58-38-9. Contracts with subscribers.
Any medical and surgical plan corporation, organized under the provisions of this chapter, may enter into contracts with subscribers to furnish medical and surgical service through physicians and surgeons. The medical and surgical plan operated by such corporation shall also provide for such service to subscribers by the physician and surgeon chosen by the subscriber without regard to whether such physician and surgeon has a contract for service with such corporation.
Source: SL 1966, ch 111, ch 21, ยง5.
Structure South Dakota Codified Laws
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 58-38-4 - 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 58-38-11.3 - Plans not within alcoholism coverage requirement.
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 58-38-12 - 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 58-38-23 - 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 58-38-34 - 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 58-38-39 - Notice to subscribers--Disclosures.
Section 58-38-41 - Application--Exemptions.
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.