58-17-30.4. Notice of birth or adoption required for continued coverage.
An insurer may require notice that a newly born or newly adopted child is to be added to the policy or that coverage is to be changed from single or spousal coverage to family coverage. However, the insurer may not require notification sooner than the birth of the child or the start of the adoption bonding period. If the child is added or coverage changed to family coverage before the birth of the child or the start of the adoption bonding period, no additional premium may be charged by the insurer until the birth of the child or the start of the adoption bonding period. The insurer shall take reasonable steps to provide adequate notice to insureds of the need to alter coverage to ensure newborn or adopted children are covered and of the lack of premium adjustment until the birth of the child or the start of the adoption bonding period. An insurer is considered to have taken reasonable steps if prominent disclosure of the requirements of this section are included in a certificate, subscriber contract, evidence of coverage, or employee handbook if such are provided to all insureds.
If payment of a specific premium or subscription fee is required to provide coverage for a child, the policy or contract may require that notification of birth of a newly born child or notification of the start of the six-month adoption bonding period for an adopted child and payment of the required premium or fees be furnished to the insurer or nonprofit service or indemnity corporation within thirty-one days after the date of birth or start of the bonding period in order to have the coverage continued beyond the thirty-one day period.
Source: SL 1974, ch 322; SL 1983, ch 375, §3; SL 1994, ch 387, §6.
Structure South Dakota Codified Laws
Chapter 17 - Health Insurance Policies
Section 58-17-1 - Requirements for all health insurance policies delivered in state.
Section 58-17-1.1 - Grandfathered plans required to cover low-dose mammography--Extent of coverage.
Section 58-17-1.3 - Diabetes coverage not required of certain plans and policies.
Section 58-17-1.4 - Policies required to cover occult breast cancer screening.
Section 58-17-2 - Persons covered by policy.
Section 58-17-2.1 - Health insurance on a franchise plan.
Section 58-17-2.2 - Conversion privileges of insured's spouse upon divorce.
Section 58-17-2.3 - Dependent coverage termination--Age--Full-time students.
Section 58-17-3 - Time of commencement and termination to be set out in policy.
Section 58-17-4 - Consideration for policy to be stated.
Section 58-17-4.1 - Filing and approval of individual policy premium rates.
Section 58-17-5 - Identification of forms, riders and endorsements--Form number, location.
Section 58-17-6 - Style and arrangement of policy provisions--Printing, size of type.
Section 58-17-8 - Exceptions and reductions of coverage to be clearly set out.
Section 58-17-12 - Required provisions--Captions--Substitutes, approval by director.
Section 58-17-15 - Time limit on certain defenses--Application of section.
Section 58-17-17 - Grace period on premiums required in policy.
Section 58-17-18 - Renewal of policy--Restriction on company's right to refuse.
Section 58-17-19 - Reinstatement when premium not paid within grace period.
Section 58-17-21 - Notice of claim--Provision required in policy.
Section 58-17-22 - Notice of claim--Loss of time benefit--Optional provision, insertion by insurer.
Section 58-17-23 - Claim forms--Furnishing by insurer.
Section 58-17-24 - Proofs of loss--Provision required in policy.
Section 58-17-25 - Time of payment of claims--Provision required in policy.
Section 58-17-27 - Payment of claims--Optional provisions, insertion by insurer.
Section 58-17-29 - Action to recover under policy--Time for beginning.
Section 58-17-30.3 - Premature birth and congenital defects covered--Applicability.
Section 58-17-30.4 - Notice of birth or adoption required for continued coverage.
Section 58-17-30.5 - Coverage for inpatient alcoholism treatment required.
Section 58-17-30.6 - Alcoholism benefits provided--Days of care.
Section 58-17-30.7 - Policies excluded from alcoholism coverage requirements.
Section 58-17-30.9 - Notice that dependent is no longer eligible for coverage--Premium adjustment.
Section 58-17-31 - Optional policy provisions.
Section 58-17-32 - Occupational change--Policy provision for adjustment of premium or benefits.
Section 58-17-33 - Misstatement of age--Policy provision for adjustment of benefits.
Section 58-17-34 - Earnings of insured--Policy provision for adjustment of benefits.
Section 58-17-36 - Option of insurer to define "valid loss of time coverage".
Section 58-17-37 - Unpaid premiums--Deduction from benefits.
Section 58-17-38 - Conformity with state statutes of insured.
Section 58-17-39 - Illegal occupation of insured.
Section 58-17-40 - Renewal of policy at option of insurer.
Section 58-17-41 - Order of policy provisions.
Section 58-17-42 - Age limit in policy--Effect of acceptance of premiums or misstatement of age.
Section 58-17-43 - Third parties taking policy covering insured.
Section 58-17-44 - Foreign or alien insurer--Policy provision required by home state.
Section 58-17-46 - Policy provisions not subject to chapter--Conforming to statute required.
