20:06:48:15. Cooperation required. An enrollee must
cooperate with the risk pool board by providing information, upon request, that
shows continued eligibility for the risk pool and by submitting applications
for health insurance and other applicable programs. Cooperation, in the form of
payment of copayments, coinsurance and deductible amounts to a provider for
services covered by the risk pool, is required for continued eligibility for
the risk pool. The failure of an enrollee, upon notice by the plan, to remit to
a provider copayments, coinsurance, and deductibles for services covered by the
risk pool in a manner satisfactory to the risk pool administrator is sufficient
grounds for the termination of coverage in the risk pool for that enrollee.
30 SDR 51, effective October 28, 2003; 32 SDR 203, effective June 5, 2006.
Authority: SDCL 58-17-124(5)(7).
Implemented: SDCL 58-17-124(5)(7), 58-17-136.