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South Dakota Laws > Title 58 > Chapter 18A - Coordination Of Benefits Of Health Plans

South Dakota Laws > Title 58 > Chapter 18A - Coordination Of Benefits Of Health Plans


Current as of: 2010
§ 58-18A-53Definitions
§ 58-18A-54Allowable expenses defined
§ 58-18A-55Expenses that are not allowable
§ 58-18A-56Exclusion of certain expenses
§ 58-18A-57Plan defined--Types of coverage considered in coordination of benefits to be stated
§ 58-18A-58Contracts and coverages included within definition of plan
§ 58-18A-59Contracts and coverages not included within definition of plan
§ 58-18A-60Application date
§ 58-18A-61Promulgation of rules concerning coordination of health plan benefits
§ 58-18A-62Prohibited grounds for reduction of benefits
§ 58-18A-63Restriction on excess or secondary benefits provisions
§ 58-18A-64Closed panel plans
§ 58-18A-65Prohibition on reduction of benefits for coverage not qualifying as plan
§ 58-18A-66Order of benefit payments
§ 58-18A-67Coordination of benefits only available to secondary plans
§ 58-18A-68Order of benefits determined under ยงยง 58-18A-69 to 58-18A-74
§ 58-18A-69Plan covering person other than as dependent
§ 58-18A-70Plan covering dependent child
§ 58-18A-71Plan covering person as active employee
§ 58-18A-72Coverage under COBRA or right of continuation
§ 58-18A-73Plan covering person for longer period of time
§ 58-18A-74Sharing of allowable expenses equally
§ 58-18A-75Calculation of amount to be paid by secondary plan
§ 58-18A-76Plan providing benefits as services
§ 58-18A-77Coordination of benefits of complying and noncomplying plans
§ 58-18A-78Noncomplying secondary plan to advance difference covered person would have received if complying plan had been secondary plan
§ 58-18A-79Subrogation distinguished
§ 58-18A-80Paying of claim where plans disagree on order of benefits
§ 58-18A-81Time for bringing existing contract into compliance with statutory requirements
§ 58-18A-82Proceedings not subject to statutory requirements
§ 58-18A-83Duties, rights accrued, and offenses committed prior to July 1, 2007

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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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