South Dakota

58-41-1. Definition of terms.

58-41-2. Organizations subject to chapter.

58-41-3. Certificate of authority required for health maintenance organization or contracts--Violation as misdemeanor.

58-41-4. Application for certificate of authority required.

58-41-5. 58-41-5. Repealed by SL 1985, ch 393, § 7

58-41-6. Verification and form of application--Contents.

58-41-7. Financial statements required with application.

58-41-8. Copies of forms required with application.

58-41-9. Marketing, charges, and financial plans required with application.

58-41-10. Appointment to receive process required of foreign applicant.

58-41-11. Surety bond or deposit required--Waiver.

58-41-12. Determination of health care qualifications.

58-41-13. Coordination with federal professional standards review.

58-41-14. 58-41-14. Obsolete

58-41-15. Health maintenance not considered practice of healing arts.

58-41-15.1. Certain healing arts practitioners to participate in alternate health care delivery systems.

58-41-16. 58-41-16. Repealed by SL 2013, ch 256, § 7.

58-41-17. Issuance or denial of certificate--Fee--Conditions for issuance.

58-41-18. Factors considered in determining financial responsibility.

58-41-19. Insurance arrangements permitted.

58-41-20. Corporation operating after certification.

58-41-21. Foreign corporations qualifying--Exemption from other requirements.

58-41-22. Filing of notice of modification of operation--Approval if not disapproved--Exemptions.

58-41-23. Composition of governing body--Consumer representation.

58-41-24. Mechanisms for enrollee participation in policy and operation of governing body.

58-41-25. Fiduciary responsibilities to enrollees.

58-41-25.1. Investments.

58-41-26. Exemption from insurance laws--Exceptions--Taxation.

58-41-27. 58-41-27. Repealed by SL 1985, ch 393, § 9

58-41-28. Solicitation of enrollment not deemed professional advertising.

58-41-29. Contracts and necessary activities.

58-41-29.1. Notice required for rate increase in health maintenance contract by a health maintenance organization.

58-41-30. Sources of payment for enrollee services--Application by medical assistance recipient.

58-41-31. Direct payments to enrollees prohibited.

58-41-32. Use of words descriptive of insurance, casualty, or surety business as misdemeanor--Exception.

58-41-33. Trade practice laws applicable.

58-41-34. Evidence of coverage issued to enrollees.

58-41-35. Contents required in evidence of coverage.

58-41-35.1. Alcoholism coverage to be offered at time contract is negotiated.

58-41-35.2. 58-41-35.2 to 58-41-35.4. Repealed by SL 2001, ch 274, §§ 10 to 12

58-41-35.5. Grandfathered contracts required to cover low-dose mammography--Extent of coverage.

58-41-35.6. Exclusion of benefits for injury while under the influence of alcohol or drugs prohibited--Exception for sickness or injury caused in commission of felony.

58-41-35.7. Contracts required to cover occult breast cancer screening.

58-41-36. Unfair and misleading information in evidence of coverage as misdemeanor.

58-41-37. Deceptive advertising or evidence of coverage as misdemeanor.

58-41-38. Statements deemed untrue.

58-41-39. Statements deemed misleading.

58-41-40. Evidence of coverage deemed deceptive.

58-41-41. Issuance to enrollees of change in evidence of coverage.

58-41-42. Evidence of coverage to be approved before use--Violation as misdemeanor.

58-41-43. Filing and approval requirements applicable.

58-41-44. Charges to enrollees--Fairness--Actuary's certificate.

58-41-45. Discrimination as misdemeanor.

58-41-46. 58-41-46 to 58-41-49. Repealed by SL 2013, ch 256, §§ 12 to 15.

58-41-50. Authorized expenses.

58-41-51. 58-41-51. Repealed by SL 2013, ch 256, § 16.

58-41-51.1. Individual policy required for covered spouse of insured--Eligibility--Coverage--Waiting periods.

58-41-51.2. Conversion privileges of insured's spouse upon divorce.

58-41-51.3. Continuation and conversion coverage to be offered.

58-41-52. Contracts with providers of health care services.

58-41-52.1. Collection for covered services prohibited.

58-41-52.2. Contracts--Hold harmless provision.

58-41-52.3. Hold harmless provision--Language of provision.

58-41-53. 58-41-53. Repealed by SL 1999, ch 245, § 21

58-41-54. Contracts with insurance companies and nonprofit health service plan corporations authorized--Limitations.

