Rule 20:06:13:17.05 Requirements for standard Medicare supplement benefit plans.
20:06:13:17.05. Requirements for standard Medicare supplement
benefit plans. An issuer shall make available to each prospective
policyholder and certificateholder a policy form or certificate form containing
only the basic core benefits, as defined in § 20:06:13:17.03.
No groups, packages, or combinations
of Medicare supplement benefits other than those listed in
§ 20:06:13:17.06 may be offered for sale in this state, except as
permitted in §§ 20:06:13:17.02 to 20:06:13:17.04, inclusive, and
§§ 20:06:13:63 to 20:06:13:76, inclusive.
Benefit plans must be uniform in
structure, language, designation, and format to the standard benefit Plans A to
L, inclusive, listed in § 20:06:13:17.06 and must conform to the
definitions in SDCL chapter 58-17A and §§ 20:06:13:17.02 to 20:06:13:17.04, inclusive. Each benefit must be structured in accordance with the format provided in §§ 20:06:13:17.02 to 20:06:13:17.04, inclusive, and must list the benefits in the order shown in § 20:06:13:17.06. For purposes of this section, the phrase, structure, language, and format, means style, arrangement, and overall content of a benefit.
An issuer may use, in addition to the
benefit plan designations required in this section, other designations to the
extent permitted by this chapter.
18 SDR 225, effective July 17, 1992; 31 SDR 214, effective July 6, 2005; 35 SDR
183, effective February 2, 2009.
Authority: SDCL 58-17A-2.
Implemented: SDCL 58-17A-2.
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