<html> <head> <title>Rule 20:06:39:03 Permissible rating factors.</title> <META NAME="Keywords" Content="Administrative Rules 20:06:39:03"> <META NAME="Description" Content="Administrative Rules 20:06:39:03 Permissible rating factors."> <meta name=Generator content="Microsoft Office HTML Filter 2.0"> <meta http-equiv=Content-Type content="text/html; charset=windows-1252"> <meta name=Originator content="Microsoft Word 10"> <style> <!-- --> </style> </head> <body lang=EN-US> <div> <p><b>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; 20:06:39:03.&nbsp;&nbsp;Permissible rating factors.</b> A health benefit plan may use health status and weight in determining the rate charged for an individual when issuing a new policy or certificate. The application of rating factors based on health status or weight is limited to a 30 percent deviation from the index rate. Adjustments in the rating factors based on health status or weight may not be made after coverage is issued.</p> <p>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; <b>Source:</b> 24 SDR 35, effective September 29, 1997.</p> <p><b>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; General Authority: </b>SDCL <A HREF="/statutes/DisplayStatute.aspx?Type=Statute&Statute=58-17-75">58-17-75.</A></p> <p><b>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; Law Implemented: </b>SDCL <A HREF="/statutes/DisplayStatute.aspx?Type=Statute&Statute=58-17-74">58-17-74.</A></p> <p><b>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; Cross-Reference: </b>Definition of index rate, SDCL <A HREF="/statutes/DisplayStatute.aspx?Type=Statute&Statute=58-17-66">58-17-66.</A></p> </div> </body> </html>