normal-000000 { text-indent: 0.50in; text-align: justify; font-family: 'Times New Roman', 'serif'; font-size: 12pt; line-height: 108%; margin-top: 0; margin-left: 0; margin-right: 0; margin-bottom: .001pt; } span.s2074647DefaultParagraphFont { font-family: 'Times New Roman', 'serif'; font-size: 12pt; font-style: normal; font-weight: normal; margin: 0; padding: 0; } p.s2074647Normal-000001 { margin-left: 0.70in; text-indent: -0.45in; text-align: justify; font-family: 'Times New Roman', 'serif'; font-size: 12pt; line-height: 108%; margin-top: 0; margin-right: 0; margin-bottom: .001pt; } p.s2074647Normal-000002 { text-indent: 0.25in; text-align: justify; font-family: 'Times New Roman', 'serif'; font-size: 12pt; line-height: 108%; margin-top: 0; margin-left: 0; margin-right: 0; margin-bottom: .001pt; } span.s2074647000003 { font-size: 12pt; font-style: normal; font-weight: normal; margin: 0; padding: 0; } span.s2074647SCL { font-family: 'Times New Roman', 'serif'; font-size: 12pt; font-style: normal; font-weight: bold; margin: 0; padding: 0; } span.s2074647SCL-000004 { font-family: 'Times New Roman', 'serif'; font-size: 12pt; font-style: normal; font-weight: normal; margin: 0; padding: 0; } </style></head><body><div><p dir="ltr" class="s2074647Normal"><a href="https://sdlegislature.gov/Statutes/Codified_Laws/DisplayStatute.aspx?Type=Statute&amp;Statute=58-12-33"><span class="s2074647SENU">58-12-33</span></a><span xml:space="preserve" class="s2074647SENU">. </span><span class="s2074647CL">Flagrant or frequent violations--Notice and opportunity to correct inadvertent violations.</span></p><p dir="ltr" class="s2074647Normal-000000"><span class="s2074647DefaultParagraphFont">Any act by an insurer, if committed in violation of this section, is an unfair claims practice if:</span></p><p dir="ltr" class="s2074647Normal-000001"><span xml:space="preserve" class="s2074647DefaultParagraphFont">(1)    It is committed flagrantly and in conscious disregard of the provisions of §§ </span><a href="https://sdlegislature.gov/Statutes/Codified_Laws/DisplayStatute.aspx?Type=Statute&amp;Statute=58-12-31"><span class="s2074647DefaultParagraphFont">58-12-31</span></a><span xml:space="preserve" class="s2074647DefaultParagraphFont"> to </span><a href="https://sdlegislature.gov/Statutes/Codified_Laws/DisplayStatute.aspx?Type=Statute&amp;Statute=58-12-37"><span class="s2074647DefaultParagraphFont">58-12-37</span></a><span xml:space="preserve" class="s2074647DefaultParagraphFont">, inclusive, or any rule promulgated pursuant to §§ </span><a href="https://sdlegislature.gov/Statutes/Codified_Laws/DisplayStatute.aspx?Type=Statute&amp;Statute=58-12-31"><span class="s2074647DefaultParagraphFont">58-12-31</span></a><span xml:space="preserve" class="s2074647DefaultParagraphFont"> to </span><a href="https://sdlegislature.gov/Statutes/Codified_Laws/DisplayStatute.aspx?Type=Statute&amp;Statute=58-12-37"><span class="s2074647DefaultParagraphFont">58-12-37</span></a><span class="s2074647DefaultParagraphFont">, inclusive; or</span></p><p dir="ltr" class="s2074647Normal-000001"><span class="s2074647DefaultParagraphFont">(2)    It is committed with such frequency to indicate a general business practice to engage in that type of conduct.</span></p><p dir="ltr" class="s2074647Normal-000002"><span xml:space="preserve" class="s2074647DefaultParagraphFont">For any act defined in § </span><a href="https://sdlegislature.gov/Statutes/Codified_Laws/DisplayStatute.aspx?Type=Statute&amp;Statute=58-12-34"><span class="s2074647DefaultParagraphFont">58-12-34</span></a><span xml:space="preserve" class="s2074647DefaultParagraphFont">, the director shall provide notice and an opportunity to correct the violation pursuant to § </span><a href="https://sdlegislature.gov/Statutes/Codified_Laws/DisplayStatute.aspx?Type=Statute&amp;Statute=58-33-68"><span class="s2074647DefaultParagraphFont">58-33-68</span></a><span xml:space="preserve" class="s2074647DefaultParagraphFont"> if the act was inadvertent. Any act that is committed flagrantly or in conscious disregard of the provisions of §§ </span><a href="https://sdlegislature.gov/Statutes/Codified_Laws/DisplayStatute.aspx?Type=Statute&amp;Statute=58-12-31"><span class="s2074647DefaultParagraphFont">58-12-31</span></a><span xml:space="preserve" class="s2074647DefaultParagraphFont"> to </span><a href="https://sdlegislature.gov/Statutes/Codified_Laws/DisplayStatute.aspx?Type=Statute&amp;Statute=58-12-37"><span class="s2074647DefaultParagraphFont">58-12-37</span></a><span xml:space="preserve" class="s2074647DefaultParagraphFont">, inclusive, are not subject to the procedures required under § </span><a href="https://sdlegislature.gov/Statutes/Codified_Laws/DisplayStatute.aspx?Type=Statute&amp;Statute=58-33-68"><span class="s2074647DefaultParagraphFont">58-33-68</span></a><span class="s2074647DefaultParagraphFont">.</span></p><p dir="ltr" class="s2074647Normal"><span xml:space="preserve" class="s2074647000003"> </span></p><p dir="ltr" class="s2074647Normal"><span class="s2074647SCL">Source:</span><span xml:space="preserve" class="s2074647SCL-000004"> SL 2014, ch 235, § 3.</span></p></div></body></html><br /><hr><br /><html xmlns="http://www.w3.org/1999/xhtml"><head><meta charset="UTF-8" /><meta http-equiv='content-language' content='en-us'/><title>SDLRC - Codified Law 58-12 - INSURANCE CLAIMS AND BENEFITS</title><meta name="Generator" content="PowerTools for Open XML" /><style>span { white-space: pre-wrap; } p.s2074648Normal { text-align: justify; font-family: 'Times New Roman', 'serif'; font-size: 12pt; line-height: 108%; margin-top: 0; margin-left: 0; margin-right: 0; margin-bottom: .001pt; } span.s2074648SENU { font-family: 'Times New Roman', 'serif'; font-size: 12pt; font-style: normal; font-weight: bold; margin: 0; padding: 0; } span.s2074648CL { font-family: 'Times New Roman', 'serif'; font-size: 12pt; font-style: normal; font-weight: bold; margin: 0; padding: 0; } p.s2074648Normal-000000 { text-indent: 0.50in; text-align: justify; font-family: 'Times New Roman', 'serif'; font-size: 12pt; line-height: 108%; margin-top: 0; margin-left: 0; margin-right: 0; margin-bottom: .001pt; } span.s2074648DefaultParagraphFont { font-family: 'Times New Roman', 'serif'; font-size: 12pt; font-style: normal; font-weight: normal; margin: 0; padding: 0; } p.s2074648Normal-000001 { margin-left: 0.70in; text-indent: -0.45in; text-align: justify; font-family: 'Times New Roman', 'serif'; font-size: 12pt; line-height: 108%; margin-top: 0; margin-right: 0; margin-bottom: .001pt; } span.s2074648000002 { font-size: 12pt; font-style: normal; font-weight: normal; margin: 0; padding: 0; } span.s2074648SCL { font-family: 'Times New Roman', 'serif'; font-size: 12pt; font-style: normal; font-weight: bold; margin: 0; padding: 0; } span.s2074648SCL-000003 { font-family: 'Times New Roman', 'serif'; font-size: 12pt; font-style: normal; font-weight: normal; margin: 0; padding: 0; } </style></head><body><div><p dir="ltr" class="s2074648Normal"><a href="https://sdlegislature.gov/Statutes/Codified_Laws/DisplayStatute.aspx?Type=Statute&amp;Statute=58-12-34"><span class="s2074648SENU">58-12-34</span></a><span xml:space="preserve" class="s2074648SENU">. </span><span class="s2074648CL">Acts constituting unfair claims practices.