Rule 20:06:40:08 Standards for determining when a condition is preexisting.
for determining when a condition is preexisting (repealed January 1, 2014).
For purposes of determining whether a condition is preexisting pursuant to SDCL 58-18-45, the health benefit plan may not consider conditions arising after the enrollment date. If there is a waiting period before coverage can begin, the enrollment date, rather than the effective date of coverage, is the date which must be used for determining whether the condition existed during the preceding six months.
24 SDR 35, effective September 29, 1997; 39 SDR 203, adopted
June 10, 2013, repealed January 1, 2014.
Authority: SDCL 58-18-79.
Implemented: SDCL 58-18-43, 58-18-45, 58-18-79.
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