South Dakota § 58-17I-4 Register of grievances required--Information to be compiled--Maintenance.

South Dakota Statutes

§ 58-17I-4 — Register of grievances required--Information to be compiled--Maintenance.

South Dakota·Title 58 INSURANCE·Ch. 58-17E GRIEVANCE PROCEDURE

Each health carrier shall maintain in a register written records to document all grievances received including the notices and claims associated with the grievances during a calendar year. A request for a first level review of a grievance involving an adverse determination shall be processed in compliance with §§ 58-17I-7 to 58-17I-11 , inclusive, and is required to be included in the register. For each grievance the register shall contain the following information:

(1)A general description of the reason for the grievance;

(2)The date received;

(3)The date of each review or, if applicable, review meeting;

(4)Resolution at each level of the grievance, if applicable;

(5)Date of resolution at each level, if applicable; and (6) Name of the covered person for whom the gri

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Each health carrier shall maintain in a register written records to document all grievances received including the notices and claims associated with the grievances during a calendar year. A request for a first level review of a grievance involving an adverse determination shall be processed in compliance with §§ 58-17I-7 to 58-17I-11 , inclusive, and is required to be included in the register. For each grievance the register shall contain the following information: (1) A general description of the reason for the grievance; (2) The date received; (3) The date of each review or, if applicable, review meeting; (4) Resolution at each level of the grievance, if applicable; (5) Date of resolution at each level, if applicable; and (6) Name of the covered person for whom the grievance was filed. The register shall be maintained in a manner that is reasonably clear and accessible to the director. A health carrier shall retain the register compiled for a calendar year for five years. Commission Note:

South Dakota § 58-17I-4 (Register of grievances required--Information to be compiled--Maintenance.) — published by Counsel Stack Legal Research, free access to 12M+ legal documents.