</span></p><p dir="ltr" class="s2074648Normal-000000"><span xml:space="preserve" class="s2074648DefaultParagraphFont">Any of the following acts by an insurer, if committed in violation of § </span><a href="https://sdlegislature.gov/Statutes/Codified_Laws/DisplayStatute.aspx?Type=Statute&amp;Statute=58-12-33"><span class="s2074648DefaultParagraphFont">58-12-33</span></a><span class="s2074648DefaultParagraphFont">, is an unfair claims practice:</span></p><p dir="ltr" class="s2074648Normal-000001"><span class="s2074648DefaultParagraphFont">(1)    Knowingly misrepresents to a claimant or an insured a relevant fact or policy provision relating to coverages at issue;</span></p><p dir="ltr" class="s2074648Normal-000001"><span class="s2074648DefaultParagraphFont">(2)    Fails to acknowledge with reasonable promptness pertinent communications with respect to claims arising under its policies;</span></p><p dir="ltr" class="s2074648Normal-000001"><span class="s2074648DefaultParagraphFont">(3)    Fails to adopt and implement reasonable standards to promptly complete claim investigations and settlement of claims arising under its policies;</span></p><p dir="ltr" class="s2074648Normal-000001"><span class="s2074648DefaultParagraphFont">(4)    Fails to make a good faith attempt to effectuate prompt, fair, and equitable settlement of claims submitted in which liability coverage, and causation of claims have become reasonably clear;</span></p><p dir="ltr" class="s2074648Normal-000001"><span class="s2074648DefaultParagraphFont">(5)    Compels an insured or beneficiary to institute a suit to recover an amount due under its policies by offering substantially less than the amount ultimately recovered in a suit brought by the insured or beneficiary;</span></p><p dir="ltr" class="s2074648Normal-000001"><span class="s2074648DefaultParagraphFont">(6)    Refuses to pay claims without conducting a reasonable claim investigation;</span></p><p dir="ltr" class="s2074648Normal-000001"><span class="s2074648DefaultParagraphFont">(7)    Fails to affirm or deny coverage of claims within a reasonable time after having completed a claim investigation related to the claim;</span></p><p dir="ltr" class="s2074648Normal-000001"><span class="s2074648DefaultParagraphFont">(8)    Attempts to settle a claim for less than the amount that a reasonable person would believe the insured or beneficiary is entitled by reference to written or printed advertising material accompanying or made part of an application;</span></p><p dir="ltr" class="s2074648Normal-000001"><span class="s2074648DefaultParagraphFont">(9)    Attempts to settle a claim on the basis of an application that was materially altered without notice to, or knowledge or consent of, the insured;</span></p><p dir="ltr" class="s2074648Normal-000001"><span class="s2074648DefaultParagraphFont">(10)    Makes a claim payment to an insured or beneficiary without indicating the coverage under which each payment is being made;</span></p><p dir="ltr" class="s2074648Normal-000001"><span class="s2074648DefaultParagraphFont">(11)    Unreasonably delays a claim investigation or payment of a claim by requiring both a formal proof of loss form and subsequent verification that would result in duplication of information and verification appearing in the formal proof of loss form;</span></p><p dir="ltr" class="s2074648Normal-000001"><span class="s2074648DefaultParagraphFont">(12)    Fails, in the case of a claim denial or offer of compromise settlement, to promptly provide a reasonable and accurate explanation of the basis for such action; or</span></p><p dir="ltr" class="s2074648Normal-000001"><span class="s2074648DefaultParagraphFont">(13)    Fails to provide forms necessary to present a claim within fifteen days of a request with reasonable explanations regarding their use.