58-41-55. Insurance contracts authorized--Group coverage--Benefit payments.

58-41-56. Contracts for management and administrative services authorized.

58-41-57. Payment of unreasonably high expenses as misdemeanor.

58-41-58. 58-41-58 to 58-41-62. Repealed by SL 1996, ch 296, §§ 9 to 13

58-41-63. General annual report required--Form and contents.

58-41-64. 58-41-64. Repealed by SL 1985, ch 393, § 10

58-41-65. Applications, filings and reports as public documents.

58-41-66. Annual summary for enrollees required--Contents.

58-41-67. Promulgation of rules.

58-41-68. 58-41-68 to 58-41-72. Repealed by SL 2013, ch 256, §§ 20 to 24.

58-41-73. Physician-patient privileges.

58-41-74. Confidential data--Exceptions.

58-41-75. 58-41-75, 58-41-76. Repealed by SL 2013, ch 256, §§ 25, 26.

58-41-77. 58-41-77. Repealed by SL 1978, ch 359, § 3

58-41-78. Cease and desist orders.

58-41-79. Hearing on cease and desist order--Procedure--Judicial review.

58-41-80. Injunctive relief against violations--Venue.

58-41-81. Suspension or revocation of certificate of authority on findings by director.

58-41-82. Additional grounds for suspension or revocation.

58-41-83. Voluntary conference before commencing actions for violation.

58-41-84. Informality in voluntary conferences.

58-41-85. Money penalty in lieu of suspension or revocation.

58-41-86. Requirements for suspension or revocation.

58-41-86.1. Suspension without notice or hearing.

58-41-87. Notice of grounds for denial, suspension, or revocation of certificate--Time of hearing--Summary proceedings excepted.

58-41-88. Administrative procedure and rules.

58-41-89. 58-41-89. Repealed by SL 2013, ch 256, § 32.

58-41-90. Action of director after hearing--Written findings.

58-41-91. Judicial review.

58-41-92. Activities prohibited during suspension of certificate.

58-41-93. Winding up after revocation of certificate--Continued operation to protect enrollees.

58-41-94. Summary proceeding to reorganize organization--Grounds.

58-41-95. Rehabilitation, liquidation, or conservation under insurance company laws.

58-41-96. Severability of provisions.

58-41-97. Citation of chapter.

58-41-98. Coverage for phenylketonuria.

58-41-99. Formation of voluntary health insurance purchasing organizations.

58-41-100. Membership of voluntary health insurance purchasing organizations.

58-41-101. Purchasing organization's responsibility for negotiating terms and conditions.

58-41-102. Purchasing organization's notice of premium charge.

58-41-103. Additional chapters applicable to purchasing organization.

58-41-104. Approval of purchasing organization by Division of Insurance.

58-41-105. Premiums held in trust by purchasing organization.

58-41-106. Rates for group health insurance issued to purchasing organizations.

58-41-107. Reasonable participation requirements for group members of purchasing organizations.

58-41-108. Purchasing organizations exempt from antitrust provisions.

58-41-109. Promulgation of rules for purchasing organizations.

58-41-110. Application of chapter to provider contracting with state.

58-41-111. Application of chapter to provider contracting with licensed health maintenance organization.

58-41-112. Minimum inpatient care coverage following delivery.

58-41-113. Shorter hospital stay permitted--Follow-up visit within forty-eight hours required.

58-41-114. Notice to enrollees--Disclosures.

58-41-115. Health insurance policies to provide coverage for biologically-based mental illnesses.

58-41-116. Application--Exemptions.

58-41-117. Policies to provide coverage for diabetes supplies, equipment, and education--Exceptions--Conditions and limitations.

58-41-118. Diabetes coverage not required of certain plans and policies.

58-41-119. Contracts to provide coverage for prostate cancer screening.

58-41-120. Annual report on risk bearing entities.

58-41-121. Documents provided to risk bearing entity by health maintenance organization.

58-41-122. Documents provided to health maintenance organization by risk bearing entity.

58-41-123. Notice by risk bearing entity of change in conditions--Assignment of contract.

58-41-124. Notice to director that risk bearing entity has materially failed to perform contract.

58-41-125. Confidentiality of information.

58-41-126. Nontransferable responsibilities of health maintenance organization.

58-41-127. Coverage for treatment of hearing impairment for persons under age nineteen.