§ 58-17I-1 Definitions
§ 58-17I-2 Health benefit plan defined
§ 58-17I-3 Urgent care request defined
§ 58-17I-4 Register of grievances required–Information to be compiled–Maintenance
§ 58-17I-7 Review of adverse determination–Time for filing–Designation and notice of reviewers–Scope of review
§ 58-17I-8 Rights of covered person or authorized representative on review–Access to documentation
§ 58-17I-9 Time for decision and notice–Calculation of time periods
§ 58-17I-10 Procedures for providing new or additional evidence
§ 58-17I-11 Issuance of decision–Required contents
§ 58-17I-12 Expedited review for adverse determinations involving urgent care requests–Appointment of peers for review
§ 58-17I-13 Transmission of necessary information for certain expedited reviews
§ 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-15 Expedited review decision–Notification–Required contents
§ 58-17I-16 Promulgation of rules
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Terms Used In South Dakota Codified Laws > Title 58 > Chapter 17I - Grievance Procedure

  • Complaint: A written statement by the plaintiff stating the wrongs allegedly committed by the defendant.
  • Contract: A legal written agreement that becomes binding when signed.
  • Corporation: A legal entity owned by the holders of shares of stock that have been issued, and that can own, receive, and transfer property, and carry on business in its own name.
  • Evidence: Information presented in testimony or in documents that is used to persuade the fact finder (judge or jury) to decide the case for one side or the other.
  • Jurisdiction: (1) The legal authority of a court to hear and decide a case. Concurrent jurisdiction exists when two courts have simultaneous responsibility for the same case. (2) The geographic area over which the court has authority to decide cases.
  • Person: includes natural persons, partnerships, associations, cooperative corporations, limited liability companies, and corporations. See South Dakota Codified Laws 2-14-2
  • Public law: A public bill or joint resolution that has passed both chambers and been enacted into law. Public laws have general applicability nationwide.
  • Rescission: The cancellation of budget authority previously provided by Congress. The Impoundment Control Act of 1974 specifies that the President may propose to Congress that funds be rescinded. If both Houses have not approved a rescission proposal (by passing legislation) within 45 days of continuous session, any funds being withheld must be made available for obligation.
  • State: when used in context signifying a jurisdiction other than the State of South Dakota, a state, the District of Columbia, a territory, commonwealth, or possession of the United States of America, or a province of the Dominion of Canada. See South Dakota Codified Laws 58-1-2
  • written: include typewriting and typewritten, printing and printed, except in the case of signatures, and where the words are used by way of contrast to typewriting and printing. See South Dakota Codified Laws 2-14-2