S.D. Admin. R. 20:06:13:17.10

Current through Register Vol. 51, page 51, October 21, 2024

Section 20:06:13:17.10 - Prescription drug benefits under Medicare supplement plans

The following provisions apply to Medicare supplement plans:

(1) A Medicare supplement plan with benefits for outpatient prescription drugs in existence prior to January 1, 2006, shall be renewed for current policyholders who do not enroll in Medicare Part D at the option of the insured subject to §§ 20:06:13:19, 20:06:13:56, 20:06:13:60 and 20:06:13:60.01;

(2) A Medicare supplement plan with benefits for outpatient prescription drugs may not be issued after December 31, 2005;

(3) After December 31, 2005, a Medicare supplement policy with benefits for outpatient prescription drugs may not be renewed after the policyholder enrolls in Medicare Part D unless:

(a) The policy is modified to eliminate outpatient prescription drug coverage for expenses of outpatient prescription drugs incurred after the effective date of the individual's coverage under a Medicare Part D plan; and

(b) Premiums are adjusted to reflect the elimination of outpatient prescription drug coverage at the time of Medicare Part D enrollment, accounting for any claims paid, if applicable.

This section applies to 1990 standardized Medicare supplement benefit plans.

S.D. Admin. R. 20:06:13:17.10

31 SDR 214, effective 7/6/2005; 35 SDR 183, effective 2/2/2009.

General Authority: SDCL 58-17A-2.

Law Implemented: SDCL 58-17A-2.