Rule 20:06:13:75 Continuation.
20:06:13:75. Continuation. Medicare select policies and
certificates must provide for continuation coverage if the secretary of health
and human services determines that Medicare select policies and certificates
issued pursuant to §§ 20:06:13:63 to 20:06:13:76, inclusive, should be
discontinued because the Medicare select program was not reauthorized under law
or it was substantially amended.
Each Medicare select issuer must make
available to each individual insured under a Medicare select policy or certificate
the opportunity to purchase any Medicare supplement policy or certificate
offered by the issuer which has comparable or lesser benefits and which does
not contain a restricted network provision. The issuer must make such policies
and certificates available without requiring evidence of insurability.
For the purpose of this section, a
Medicare supplement policy or certificate is considered to have comparable or
lesser benefits unless it contains one or more significant benefits not
included in the Medicare select policy or certificate being replaced. For the
purposes of this paragraph, a significant benefit means coverage for the
Medicare Part A deductible, coverage for prescription drugs, coverage for
at-home recovery services, or coverage for Part B excess charges.
22 SDR 107, effective February 18, 1996.
Authority: SDCL 58-17A-2(2), 58-17A-2(7), 58-17A-2(16).
Implemented: SDCL 58-17A-2.
Back to 20:06:13