The written materials required under this chapter shall be clear and include information on:

(1) The name of the member;

Terms Used In South Dakota Codified Laws 58-17E-44

  • Ancillary services: includes audiology, dental, vision, mental health, substance abuse, chiropractic, and podiatry services. See South Dakota Codified Laws 58-17E-5
  • Complaint: A written statement by the plaintiff stating the wrongs allegedly committed by the defendant.
  • State: when used in context signifying a jurisdiction other than the State of South Dakota, a state, the District of Columbia, a territory, commonwealth, or possession of the United States of America, or a province of the Dominion of Canada. See South Dakota Codified Laws 58-1-2
  • written: include typewriting and typewritten, printing and printed, except in the case of signatures, and where the words are used by way of contrast to typewriting and printing. See South Dakota Codified Laws 2-14-2

(2) The benefits to be provided under the discount medical plan;

(3) Any processing fees and periodic charges associated with the discount medical plan;

(4) The mode of payment of any processing fees and periodic charges, such as monthly, quarterly, or otherwise, and procedures for changing the mode of payment;

(5) Any limitations, exclusions, or exceptions regarding the receipt of discount medical plan benefits;

(6) Any waiting periods for certain medical or ancillary services under the discount medical plan;

(7) Procedures for obtaining discounts under the discount medical plan, such as requiring members to contact the discount medical plan organization to make an appointment with a provider on the member’s behalf;

(8) Cancellation procedures, including information on the member’s thirty-day cancellation rights and refund requirements and procedures for obtaining refunds;

(9) Renewal, termination, and cancellation terms and conditions;

(10) Procedures for adding new members to a family discount medical plan, if applicable;

(11) Procedures for filing complaints under the discount medical plan organization’s complaint system and information that, if the member remains dissatisfied after completing the organization’s complaint system, the plan member may contact the local insurance department in the member’s state; and

(12) The name and mailing address of the registered discount medical plan organization or other entity where the member can make inquiries about the plan, send cancellation notices, and file complaints.

Source: SL 2006, ch 257, § 42.