Grievance Procedure

  1. Law
  2. South Dakota Codified Laws
  3. Insurance
  4. Grievance Procedure

Checkout our iOS App for a better way to browser and research.

Section
58-17I-1

Definitions.

Section
58-17I-2

Health benefit plan defined.

Section
58-17I-3

Urgent care request defined.

Section
58-17I-4

Register of grievances required--Information to be compiled--Maintenance.

Section
58-17I-5

Report to director required--Contents.

Section
58-17I-6

Grievance procedures--Filing--Certificate of compliance--Contact information.

Section
58-17I-7

Review of adverse determination--Time for filing--Designation and notice of reviewers--Scope of review.

Section
58-17I-8

Rights of covered person or authorized representative on review--Access to documentation.

Section
58-17I-9

Time for decision and notice--Calculation of time periods.

Section
58-17I-10

Procedures for providing new or additional evidence.

Section
58-17I-11

Issuance of decision--Required contents.

Section
58-17I-12

Expedited review for adverse determinations involving urgent care requests--Appointment of peers for review.

Section
58-17I-13

Transmission of necessary information for certain expedited reviews.

Section
58-17I-14

Expedited review decision not initial determination for benefits--Notification--Time periods--Continuation of service involving concurrent review urgent care requests.

Section
58-17I-15

Expedited review decision--Notification--Required contents.

Section
58-17I-16

Promulgation of rules.