ENTITLED, An Act to exempt credit health insurers from certain provisions related to preexisting
conditions.
BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF SOUTH DAKOTA:
Section 1. That § 58-17-97 be amended to read as follows:
58-17-97. Any accident and sickness policy or certificate subject to the provisions of this chapter,
other than credit health insurance as defined in subdivision 58-19-2(1) and a health benefit plan as
defined in § 58-17-66, shall comply with the following provisions:
(1) No policy or certificate may deny, exclude, or limit benefits for a covered individual for
claims incurred more than twelve months following the effective date of the person's
coverage due to a preexisting condition;
(2) No policy or certificate may define a preexisting condition more restrictively than:
(a) A condition that would have caused an ordinarily prudent person to seek medical
advice, diagnosis, care, or treatment during the twelve months immediately
preceding the effective date of coverage;
(b) A condition for which medical advice, diagnosis, care, or treatment was
recommended or received during the twelve months immediately preceding the
effective date of coverage; or
(c) A pregnancy existing on the effective date of coverage.
Section 2. That § 58-18-86 be amended to read as follows:
58-18-86. Any accident and sickness plan or certificate other than credit health insurance as
defined in subdivision 58-19-2(1) and a health benefit plan is subject to subdivision 58-18-45(1).
An Act to exempt credit health insurers from certain provisions related to preexisting conditions.
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I certify that the attached Act
originated in the
HOUSE as Bill No. 1103
____________________________
Chief Clerk
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____________________________
Speaker of the House
____________________________
Chief Clerk
____________________________
President of the Senate
____________________________
Secretary of the Senate
House Bill No. 1103
File No. ____
Chapter No. ______
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Received at this Executive Office
this _____ day of _____________ ,
20____ at ____________ M.
By _________________________
for the Governor
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The attached Act is hereby
approved this ________ day of
______________ , A.D., 20___
____________________________
Governor
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STATE OF SOUTH DAKOTA,
ss.
Office of the Secretary of State
Filed ____________ , 20___
at _________ o'clock __ M.
____________________________
Secretary of State
By _________________________
Asst. Secretary of State
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