</span></p><p dir="ltr" class="s2074648Normal"><span xml:space="preserve" class="s2074648000002"> </span></p><p dir="ltr" class="s2074648Normal"><span class="s2074648SCL">Source:</span><span xml:space="preserve" class="s2074648SCL-000003"> SL 2014, ch 235, § 4.</span></p></div></body></html><br /><hr><br /><html xmlns="http://www.w3.org/1999/xhtml"><head><meta charset="UTF-8" /><meta http-equiv='content-language' content='en-us'/><title>SDLRC - Codified Law 58-12 - INSURANCE CLAIMS AND BENEFITS</title><meta name="Generator" content="PowerTools for Open XML" /><style>span { white-space: pre-wrap; } p.s2074649Normal { margin-top: 0; margin-bottom: 0; text-align: justify; font-family: 'Times New Roman', 'serif'; font-size: 12pt; line-height: 108%; margin-left: 0; margin-right: 0; } span.s2074649SENU { font-family: 'Times New Roman', 'serif'; font-size: 12pt; font-style: normal; font-weight: bold; margin: 0; padding: 0; } span.s2074649CL { font-family: 'Times New Roman', 'serif'; font-size: 12pt; font-style: normal; font-weight: bold; margin: 0; padding: 0; } p.s2074649Normal-000000 { margin-top: 0; margin-bottom: 0; text-indent: 0.50in; text-align: justify; font-family: 'Times New Roman', 'serif'; font-size: 12pt; line-height: 108%; margin-left: 0; margin-right: 0; } span.s2074649DefaultParagraphFont { font-family: 'Times New Roman', 'serif'; font-size: 12pt; font-style: normal; font-weight: normal; margin: 0; padding: 0; } span.s2074649000001 { font-size: 12pt; font-style: normal; font-weight: normal; margin: 0; padding: 0; } span.s2074649SCL { font-family: 'Times New Roman', 'serif'; font-size: 12pt; font-style: normal; font-weight: bold; margin: 0; padding: 0; } span.s2074649SCL-000002 { font-family: 'Times New Roman', 'serif'; font-size: 12pt; font-style: normal; font-weight: normal; margin: 0; padding: 0; } </style></head><body><div><p dir="ltr" class="s2074649Normal"><a href="https://sdlegislature.gov/Statutes/Codified_Laws/DisplayStatute.aspx?Type=Statute&amp;Statute=58-12-35"><span class="s2074649SENU">58-12-35</span></a><span xml:space="preserve" class="s2074649SENU">. </span><span class="s2074649CL">Notice of hearing.</span></p><p dir="ltr" class="s2074649Normal-000000"><span xml:space="preserve" class="s2074649DefaultParagraphFont">If the director has reasonable cause to believe that an insurer doing business in this state is engaging in an unfair claims practice and that a proceeding in respect thereto is in the public interest, the director may issue and serve upon the insurer a notice of hearing, which shall set a hearing date not less than thirty days from the date of the notice. The hearing shall be conducted pursuant to chapter </span><a href="https://sdlegislature.gov/Statutes/Codified_Laws/DisplayStatute.aspx?Type=Statute&amp;Statute=1-26"><span class="s2074649DefaultParagraphFont">1-26</span></a><span xml:space="preserve" class="s2074649DefaultParagraphFont">. Prior to conducting a public hearing pursuant to this section against an insurer regulated by chapter </span><a href="https://sdlegislature.gov/Statutes/Codified_Laws/DisplayStatute.aspx?Type=Statute&amp;Statute=58-35"><span class="s2074649DefaultParagraphFont">58-35</span></a><span class="s2074649DefaultParagraphFont">, the director shall attempt to resolve the alleged unfair claims practice with the insurer.