Rule 20:06:21:72 Disclosure to applicant for a claim denial.
20:06:21:72. Disclosure to applicant for a claim denial.
If a claim under a long-term care insurance contract is denied, the issuer
shall, within 60 days of the date of a written request by the policyholder or
certificateholder, or a representative thereof:
(1) Provide a written
explanation of the reasons for the denial; and
available all information directly related to the denial.
28 SDR 157, effective May 19, 2002.
Authority: SDCL 58-17B-4.
Implemented: SDCL 58-17B-4.
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