South Dakota Statutes

§ 58-17H-27 — Written procedures required for making determinations--Notification.

South Dakota § 58-17H-27
JurisdictionSouth Dakota
Title 58INSURANCE
Ch. 58-17EUTILIZATION REVIEW AND BENEFIT DETERMINATIONS

This text of South Dakota § 58-17H-27 (Written procedures required for making determinations--Notification.) is published on Counsel Stack Legal Research, covering South Dakota primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
S.D. Codified Laws § 58-17H-27 (2026).

Text

A health carrier shall maintain written procedures pursuant to this chapter, for making standard utilization review and benefit determinations on requests submitted to the health carrier by covered persons or their authorized representatives for benefits and for notifying covered persons and their authorized representatives of its determinations with respect to these requests within the specified time frames required under this chapter. If a period of time is extended as permitted by this chapter due to a claimant's failure to submit information necessary to decide a prospective, retrospective, or disability claim, the period for making the benefit determination shall be tolled from the date on which the notification of the extension is sent to the claimant until the date on which the clai

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Legislative History

SL 2011, ch 219, § 52.

Nearby Sections

15
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Bluebook (online)
South Dakota § 58-17H-27, Counsel Stack Legal Research, https://law.counselstack.com/statute/sd/58-17H-27.