</span></p><p dir="ltr" class="s2074649Normal"><span xml:space="preserve" class="s2074649000001"> </span></p><p dir="ltr" class="s2074649Normal"><span class="s2074649SCL">Source:</span><span xml:space="preserve" class="s2074649SCL-000002"> SL 2014, ch 235, § 5.</span></p></div></body></html><br /><hr><br /><html xmlns="http://www.w3.org/1999/xhtml"><head><meta charset="UTF-8" /><meta http-equiv='content-language' content='en-us'/><title>SDLRC - Codified Law 58-12 - INSURANCE CLAIMS AND BENEFITS</title><meta name="Generator" content="PowerTools for Open XML" /><style>span { white-space: pre-wrap; } p.s2074650Normal { text-align: justify; font-family: 'Times New Roman', 'serif'; font-size: 12pt; line-height: 108%; margin-top: 0; margin-left: 0; margin-right: 0; margin-bottom: .001pt; } span.s2074650SENU { font-family: 'Times New Roman', 'serif'; font-size: 12pt; font-style: normal; font-weight: bold; margin: 0; padding: 0; } span.s2074650CL { font-family: 'Times New Roman', 'serif'; font-size: 12pt; font-style: normal; font-weight: bold; margin: 0; padding: 0; } p.s2074650Normal-000000 { text-indent: 0.50in; text-align: justify; font-family: 'Times New Roman', 'serif'; font-size: 12pt; line-height: 108%; margin-top: 0; margin-left: 0; margin-right: 0; margin-bottom: .001pt; } span.s2074650DefaultParagraphFont { font-family: 'Times New Roman', 'serif'; font-size: 12pt; font-style: normal; font-weight: normal; margin: 0; padding: 0; } p.s2074650Normal-000001 { margin-left: 0.70in; text-indent: -0.45in; text-align: justify; font-family: 'Times New Roman', 'serif'; font-size: 12pt; line-height: 108%; margin-top: 0; margin-right: 0; margin-bottom: .001pt; } p.s2074650Normal-000002 { text-indent: 0.25in; text-align: justify; font-family: 'Times New Roman', 'serif'; font-size: 12pt; line-height: 108%; margin-top: 0; margin-left: 0; margin-right: 0; margin-bottom: .001pt; } span.s2074650000003 { font-size: 12pt; font-style: normal; font-weight: normal; margin: 0; padding: 0; } span.s2074650SCL { font-family: 'Times New Roman', 'serif'; font-size: 12pt; font-style: normal; font-weight: bold; margin: 0; padding: 0; } span.s2074650SCL-000004 { font-family: 'Times New Roman', 'serif'; font-size: 12pt; font-style: normal; font-weight: normal; margin: 0; padding: 0; } </style></head><body><div><p dir="ltr" class="s2074650Normal"><a href="https://sdlegislature.gov/Statutes/Codified_Laws/DisplayStatute.aspx?Type=Statute&amp;Statute=58-12-36"><span class="s2074650SENU">58-12-36</span></a><span xml:space="preserve" class="s2074650SENU">. </span><span class="s2074650CL">Cease and desist order--Monetary penalty--Suspension or revocation of license.</span></p><p dir="ltr" class="s2074650Normal-000000"><span class="s2074650DefaultParagraphFont">If, after the hearing, the director finds an insurer has engaged in an unfair claims practice, the director shall reduce the findings to writing and shall issue and serve the insurer a copy of the findings and an order requiring the insurer to cease and desist from engaging in the act or practice. The secretary of labor and regulation may order either or both of the following:</span></p><p dir="ltr" class="s2074650Normal-000001"><span xml:space="preserve" class="s2074650DefaultParagraphFont">(1)    The insurer to pay a monetary penalty of not more than one thousand dollars for each violation but not to exceed an aggregate penalty of one hundred thousand dollars, unless the violation was committed flagrantly and in