§ 58-18A-53 Definitions
§ 58-18A-54 Allowable expenses defined
§ 58-18A-55 Expenses that are not allowable
§ 58-18A-56 Exclusion of certain expenses
§ 58-18A-57 Plan defined–Types of coverage considered in coordination of benefitsto be stated
§ 58-18A-58 Contracts and coverages included within definition of plan
§ 58-18A-59 Contracts and coverages not included within definition of plan
§ 58-18A-60 Application date
§ 58-18A-61 Promulgation of rules concerning coordination of health plan benefits
§ 58-18A-62 Prohibited grounds for reduction of benefits
§ 58-18A-63 Restriction on excess or secondary benefits provisions
§ 58-18A-64 Closed panel plans
§ 58-18A-65 Prohibition on reduction of benefits for coverage not qualifying as plan
§ 58-18A-66 Order of benefit payments
§ 58-18A-67 Coordination of benefits only available to secondary plans
§ 58-18A-68 Order of benefits determined under §§ 58-18A-69 to 58-18A-74
§ 58-18A-69 Plan covering person other than as dependent
§ 58-18A-70 Plan covering dependent child
§ 58-18A-71 Plan covering person as active employee
§ 58-18A-72 Coverage under COBRA or right of continuation
§ 58-18A-73 Plan covering person for longer period of time
§ 58-18A-74 Sharing of allowable expenses equally
§ 58-18A-75 Calculation of amount to be paid by secondary plan
§ 58-18A-76 Plan providing benefits as services
§ 58-18A-77 Coordination of benefits of complying and noncomplying plans
§ 58-18A-78 Noncomplying secondary plan to advance difference covered personwould have received if complying plan had been secondary plan
§ 58-18A-79 Subrogation distinguished
§ 58-18A-80 Paying of claim where plans disagree on order of benefits
§ 58-18A-81 Time for bringing existing contract into compliance with statutoryrequirements
§ 58-18A-82 Proceedings not subject to statutory requirements
§ 58-18A-83 Duties, rights accrued, and offenses committed prior to July 1, 2007
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Terms Used In South Dakota Codified Laws > Title 58 > Chapter 18A - Coordination of Benefits of Health Plans

  • Beneficiary: A person who is entitled to receive the benefits or proceeds of a will, trust, insurance policy, retirement plan, annuity, or other contract. Source: OCC
  • Contract: A legal written agreement that becomes binding when signed.
  • Dependent: A person dependent for support upon another.
  • Indemnification: In general, a collateral contract or assurance under which one person agrees to secure another person against either anticipated financial losses or potential adverse legal consequences. Source: FDIC
  • Liabilities: The aggregate of all debts and other legal obligations of a particular person or legal entity.
  • Person: includes natural persons, partnerships, associations, cooperative corporations, limited liability companies, and corporations. See South Dakota Codified Laws 2-14-2
  • 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