Rule 20:06:39:03 Permissible rating factors.
20:06:39:03. Permissible rating factors.
A health benefit plan may use health status and weight in determining the rate
charged for an individual when issuing a new policy or certificate. The
application of rating factors based on health status or weight is limited to a
30 percent deviation from the index rate. Adjustments in the rating factors
based on health status or weight may not be made after coverage is issued.
24 SDR 35, effective September 29, 1997.
Authority: SDCL 58-17-75.
Implemented: SDCL 58-17-74.
Definition of index rate, SDCL 58-17-66.
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