Rule 20:06:40:05.01 Special enrollment periods for loss of other coverage.
enrollment periods for loss of other coverage. If an individual was
eligible for coverage and declined coverage due to the existence of other
coverage in force, the individual, the individual's spouse, and the
individual's dependents are eligible for a special enrollment period on loss of
the other coverage, in addition to those events listed as exceptions to being a
late enrollee under SDCL 58-18-43.
special enrollment period must be at least 31 days in length. If coverage required
pursuant to this section is applied for, the effective date for coverage may be
no later than the first day of the first calendar month after the date the
completed request is received by the plan.
plan may require an employee who declines coverage during the initial
enrollment period to declare the reason in writing to be eligible for a special
enrollment period as described in this section. If a declaration is required,
the plan must provide notice of the requirement and disclose the consequences
of the employee's failure to provide the statement.
28 SDR 157, effective May 19, 2002.
SDCL 58-18-43, 58-18-44, 58-18-45, 58-18-48, 58-18-79.
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