Rule 20:06:40:05 Special enrollment periods for marriage, birth, and adoption.
20:06:40:05. Special enrollment periods for marriage, birth,
and adoption. A special enrollment period occurs for the
individual, the individual's spouse, and the individual's dependents if the
following conditions are met:
(1) A group health benefit
plan makes coverage available with respect to a dependent of an individual;
(2) The individual is an
(3) The individual becomes
married or a child becomes a new dependent as a result of marriage, birth,
adoption, or placement for adoption.
The special enrollment period must be
at least 31 days in length. If coverage required pursuant to this section is
applied for, the effective date for coverage in the case of a marriage may be
no later than the first day of the first calendar month after the date the
completed request is received by the plan or, in the case of a dependent, the
date of birth or the start of the adoption bonding period.
24 SDR 35, effective September 29, 1997; 28 SDR 157, effective May 19, 2002; 30
SDR 189, effective June 7, 2004.
Authority: SDCL 58-18-79.
Implemented: SDCL 58-18-43, 58-18-44, 58-18-45, 58-18-48, 58-18-79.
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