South Dakota Codified Laws
Chapter 40 - Nonprofit Hospital Service Plans
Section 58-40-22 - Formation of voluntary health insurance purchasing organizations.

58-40-22. Formation of voluntary health insurance purchasing organizations.
Notwithstanding the provisions of chapter 47-34A and §§ 47-15-2 and 47-22-4, any organization may form for the purposes of purchasing group health insurance on a voluntary basis. For purposes of §§58-40-22 to 58-40-32, inclusive, an organization means any nonprofit organization or nonprofit corporation formed under South Dakota law.

Source: SL 1994, ch 382, §1; SL 2021, ch 210, § 23.

Structure South Dakota Codified Laws

South Dakota Codified Laws

Title 58 - Insurance

Chapter 40 - Nonprofit Hospital Service Plans

Section 58-40-1 - Incorporators, number required--Purpose of incorporation.

Section 58-40-2 - Articles of incorporation and amendments--Approval by director--Filing with secretary of state.

Section 58-40-3 - Members and directors.

Section 58-40-4 - Board of directors--Minimum number--Qualifications--Selection--Term of office.

Section 58-40-5 - License to issue contracts required--Violation as misdemeanor.

Section 58-40-6 - Application for license--Form and contents--Documents accompanying.

Section 58-40-7 - Issuance of license--Matters considered by director.

Section 58-40-8 - Contracts with subscribers.

Section 58-40-9 - "Hospital service" defined--Practice of healing or practice of medicine not authorized by chapter.

Section 58-40-10 - Contracts with subscribers--Required provisions.

Section 58-40-10.1 - Coverage for inpatient treatment of alcoholism to be offered in individual or group plans.

Section 58-40-10.2 - Benefits provided under alcoholism coverage--Maximum treatment periods permitted.

Section 58-40-10.3 - Plans not within alcoholism coverage requirement.

Section 58-40-10.4 - Individual policy required for covered spouse of insured--Eligibility--Coverage--Waiting periods.

Section 58-40-10.5 - Conversion privileges of insured's spouse upon divorce.

Section 58-40-10.6 - Coordination, integration, or lessening of benefits restricted.

Section 58-40-10.10 - 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 58-40-11 - Care provided by noncontracting hospitals--Contracting hospital unavailable.

Section 58-40-12 - Rates charged for services--Approval by director.

Section 58-40-12.1 - Notice required for rate increase by hospital service plan corporation.

Section 58-40-13 - Expenses of acquisition and administration--Control by director.

Section 58-40-14 - Permitted investments.

Section 58-40-15 - Foreign corporation--Transaction of business in state.

Section 58-40-16 - Annual statement of financial condition--Filing--Verification--Form and contents.

Section 58-40-17 - Investigation and examination by director--Cost borne by corporation.

Section 58-40-18 - Exemption from other insurance laws--Exceptions.

Section 58-40-19 - Citation of chapter.

Section 58-40-20 - Grandfathered service and indemnity-type contracts required to cover low-dose mammography--Extent of coverage.

Section 58-40-20.1 - Service and indemnity-type contracts required to cover occult breast cancer screening.

Section 58-40-21 - Coverage for phenylketonuria.

Section 58-40-22 - Formation of voluntary health insurance purchasing organizations.

Section 58-40-23 - Membership of voluntary health insurance purchasing organizations.

Section 58-40-24 - Purchasing organization's responsibility for negotiating terms and conditions.

Section 58-40-25 - Purchasing organization's notice of premium charge.

Section 58-40-26 - Additional chapters applicable to purchasing organization.

Section 58-40-27 - Approval of purchasing organization by Division of Insurance.

Section 58-40-28 - Premiums held in trust by purchasing organization.

Section 58-40-29 - Rates for group health insurance issued to purchasing organizations.

Section 58-40-30 - Reasonable participation requirements for group members of purchasing organizations.

Section 58-40-31 - Purchasing organizations exempt from antitrust provisions.

Section 58-40-32 - Promulgation of rules for purchasing organizations.

Section 58-40-33 - Minimum loss ratio for small employer health benefit plans.

Section 58-40-34 - Minimum inpatient care coverage following delivery.

Section 58-40-35 - Shorter hospital stay permitted--Follow-up visit within forty-eight hours required.

Section 58-40-36 - Notice to subscribers--Disclosure.

Section 58-40-37 - Health insurance policies to provide coverage for biologically-based mental illnesses.

Section 58-40-38 - Application--Exemptions.

Section 58-40-39 - Policies to provide coverage for diabetes supplies, equipment, and education--Exceptions--Conditions and limitations.

Section 58-40-40 - Diabetes coverage not required of certain plans and policies.

Section 58-40-41 - Contracts to provide coverage for prostate cancer screening.