Rule 20:06:40:06 Affiliation periods for health maintenance organizations.
20:06:40:06. Affiliation periods for health maintenance
organizations. A health maintenance organization (HMO) which
uses an affiliation period must start the affiliation period on the enrollment
date. The affiliation period may not exceed two months, except for late
enrollees, for whom the affiliation period may not exceed three months. The
affiliation period must run concurrently with any other waiting period under
the plan. If a plan offers multiple options for coverage, a health maintenance
organization may not impose an affiliation period on a participant who changes
to the HMO option.
Source:
24 SDR 35, effective September 29, 1997.
General
Authority: SDCL 58-18-79.
Law
Implemented: SDCL 58-18-43, 58-18-44, 58-18-45, 58-18-79.
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