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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.

          Source: 24 SDR 35, effective September 29, 1997.

          General Authority: SDCL 58-17-75.

          Law Implemented: SDCL 58-17-74.

          Cross-Reference: Definition of index rate, SDCL 58-17-66.


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