conscious disregard of §§ </span><a href="https://sdlegislature.gov/Statutes/Codified_Laws/DisplayStatute.aspx?Type=Statute&amp;Statute=58-12-31"><span class="s2074650DefaultParagraphFont">58-12-31</span></a><span xml:space="preserve" class="s2074650DefaultParagraphFont"> to </span><a href="https://sdlegislature.gov/Statutes/Codified_Laws/DisplayStatute.aspx?Type=Statute&amp;Statute=58-12-37"><span class="s2074650DefaultParagraphFont">58-12-37</span></a><span class="s2074650DefaultParagraphFont">, inclusive, in which case the penalty may not be more than twenty-five thousand dollars for each violation, but not to exceed an aggregate penalty of two hundred fifty thousand dollars; and</span></p><p dir="ltr" class="s2074650Normal-000001"><span xml:space="preserve" class="s2074650DefaultParagraphFont">(2)    Suspension or revocation of the insurer's license if the insurer knew or reasonably should have known it was in violation of §§ </span><a href="https://sdlegislature.gov/Statutes/Codified_Laws/DisplayStatute.aspx?Type=Statute&amp;Statute=58-12-31"><span class="s2074650DefaultParagraphFont">58-12-31</span></a><span xml:space="preserve" class="s2074650DefaultParagraphFont"> to </span><a href="https://sdlegislature.gov/Statutes/Codified_Laws/DisplayStatute.aspx?Type=Statute&amp;Statute=58-12-37"><span class="s2074650DefaultParagraphFont">58-12-37</span></a><span class="s2074650DefaultParagraphFont">, inclusive.</span></p><p dir="ltr" class="s2074650Normal-000002"><span xml:space="preserve" class="s2074650DefaultParagraphFont">This section only applies to violations of §§ </span><a href="https://sdlegislature.gov/Statutes/Codified_Laws/DisplayStatute.aspx?Type=Statute&amp;Statute=58-12-31"><span class="s2074650DefaultParagraphFont">58-12-31</span></a><span xml:space="preserve" class="s2074650DefaultParagraphFont"> to </span><a href="https://sdlegislature.gov/Statutes/Codified_Laws/DisplayStatute.aspx?Type=Statute&amp;Statute=58-12-37"><span class="s2074650DefaultParagraphFont">58-12-37</span></a><span xml:space="preserve" class="s2074650DefaultParagraphFont">, inclusive. Any penalty imposed pursuant to this section is the sole and exclusive remedy for any act or violation brought by the director under §§ </span><a href="https://sdlegislature.gov/Statutes/Codified_Laws/DisplayStatute.aspx?Type=Statute&amp;Statute=58-12-31"><span class="s2074650DefaultParagraphFont">58-12-31</span></a><span xml:space="preserve" class="s2074650DefaultParagraphFont"> to </span><a href="https://sdlegislature.gov/Statutes/Codified_Laws/DisplayStatute.aspx?Type=Statute&amp;Statute=58-12-37"><span class="s2074650DefaultParagraphFont">58-12-37</span></a><span class="s2074650DefaultParagraphFont">, inclusive.</span></p><p dir="ltr" class="s2074650Normal-000002"><span class="s2074650DefaultParagraphFont">The director shall consider the size, the amount of surplus, and the premium volume of the insurer when determining a penalty pursuant to this section.</span></p><p dir="ltr" class="s2074650Normal"><span xml:space="preserve" class="s2074650000003"> </span></p><p dir="ltr" class="s2074650Normal"><span class="s2074650SCL">Source:</span><span xml:space="preserve" class="s2074650SCL-000004"> SL 2014, ch 235, § 6.