South Dakota Codified Laws
Chapter 38 - Nonprofit Medical And Surgical Plans
Section 58-38-7 - Application for license--Form and contents--Documents accompanying.

58-38-7. Application for license--Form and contents--Documents accompanying.
Application for the license required by §58-38-6 shall be made on forms to be approved by the director, containing such information as he shall deem necessary. Each application for such license shall be accompanied by copies of the following documents:
(1)Certified copy of its charter or certificate of incorporation;
(2)Bylaws;
(3)Proposed contracts between the corporation and participating physicians and surgeons showing the terms under which medical and surgical service is to be furnished to subscribers;
(4)Contracts to be issued to subscribers showing the benefits to which they are entitled;
(5)A table of the rates to be charged to the subscribers; and
(6)Financial statement of the corporation, including the amounts of contribution paid or agreed to be paid to the corporation for working capital and the name of each contributor and the terms of each contribution.

Source: SL 1966, ch 111, ch 21, §6.

Structure South Dakota Codified Laws

South Dakota Codified Laws

Title 58 - Insurance

Chapter 38 - Nonprofit Medical And Surgical Plans

Section 58-38-1 - Incorporators, number required--Purpose of incorporation.

Section 58-38-2 - "Physicians and surgeons" defined.

Section 58-38-3 - Articles of incorporation and amendments--Approval by director--Filing with secretary of state.

Section 58-38-4 - Members and directors.

Section 58-38-5 - Board of directors--Minimum number--Qualifications--Selection--Term of office.

Section 58-38-6 - License to issue contracts required--Violation as misdemeanor.

Section 58-38-7 - Application for license--Form and contents--Documents accompanying.

Section 58-38-8 - Issuance of license--Matters considered by director.

Section 58-38-9 - Contracts with subscribers.

Section 58-38-10 - Rates charged for services--Approval by director.

Section 58-38-11 - Contracts with subscribers--Required provisions.

Section 58-38-11.1 - Coverage for inpatient treatment of alcoholism to be offered in contracts.

Section 58-38-11.2 - Benefits provided under alcoholism coverage--Maximum treatment periods permitted.

Section 58-38-11.3 - Plans not within alcoholism coverage requirement.

Section 58-38-11.4 - Individual accident or health policy required for covered spouse of insured--Eligibility--Coverage--Waiting periods.

Section 58-38-11.5 - Conversion privileges of insured's spouse upon divorce.

Section 58-38-11.6 - Coordination, integration, or lessening of benefits restricted.

Section 58-38-11.10 - Exclusion of benefits for injury while under the influence of alcohol or drugs prohibited--Exception for sickness or injury caused in commission of felony.

Section 58-38-12 - Care provided by noncontracting physicians--Contracting physician unavailable.

Section 58-38-13 - Practice of medicine not authorized by chapter.

Section 58-38-14 - Expenses of acquisition and administration--Control by director.

Section 58-38-15 - Permitted investments.

Section 58-38-16 - Foreign corporation--Transaction of business in state.

Section 58-38-17 - Annual statement of financial condition--Filing--Verification--Form and contents.

Section 58-38-18 - Investigation and examination by director--Cost borne by corporation.

Section 58-38-19 - Exemption from other insurance laws--Exceptions.

Section 58-38-20 - Citation of chapter.

Section 58-38-21 - Notice required by medical and surgical plan corporation for rate increase.

Section 58-38-22 - Grandfathered service and indemnity-type contracts required to cover low-dose mammography--Extent of coverage.

Section 58-38-22.1 - Service and indemnity-type contracts required to cover occult breast cancer screening.

Section 58-38-23 - Coverage for phenylketonuria.

Section 58-38-24 - Hospital service plan authorized.

Section 58-38-25 - Formation of voluntary health insurance purchasing organizations.

Section 58-38-26 - Membership of voluntary health insurance purchasing organizations.

Section 58-38-27 - Purchasing organization's responsibility for negotiating terms and conditions.

Section 58-38-28 - Purchasing organization's notice of premium charge.

Section 58-38-29 - Additional chapters applicable to purchasing organization.

Section 58-38-30 - Approval of purchasing organization by Division of Insurance.

Section 58-38-31 - Premiums held in trust by purchasing organization.

Section 58-38-32 - Rates for group health insurance issued to purchasing organizations.

Section 58-38-33 - Reasonable participation requirements for group members of purchasing organizations.

Section 58-38-34 - Purchasing organizations exempt from antitrust provisions.

Section 58-38-35 - Promulgation of rules for purchasing organizations.

Section 58-38-36 - Minimum loss ratio for small employer health benefit plans.

Section 58-38-37 - Minimum inpatient care coverage following delivery.

Section 58-38-38 - Shorter hospital stay permitted--Follow-up visit within forty-eight hours required.

Section 58-38-39 - Notice to subscribers--Disclosures.

Section 58-38-40 - Health insurance policies to provide coverage for biologically-based mental illnesses.

Section 58-38-41 - Application--Exemptions.

Section 58-38-42 - Policies to provide coverage for diabetes supplies, equipment and education--Exceptions--Conditions and limitations.

Section 58-38-43 - Diabetes coverage not required of certain plans and policies.

Section 58-38-44 - Contracts to provide coverage for prostate cancer screening.