Rule 20:06:40:05.01 Special enrollment periods for loss of other coverage.
20:06:40:05.01. Special enrollment periods for loss of other
coverage. If an individual was eligible for coverage and declined coverage
due to the existence of other coverage in force, the individual, the
individual's spouse, and the individual's dependents are eligible for a special
enrollment period on loss of the other coverage, in addition to those events
listed as exceptions to being a late enrollee under SDCL 58-18-43.
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 may be no later than the first day
of the first calendar month after the date the completed request is received by
A plan may require an employee who
declines coverage during the initial enrollment period to declare the reason in
writing to be eligible for a special enrollment period as described in this
section. If a declaration is required, the plan must provide notice of the
requirement and disclose the consequences of the employee's failure to provide
28 SDR 157, effective May 19, 2002.
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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