# S.D. Codified Laws § 58-17I-8: Rights of covered person or authorized representative on review--Access to documentation

> South Dakota · Statutes · In force

URL: https://www.frixlaw.com/law-library/statutes/STATE_SD_T58_C17I_S58-17I-8

## Section

- **Citation:** S.D. Codified Laws § 58-17I-8
- **Heading:** Rights of covered person or authorized representative on review--Access to documentation
- **Jurisdiction:** South Dakota
- **Kind:** Statutes
- **Status:** In force
- **Text as of:** August 14, 2026
- **Source:** Compiled text
- **Location:** SD Code / Title 58 / Chapter 17I / Section 58-17I-8

## Text

No covered person has the right to attend, or to have a representative in attendance, at the first level review. However, the covered person or, if applicable, the covered person's authorized representative may:

(1) Submit written comments, documents, records, and other material relating to the request for benefits for the review or reviewers to consider when conducting the review; and

(2) Receive from the health carrier, upon request and free of charge, reasonable access to, and copies of all documents, records and other information relevant to the covered person's request for benefits. A document, record, or other information shall be considered relevant to a covered person's request for benefits if the document, record, or other information:

(a) Was relied upon in making the benefit determination;

(b) Was submitted, considered, or generated in the course of making the adverse determination, without regard to whether the document, record, or other information was relied upon in making the benefit determination;

(c) Demonstrates that, in making the benefit determination, the health carrier, or its designated representatives consistently applied required administrative procedures and safeguards with respect to the covered person as other similarly situated covered persons; or

(d) Constitutes a statement of policy or guidance with respect to the health benefit plan concerning the denied health care service or treatment for the covered person's diagnosis, without regard to whether the advice or statement was relied upon in making the benefit determination.

The health carrier shall make the provisions of this section known to the covered person or, if applicable, the covered person's authorized representative within three working days after the date of receipt of the grievance.

Source: SL 2011, ch 219, § 80.

## Nearby sections

- [S.D. Codified Laws § 58-17I-1 Definitions](https://www.frixlaw.com/law-library/statutes/STATE_SD_T58_C17I_S58-17I-1.md)
- [S.D. Codified Laws § 58-17I-2 Health benefit plan defined](https://www.frixlaw.com/law-library/statutes/STATE_SD_T58_C17I_S58-17I-2.md)
- [S.D. Codified Laws § 58-17I-3 Urgent care request defined](https://www.frixlaw.com/law-library/statutes/STATE_SD_T58_C17I_S58-17I-3.md)
- [S.D. Codified Laws § 58-17I-4 Register of grievances required--Information to be compiled--Maintenance](https://www.frixlaw.com/law-library/statutes/STATE_SD_T58_C17I_S58-17I-4.md)
- [S.D. Codified Laws § 58-17I-6 Grievance procedures--Filing--Certificate of compliance--Contact information](https://www.frixlaw.com/law-library/statutes/STATE_SD_T58_C17I_S58-17I-6.md)
- [S.D. Codified Laws § 58-17I-7 Review of adverse determination--Time for filing--Designation and notice of reviewers--Scope of review](https://www.frixlaw.com/law-library/statutes/STATE_SD_T58_C17I_S58-17I-7.md)
- [S.D. Codified Laws § 58-17I-8 Rights of covered person or authorized representative on review--Access to documentation](https://www.frixlaw.com/law-library/statutes/STATE_SD_T58_C17I_S58-17I-8.md)
- [S.D. Codified Laws § 58-17I-9 Time for decision and notice--Calculation of time periods](https://www.frixlaw.com/law-library/statutes/STATE_SD_T58_C17I_S58-17I-9.md)
- [S.D. Codified Laws § 58-17I-10 Procedures for providing new or additional evidence](https://www.frixlaw.com/law-library/statutes/STATE_SD_T58_C17I_S58-17I-10.md)
- [S.D. Codified Laws § 58-17I-11 Issuance of decision--Required contents](https://www.frixlaw.com/law-library/statutes/STATE_SD_T58_C17I_S58-17I-11.md)
- [S.D. Codified Laws § 58-17I-12 Expedited review for adverse determinations involving urgent care requests--Appointment of peers for review](https://www.frixlaw.com/law-library/statutes/STATE_SD_T58_C17I_S58-17I-12.md)
- [S.D. Codified Laws § 58-17I-13 Transmission of necessary information for certain expedited reviews](https://www.frixlaw.com/law-library/statutes/STATE_SD_T58_C17I_S58-17I-13.md)
- [S.D. Codified Laws § 58-17I-14 Expedited review decision not initial determination for benefits--Notification--Time periods--Continuation of service involving concurrent review urgent care requests](https://www.frixlaw.com/law-library/statutes/STATE_SD_T58_C17I_S58-17I-14.md)
- [S.D. Codified Laws § 58-17I-15 Expedited review decision--Notification--Required contents](https://www.frixlaw.com/law-library/statutes/STATE_SD_T58_C17I_S58-17I-15.md)

---

Source: Frix Law Library, https://www.frixlaw.com/law-library/statutes/STATE_SD_T58_C17I_S58-17I-8. Check the current official text before relying on it. Not legal advice.