South Dakota Codified Laws
Title 58 - Insurance
Chapter 17I - Grievance Procedure

Section 58-17I-1 - Definitions. - 58-17I-1. Definitions. Terms used in this chapter mean: (1)"Adverse determination,"...

Section 58-17I-2 - Health benefit plan defined. - 58-17I-2. Health benefit plan defined. For the purposes of this...

Section 58-17I-3 - Urgent care request defined. - 58-17I-3. Urgent care request defined. For the purposes of this...

Section 58-17I-4 - Register of grievances required--Information to be compiled--Maintenance. - 58-17I-4. Register of grievances required--Information to be compiled--Maintenance. Each health...

Section 58-17I-5 - Report to director required--Contents. - 58-17I-5. Report to director required--Contents. Each health carrier shall submit...

Section 58-17I-6 - Grievance procedures--Filing--Certificate of compliance--Contact information. - 58-17I-6. Grievance procedures--Filing--Certificate of compliance--Contact information. Except as specified in...

Section 58-17I-7 - Review of adverse determination--Time for filing--Designation and notice of reviewers--Scope of review. - 58-17I-7. Review of adverse determination--Time for filing--Designation and notice of...

Section 58-17I-8 - Rights of covered person or authorized representative on review--Access to documentation. - 58-17I-8. Rights of covered person or authorized representative on review--Access...

Section 58-17I-9 - Time for decision and notice--Calculation of time periods. - 58-17I-9. Time for decision and notice--Calculation of time periods. A...

Section 58-17I-10 - Procedures for providing new or additional evidence. - 58-17I-10. Procedures for providing new or additional evidence. Prior to...

Section 58-17I-11 - Issuance of decision--Required contents. - 58-17I-11. Issuance of decision--Required contents. The decision issued pursuant to...

Section 58-17I-12 - Expedited review for adverse determinations involving urgent care requests--Appointment of peers for review. - 58-17I-12. Expedited review for adverse determinations involving urgent care requests--Appointment...

Section 58-17I-13 - Transmission of necessary information for certain expedited reviews. - 58-17I-13. Transmission of necessary information for certain expedited reviews. In...

Section 58-17I-14 - Expedited review decision not initial determination for benefits--Notification--Time periods--Continuation of service involving concurrent review urgent care requests. - 58-17I-14. Expedited review decision not initial determination for benefits--Notification--Time periods--Continuation...

Section 58-17I-15 - Expedited review decision--Notification--Required contents. - 58-17I-15. Expedited review decision--Notification--Required contents. A notification of a decision...

Section 58-17I-16 - Promulgation of rules. - 58-17I-16. Promulgation of rules. The director, in consultation with the...