South Dakota § 58-17H-41 Insufficient information for determination--Notice and statement of necessary information.

South Dakota Statutes

§ 58-17H-41 — Insufficient information for determination--Notice and statement of necessary information.

South Dakota § 58-17H-41

Title 58INSURANCE

Ch. 58-17EUTILIZATION REVIEW AND BENEFIT DETERMINATIONS

This text of South Dakota § 58-17H-41 (Insufficient information for determination--Notice and statement of necessary information.) 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-41 (2026).

Text

If the covered person or, if applicable, the covered person's authorized representative has failed to provide sufficient information for the health carrier to make a determination, the health carrier shall notify the covered person or, if applicable, the covered person's authorized representative, either orally or, if requested by the covered person or the covered person's authorized representative, in writing of this failure and state what specific information is needed as soon as possible, but in no event later than twenty-four hours after receipt of the request. Commission Note:

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If the covered person or, if applicable, the covered person's authorized representative has failed to provide sufficient information for the health carrier to make a determination, the health carrier shall notify the covered person or, if applicable, the covered person's authorized representative, either orally or, if requested by the covered person or the covered person's authorized representative, in writing of this failure and state what specific information is needed as soon as possible, but in no event later than twenty-four hours after receipt of the request. Commission Note: