South Dakota Seal
Site Search:   
Bill Quickfind:  



 
58-17-85.1 Health carrier to offer additional deductible options.
     58-17-85.1.   Health carrier to offer additional deductible options. Any health carrier with any in force individual health benefit plan issued in accordance with § 58-17-85 prior to August 1, 2003, shall offer, at the option of the insured, additional deductible options of the following:
             (1)      One thousand dollars with a four thousand dollar out-of-pocket coinsurance maximum;
             (2)      Three thousand dollars with a two thousand dollar out-of-pocket coinsurance maximum;
             (3)      Five thousand dollars with no more than a twenty-five percent coinsurance; and
             (4)      Ten thousand dollars with a twelve thousand two hundred fifty dollar out-of-pocket maximum, including the deductible.
     Any additional deductible option, with the exception of the five thousand dollar option, may not require that the insured be responsible for more than a fifty percent coinsurance. If the policy is a family policy, the health carrier may satisfy the options listed above by offering amounts that are twice the amounts provided in subdivisions (1) to (4), inclusive. The premium rates for these benefit plans shall be adjusted based upon the actuarial difference in benefits. A health carrier is not required to offer a deductible option if that option would decrease the insured's deductible or out-of-pocket maximum. The director may approve alternatives to those deductible options specified in this section if the alternatives are consistent with the offering of increased deductible options to insureds and at least one of the alternatives is consistent with the formation of a health savings account as provided for by 26 U.S.C. § 223.

Source: SL 2004, ch 302, § 1.


Chapter 58-17

^ Back to Top