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South Dakota Laws 58-18B-37 - Marketing health benefit plans--Denial of coverage to employer

South Dakota Laws > Title 58 > Chapter 18B > § 58-18B-37 - Marketing health benefit plans--Denial of coverage to employer


Current as of: 2010

Each small employer carrier shall actively market health benefit plan coverage, to eligible small employers in the state. A small employer carrier may not deny coverage to a small employer on the basis of the health status or claims experience of the small employer or its employees or dependents. A network plan is not required to offer coverage to an employer whose employees do no work or reside within the carrier's established geographic service. A network plan may deny coverage to employers if it demonstrates it does not have the capacity to deliver services adequately to enrollees of any additional groups because of its obligations to existing group contract holders and enrollees, and if it is applying this denial of coverage uniformly to all employers without regard to the claims experience of those employers, and their employees and their dependents, or any health status-related factor relating to the employees and dependents.

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Questions & Answers: Health Insurance

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South Dakota Laws: Health Insurance

South Dakota Laws > Title 58 > Chapter 17 - Health Insurance Policies
South Dakota Laws > Title 58 > Chapter 17A - Medicare Supplement Policies
South Dakota Laws > Title 58 > Chapter 17E - Discount Medical Plans
South Dakota Laws > Title 58 > Chapter 18 - Group And Blanket Health Insurance Policies
South Dakota Laws > Title 58 > Chapter 18A - Coordination Of Benefits Of Health Plans
South Dakota Laws > Title 58 > Chapter 18B - Regulation Of Small Businesses' Group And Blanket Health Insurance
South Dakota Laws > Title 58 > Chapter 18C - Continuation Of Health Care Coverage
South Dakota Laws > Title 58 > Chapter 29E - Pharmacy Benefits Management
South Dakota Laws > Title 58 > Chapter 38 - Nonprofit Medical And Surgical Plans
South Dakota Laws > Title 58 > Chapter 39 - Nonprofit Dental Service Plans
South Dakota Laws > Title 58 > Chapter 40 - Nonprofit Hospital Service Plans

U.S. Code Provisions: Health Insurance

U.S. Code Title 26 > Subtitle D > Chapter 47 - Certain Group Health Plans
U.S. Code > Title 26 > Subtitle K - Group Health Plan Requirements

Federal Regulations: Health Insurance

U.S. Code Title 26 > Subtitle D > Chapter 47 - Certain Group Health Plans
U.S. Code > Title 26 > Subtitle K - Group Health Plan Requirements
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