Rule 20:06:40:08 Standards for determining when a condition is preexisting.
20:06:40:08. Standards for determining when a condition is
preexisting. For purposes of determining whether a condition
is preexisting pursuant to SDCL 58-18-45, the health benefit plan may not consider conditions arising after the enrollment date. If there is a waiting period before coverage can begin, the enrollment date, rather than the effective date of coverage, is the date which must be used for determining whether the condition existed during the preceding six months.
24 SDR 35, effective September 29, 1997.
Authority: SDCL 58-18-79.
Implemented: SDCL 58-18-43, 58-18-45, 58-18-79.
Back to 20:06:40