</span></p></div></body></html><br /><hr><br /><html xmlns="http://www.w3.org/1999/xhtml"><head><meta charset="UTF-8" /><meta http-equiv='content-language' content='en-us'/><title>SDLRC - Codified Law 58-12 - INSURANCE CLAIMS AND BENEFITS</title><meta name="Generator" content="PowerTools for Open XML" /><style>span { white-space: pre-wrap; } p.s2074651Normal { text-align: justify; font-family: 'Times New Roman', 'serif'; font-size: 12pt; line-height: 108%; margin-top: 0; margin-left: 0; margin-right: 0; margin-bottom: .001pt; } span.s2074651SENU { font-family: 'Times New Roman', 'serif'; font-size: 12pt; font-style: normal; font-weight: bold; margin: 0; padding: 0; } span.s2074651CL { font-family: 'Times New Roman', 'serif'; font-size: 12pt; font-style: normal; font-weight: bold; margin: 0; padding: 0; } p.s2074651Normal-000000 { text-indent: 0.50in; text-align: justify; font-family: 'Times New Roman', 'serif'; font-size: 12pt; line-height: 108%; margin-top: 0; margin-left: 0; margin-right: 0; margin-bottom: .001pt; } span.s2074651DefaultParagraphFont { font-family: 'Times New Roman', 'serif'; font-size: 12pt; font-style: normal; font-weight: normal; margin: 0; padding: 0; } p.s2074651Normal-000001 { margin-left: 0.70in; text-indent: -0.45in; text-align: justify; font-family: 'Times New Roman', 'serif'; font-size: 12pt; line-height: 108%; margin-top: 0; margin-right: 0; margin-bottom: .001pt; } span.s2074651000002 { font-size: 12pt; font-style: normal; font-weight: normal; margin: 0; padding: 0; } span.s2074651SCL { font-family: 'Times New Roman', 'serif'; font-size: 12pt; font-style: normal; font-weight: bold; margin: 0; padding: 0; } span.s2074651SCL-000003 { font-family: 'Times New Roman', 'serif'; font-size: 12pt; font-style: normal; font-weight: normal; margin: 0; padding: 0; } body { text-decoration-skip-ink: none; } </style></head><body><div><p dir="ltr" class="s2074651Normal"><a href="https://sdlegislature.gov/Statutes/Codified_Laws/DisplayStatute.aspx?Type=Statute&amp;Statute=58-12-37"><span class="s2074651SENU">58-12-37</span></a><span xml:space="preserve" class="s2074651SENU">. </span><span class="s2074651CL">Promulgation of rules regarding definitions and records.</span></p><p dir="ltr" class="s2074651Normal-000000"><span xml:space="preserve" class="s2074651DefaultParagraphFont">The director may promulgate rules, pursuant to chapter </span><a href="https://sdlegislature.gov/Statutes/Codified_Laws/DisplayStatute.aspx?Type=Statute&amp;Statute=1-26"><span class="s2074651DefaultParagraphFont">1-26</span></a><span xml:space="preserve" class="s2074651DefaultParagraphFont">, to carry out the purposes of §§ </span><a href="https://sdlegislature.gov/Statutes/Codified_Laws/DisplayStatute.aspx?Type=Statute&amp;Statute=58-12-31"><span class="s2074651DefaultParagraphFont">58-12-31</span></a><span xml:space="preserve" class="s2074651DefaultParagraphFont"> to </span><a href="https://sdlegislature.gov/Statutes/Codified_Laws/DisplayStatute.aspx?Type=Statute&amp;Statute=58-12-37"><span class="s2074651DefaultParagraphFont">58-12-37</span></a><span class="s2074651DefaultParagraphFont">, inclusive. In promulgating rules, the director shall consider the impact of the rule on the cost and availability of insurance in this state and the degree of protection that the rule will have for the insurance buying public in this state. The rules are limited to the following areas:</span></p><p dir="ltr" class="s2074651Normal-000001"><span class="s2074651DefaultParagraphFont">(1)    Definition of terms; and</span></p><p dir="ltr" class="s2074651Normal-000001"><span class="s2074651DefaultParagraphFont">(2)    Record keeping.</span></p><p dir="ltr" class="s2074651Normal"><span xml:space="preserve" class="s2074651000002"> </span></p><p dir="ltr" class="s2074651Normal"><span class="s2074651SCL">Source:</span><span xml:space="preserve" class="s2074651SCL-000003"> SL 2014, ch 235, § 7.</span></p></div></body></html>