58-41-19. Insurance arrangements permitted.
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/sd/title-58/chapter-58-41/58-41-19·A research copy — for the controlling text, always check the official state or federal source. Not legal advice.
The requirement of subdivision 58-41-17(5) shall not prohibit a health maintenance organization from obtaining insurance or making other arrangements:
(1)For the cost of providing to any enrollee comprehensive health maintenance services, the aggregate value of which exceeds five thousand dollars in any year;
(2)For the cost of providing comprehensive health care services to its members on a nonelective emergency basis, or while they are outside the area served by the organization; or
(3)For not more than ninety - five percent of the amount by which the health maintenance organization's costs for any of its fiscal years exceeds one hundred five percent of its income for such fiscal years.