Rule 20:06:06:04.02 Credit health insurance -- Exclusions and restrictions allowed.
health insurance -- Exclusions and restrictions allowed. The premium rates
specified in § 20:06:06:04 are for policies which contain no exclusion for
preexisting conditions except for those conditions which manifested themselves
to the insured by requiring medical diagnosis or treatment, or would have
caused a reasonably prudent person to have sought medical diagnosis or
treatment, within six months preceding the effective date of the insurance and
which caused loss within the six months following the effective date of
coverage; however, any disability commencing after that time resulting from
such conditions shall be covered. For open end accounts, the effective date of
coverage for each part of the insurance attributable to a different advance or
charge to the plan or account is the date on which the advance or charge is
posted to the plan or account. Any contract to which the credit health
insurance rates apply may contain provisions excluding or restricting coverage
in the event of total disability resulting from pregnancy, intentionally
self-inflicted injuries, foreign travel or residence, flight in nonscheduled
aircraft, war or military service. Except in unusual cases, such insurance
shall not be sold to military persons, since their pay continues through
periods of disability. The policies may contain the same age limitation on
eligibility as set forth for credit life policies.
5 SDR 91, effective April 25, 1979; 12 SDR 151, 12 SDR 155, effective July 1,
1986; 38 SDR 116, effective January 10, 2012.
Authority: SDCL 58-19-34.
Implemented: SDCL 58-17-97, 58-19-26.
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