# S.D. Codified Laws § 58-17I-9: Time for decision and notice--Calculation of time periods

> South Dakota · Statutes · In force

URL: https://www.frixlaw.com/law-library/statutes/STATE_SD_T58_C17I_S58-17I-9

## Section

- **Citation:** S.D. Codified Laws § 58-17I-9
- **Heading:** Time for decision and notice--Calculation of time periods
- **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-9

## Text

A health carrier shall notify and issue a decision in writing or electronically to the covered person or, if applicable, the covered person's authorized representative, within the following time frames:

(1) With respect to a grievance requesting a first level review of an adverse determination involving a prospective review request, the health carrier shall notify and issue a decision within a reasonable period of time that is appropriate given the covered person's medical condition, but no later than thirty days after the date of the health carrier's receipt of the grievance requesting the first level review made pursuant to § 58-17I-7 ; or

(2) With respect to a grievance requesting a first level review of an adverse determination involving a retrospective review request, the health carrier shall notify and issue a decision within a reasonable period of time, but no later than sixty days after the date of the health carrier's receipt of the grievance requesting the first level review made pursuant to § 58-17I-7 .

For purposes of calculating the time periods within which a determination is required to be made and notice provided under this section, the time period shall begin on the date the grievance requesting the review is filed with the health carrier in accordance with the health carrier's procedures established pursuant to § 58-17I-6 for filing a request, without regard to whether all of the information necessary to make the determination accompanies the filing.

Source: SL 2011, ch 219, § 81.

## 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)

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Source: Frix Law Library, https://www.frixlaw.com/law-library/statutes/STATE_SD_T58_C17I_S58-17I-9. Check the current official text before relying on it. Not legal advice.