South Dakota Statutes

§ 58-17H-33 — Information required to be provided to covered persons and prospective covered persons.

South Dakota·Title 58 INSURANCE·Ch. 58-17E UTILIZATION REVIEW AND BENEFIT DETERMINATIONS
In the certificate of coverage or member handbook provided to covered persons, a health carrier shall include a clear and comprehensive description of its utilization review procedures, including the procedures for obtaining review of adverse determinations, and a statement of rights and responsibilities of covered persons with respect to those procedures. A health carrier shall include a summary of its utilization review and benefit determination procedures in materials intended for prospective covered persons. A health carrier shall print on its membership cards a toll-free telephone number to call for utilization review and benefit decisions. Commission Note:

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South Dakota § 58-17H-33 (Information required to be provided to covered persons and prospective covered persons.) — published by Counsel Stack Legal Research, free access to 12M+ legal documents.

Legislative History

SL 2011, ch 219, § 58.

Nearby Sections

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