§ 58-17E-44 — Contents of written materials.

South Dakota § 58-17E-44

• Jurisdiction: South Dakota
• Title 58: INSURANCE
• Ch. 58-17E: DISCOUNT MEDICAL PLANS

Text

The written materials required under this chapter shall be clear and include information on: (1) The name of the member; (2) The benefits to be provided under the discount medical plan; (3) Any processing fees and periodic charges associated with the discount medical plan; (4) The mode of payment of any processing fees and periodic charges, such as monthly, quarterly, or otherwise, and procedures for changing the mode of payment; (5) Any limitations, exclusions, or exceptions regarding the receipt of discount medical plan benefits; (6) Any waiting periods for certain medical or ancillary services under the discount medical plan; (7) Procedures for obtaining discounts under the discount medical plan, such as requiring members to contact the discount medical plan organization to make an appointment with a provider on the member's behalf; (8) Cancellation procedures, including information on the member's thirty-day cancellation rights and refund requirements and procedures for obtaining refunds; (9) Renewal, termination, and cancellation terms and conditions; (10) Procedures for adding new members to a family discount medical plan, if applicable; (11) Procedures for filing complaints under the discount medical plan organization's complaint system and information that, if the member remains dissatisfied after completing the organization's complaint system, the plan member may contact the local insurance department in the member's state; and (12) The name and mailing address of the registered discount medical plan organization or other entity where the member can make inquiries about the plan, send cancellation notices, and file complaints.

Legislative History

SL 2006, ch 257, § 42.