Section 58-17-47 - Nonconforming and conflicting provisions construed in conformity with statute.
Section 58-17-49 - Health insurance provisions inapplicable to group or blanket policy.
Section 58-17-51 - Health insurance provisions inapplicable to reinsurance.
Section 58-17-52 - Prior contracts or policies excepted.
Section 58-17-53 - Optometric services--Reimbursement, exceptions.
Section 58-17-55 - Reimbursement provisions applicable to licensed hospitals.
Section 58-17-57 - "Abuse of health insurance" defined--Violation as misdemeanor.
Section 58-17-58 - Waiver of required deductible or co-payment for charitable purposes permitted.
Section 58-17-59 - When waiver presumed.
Section 58-17-60 - Certain payments exempt.
Section 58-17-61 - Assignment of health insurance proceeds to certain hospitals authorized.
Section 58-17-62 - Coverage for phenylketonuria.
Section 58-17-63 - "Health benefit plan" defined.
Section 58-17-64 - Minimum loss ratio for individual health benefit plans.
Section 58-17-66 - Definitions for 58-17-66 through 58-17-87.
Section 58-17-67 - "Professional association" defined.
Section 58-17-68 - "Professional association plan" defined.
Section 58-17-69 - "Creditable coverage" defined.
Section 58-17-70 - Application of 58-17-66 to 58-17-87, inclusive.
Section 58-17-71 - Separate classes of individual business--Reasons--Number.
Section 58-17-72 - Transitional period when additional class of business acquired.
Section 58-17-74 - Provisions for premium rates for individual health benefit plans.
Section 58-17-74.1 - Premium rate limitations.
Section 58-17-75 - Promulgation of rules for rates charged for individual health benefit plans.
Section 58-17-76 - Transfer into or out of class of business.
Section 58-17-77 - Temporary suspension of premium rates for individual health insurance--Reasons.
Section 58-17-78 - Required disclosure when offering individual health benefit plan.
Section 58-17-79 - Documentation of rating methods and practices.
Section 58-17-82 - Renewal of individual health benefit plans--Exceptions.
Section 58-17-83 - Election not to renew individual health benefit plan--Future business restricted.
Section 58-17-87 - Director to promulgate rules for individual health insurance--Scope of rules.
Section 58-17-88 - Minimum inpatient care coverage following delivery.
Section 58-17-90 - Notice to policyholders--Disclosures.
Section 58-17-97 - Provisions covering preexisting conditions.
Section 58-17-99 - Application of § 58-17-98--Exemptions.
Section 58-17-100 - Definitions.
Section 58-17-101 - Insurer may not exclude certain off-label uses of prescription drugs.
Section 58-17-102 - Exceptions.
Section 58-17-103 - Provisions limited to cancer or life threatening diseases.
Section 58-17-104 - Deductibles, copayments, and managed care review not affected.
Section 58-17-105 - Drugs used in research trials not covered.
Section 58-17-106 - No reduction or limitation of coverage otherwise required by law.
Section 58-17-107 - Health insurance policies to provide coverage for prostate cancer screening.
Section 58-17-108 - "Disability income insurance" defined.
Section 58-17-109 - Exclusion or reduction of benefits.
Section 58-17-110 - Commencement of loss.
Section 58-17-111 - Minimum standards--Exceptions.
Section 58-17-112 - Promulgation of rules regarding disability income policies--Content.
Section 58-17-145.1 - Deadline for submission of health claim under risk pool.
Section 58-17-146 - Dental insurers prohibited from setting fees for noncovered service.
Section 58-17-146.1 - Certain contract terms voidable by dentist.
Section 58-17-151 - Applications to be credentialed.
Section 58-17-152 - Application of §§ 58-17-149 to 58-17-151.
Section 58-17-153 - Coverage for treatment of hearing impairment for persons under age nineteen.
Section 58-17-154 - Definitions for §§ 58-17-155 to 58-17-162.
Section 58-17-155 - Exceptions to application of §§ 58-17-154 to 58-17-162.
Section 58-17-159 - Qualifications of person performing or supervising applied behavior analysis.
Section 58-17-160 - Review of treatment.
Section 58-17-162 - Effective date of §§ 58-17-154 to 58-17-161.
Section 58-17-163 - Dental care insurers to honor assignment of benefits.
Section 58-17-164 - Revocation of assignment of dental insurance benefits.
Section 58-17-165 - Reimbursement of payment from insured following receipt of payment from insurer.
Section 58-17-166 - Scope of benefits not affected--Medical benefits not included .
Section 58-17-167 - Definitions pertaining to telehealth coverage.
Section 58-17-168 - Coverage for health care services provided through telehealth.
Section 58-17-170 - Application of telehealth coverage requirements.
Section 58-17-171 - Payment for dental services--Credit card requirement prohibited.