Rule 20:06:13:82 Guaranteed issue -- Notification provisions.
20:06:13:82. Guaranteed issue -- Notification provisions.
(1) At the time of an event
described in § 20:06:13:80 because of which a person loses coverage or
benefits due to the termination of a contract or agreement, policy, or plan,
the organization that terminates the contract or agreement, the issuer
terminating the policy, or the administrator of the plan being terminated,
respectively, shall notify the person of that person's rights under this
section, and of the obligations of issuers of Medicare supplement policies
under § 20:06:13:79. The notice shall be communicated along with the
notice of termination.
(2) At the time of an event
described in § 20:06:13:80 because of which a person ceases enrollment
under a contract or agreement, policy, or plan, the organization that offers
the contract or agreement, regardless of the basis for the cessation of
enrollment, the issuer offering the policy, or the administrator of the plan,
respectively, shall notify the person of that person's rights under this
section, and of the obligations of issuers of Medicare supplement policies
under § 20:06:13:79. The notice shall be communicated within 10 working
days of the issuer receiving notification of disenrollment.
Source:
25 SDR 44, effective September 30, 1998.
General
Authority: SDCL 58-17A-2(1)(2)(12)(16)(18).
Law
Implemented: SDCL 58-17A-2(1)(2)(12)(16)(18).
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