§ 58-38-1 Incorporators, number required–Purpose of incorporation
§ 58-38-2 “Physicians and surgeons” defined
§ 58-38-3 Articles of incorporation and amendments–Approval by director–Filing with secretary of state
§ 58-38-4 Members and directors
§ 58-38-5 Board of directors–Minimum number–Qualifications–Selection–Term of office
§ 58-38-6 License to issue contracts required–Violation as misdemeanor
§ 58-38-7 Application for license–Form and contents–Documents accompanying
§ 58-38-8 Issuance of license–Matters considered by director
§ 58-38-9 Contracts with subscribers
§ 58-38-10 Rates charged for services–Approval by director
§ 58-38-11 Contracts with subscribers–Required provisions
§ 58-38-11.1 Coverage for inpatient treatment of alcoholism to be offered in contracts
§ 58-38-11.2 Benefits provided under alcoholism coverage–Maximum treatment periods permitted
§ 58-38-11.3 Plans not within alcoholism coverage requirement
§ 58-38-11.4 Individual accident or health policy required for covered spouse of insured–Eligibility–Coverage–Waiting periods
§ 58-38-11.5 Conversion privileges of insured’s spouse upon divorce
§ 58-38-11.6 Coordination, integration, or lessening of benefits restricted
§ 58-38-11.10 Exclusion of benefits for injury while under the influence of alcohol or drugs prohibited–Exception for sickness or injury caused in commission of felony
§ 58-38-12 Care provided by noncontracting physicians–Contracting physician unavailable
§ 58-38-13 Practice of medicine not authorized by chapter
§ 58-38-14 Expenses of acquisition and administration–Control by director
§ 58-38-15 Permitted investments
§ 58-38-16 Foreign corporation–Transaction of business in state
§ 58-38-17 Annual statement of financial condition–Filing–Verification–Form and contents
§ 58-38-18 Investigation and examination by director–Cost borne by corporation
§ 58-38-19 Exemption from other insurance laws–Exceptions
§ 58-38-20 Citation of chapter
§ 58-38-21 Notice required by medical and surgical plan corporation for rate increase
§ 58-38-22 Grandfathered service and indemnity-type contracts required to cover low-dose mammography–Extent of coverage
§ 58-38-22.1 Service and indemnity-type contracts required to cover occult breast cancer screening
§ 58-38-23 Coverage for phenylketonuria
§ 58-38-24 Hospital service plan authorized
§ 58-38-25 Formation of voluntary health insurance purchasing organizations
§ 58-38-26 Membership of voluntary health insurance purchasing organizations
§ 58-38-27 Purchasing organization’s responsibility for negotiating terms and conditions
§ 58-38-28 Purchasing organization’s notice of premium charge
§ 58-38-29 Additional chapters applicable to purchasing organization
§ 58-38-30 Approval of purchasing organization by Division of Insurance
§ 58-38-31 Premiums held in trust by purchasing organization
§ 58-38-32 Rates for group health insurance issued to purchasing organizations
§ 58-38-33 Reasonable participation requirements for group members of purchasing organizations
§ 58-38-34 Purchasing organizations exempt from antitrust provisions
§ 58-38-35 Promulgation of rules for purchasing organizations
§ 58-38-36 Minimum loss ratio for small employer health benefit plans
§ 58-38-37 Minimum inpatient care coverage following delivery
§ 58-38-38 Shorter hospital stay permitted–Follow-up visit within forty-eight hours required
§ 58-38-39 Notice to subscribers–Disclosures
§ 58-38-40 Health insurance policies to provide coverage for biologically-based mental illnesses
§ 58-38-41 Application–Exemptions
§ 58-38-42 Policies to provide coverage for diabetes supplies, equipment and education–Exceptions–Conditions and limitations
§ 58-38-43 Diabetes coverage not required of certain plans and policies
§ 58-38-44 Contracts to provide coverage for prostate cancer screening
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Terms Used In South Dakota Codified Laws > Title 58 > Chapter 38 - Nonprofit Medical and Surgical Plans

  • Assets: (1) The property comprising the estate of a deceased person, or (2) the property in a trust account.
  • Baseline: Projection of the receipts, outlays, and other budget amounts that would ensue in the future without any change in existing policy. Baseline projections are used to gauge the extent to which proposed legislation, if enacted into law, would alter current spending and revenue levels.
  • 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.
  • Obligation: An order placed, contract awarded, service received, or similar transaction during a given period that will require payments during the same or a future period.
  • Person: includes natural persons, partnerships, associations, cooperative corporations, limited liability companies, and corporations. See South Dakota Codified Laws 2-14-2
  • physicians and surgeons: as used in this chapter shall include all those persons who are licensed pursuant to chapters 36-4, 36-4A, and 36-9A. See South Dakota Codified Laws 58-38-2
  • Service of process: The service of writs or summonses to the appropriate party.
  • 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
  • Statute: A law passed by a legislature.