Rule 20:06:39:34 Disclosure requirements.
requirements (repealed January 1, 2014). Any policy or certificate
of specified disease, short term hospital-surgical care of six months or less
duration but not including short term major medical, hospital confinement
indemnity, limited benefit health insurance, or other policy or certificate
that provides less benefits than as provided under SDCL 58-17-69(2) must clearly and prominently disclose that the policy is a limited benefit health insurance plan. The following is an example of a disclosure for limited benefit coverages that is in compliance provided it is prominent and otherwise meets the requirements of this section:
limited health benefits plan does not provide comprehensive medical coverage.
It is a basic or limited benefits policy and is not intended to cover all
medical expenses. This plan is not designed to cover the costs of serious or
For short-term major medical policies clear
and prominent disclosure of the preexisting condition limitation and the short
term duration of the product must be made. The following notice is an example
of a short term major medical disclosure that is in compliance provided it is
prominent and otherwise meets the requirements of this section:
policy is a short term medical insurance [policy/certificate] which provides
coverage for six months or less duration and excludes coverage for preexisting
The disclosures required by this section
must be contained on the first page of the policy. The requirements of this
section also apply to outlines of coverage. Nothing in this section applies to
Medicare supplement, long-term care, disability or credit health insurance
34 SDR 200, effective January 28, 2008; 37 SDR 215, effective May 31, 2011; 39
SDR 203, effective June 10, 2013, repealed, January 1, 2014.
Authority: SDCL 58-17-87(6), 58-33A-7(13).
Implemented: SDCL 58-17-70, 58-33A-2(1), (3), (4), (6), and (10).
Back to 20:06:39