Rule 20:06:39:03 Permissible rating factors.
20:06:39:03. Permissible rating factors.
A health benefit plan may use health status and weight in determining the rate
charged for an individual when issuing a new policy or certificate. The
application of rating factors based on health status or weight is limited to a
30 percent deviation from the index rate. Adjustments in the rating factors
based on health status or weight may not be made after coverage is issued.
Source:
24 SDR 35, effective September 29, 1997.
General
Authority: SDCL 58-17-75.
Law
Implemented: SDCL 58-17-74.
Cross-Reference:
Definition of index rate, SDCL 58-17-66.
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