# S.D. Codified Laws § 58-18-4.4: Requirements for insurer offering fully insured health benefit plan through association

> South Dakota · Statutes · In force

URL: https://www.frixlaw.com/law-library/statutes/STATE_SD_T58_C18_S58-18-4.4

## Section

- **Citation:** S.D. Codified Laws § 58-18-4.4
- **Heading:** Requirements for insurer offering fully insured health benefit plan through association
- **Jurisdiction:** South Dakota
- **Kind:** Statutes
- **Status:** In force
- **Text as of:** August 14, 2026
- **Source:** Compiled text
- **Location:** SD Code / Title 58 / Chapter 18 / Section 58-18-4.4

## Text

A health insurer offering a fully insured health benefit plan through an association shall:

(1) Guarantee acceptance of all eligible individuals under the employer members' association or fully insured multiple employer arrangement and, if coverage is offered to spouses and dependents, to all of the spouses and dependents;

(2) Provide a bronze health plan that has an actuarial value of sixty percent;

(3) Comply with all applicable state mandates; and

(4) Have premium rates that meet a minimum loss ratio of eighty-five percent.

Source: SL 2019, ch 212, § 5.

## Nearby sections

- [S.D. Codified Laws § 58-18-1 Group health insurance defined](https://www.frixlaw.com/law-library/statutes/STATE_SD_T58_C18_S58-18-1.md)
- [S.D. Codified Laws § 58-18-2 Employee group insurance authorized--Employees defined](https://www.frixlaw.com/law-library/statutes/STATE_SD_T58_C18_S58-18-2.md)
- [S.D. Codified Laws § 58-18-3 Employer association group health insurance authorized--Employees defined](https://www.frixlaw.com/law-library/statutes/STATE_SD_T58_C18_S58-18-3.md)
- [S.D. Codified Laws § 58-18-4 Industry fund group insurance authorized--Employees defined](https://www.frixlaw.com/law-library/statutes/STATE_SD_T58_C18_S58-18-4.md)
- [S.D. Codified Laws § 58-18-4.1 Restrictions on issuance of group health insurance policy to association](https://www.frixlaw.com/law-library/statutes/STATE_SD_T58_C18_S58-18-4.1.md)
- [S.D. Codified Laws § 58-18-4.2 Required duration of participation by employer member in association plan](https://www.frixlaw.com/law-library/statutes/STATE_SD_T58_C18_S58-18-4.2.md)
- [S.D. Codified Laws § 58-18-4.3 Association plan covering state residents to comply with state law](https://www.frixlaw.com/law-library/statutes/STATE_SD_T58_C18_S58-18-4.3.md)
- [S.D. Codified Laws § 58-18-4.4 Requirements for insurer offering fully insured health benefit plan through association](https://www.frixlaw.com/law-library/statutes/STATE_SD_T58_C18_S58-18-4.4.md)
- [S.D. Codified Laws § 58-18-5 Issuance to person or organization to which group life insurance policy may be issued](https://www.frixlaw.com/law-library/statutes/STATE_SD_T58_C18_S58-18-5.md)
- [S.D. Codified Laws § 58-18-6 Issuance to cover similar group subject to discretion of director](https://www.frixlaw.com/law-library/statutes/STATE_SD_T58_C18_S58-18-6.md)
- [S.D. Codified Laws § 58-18-6.1 Coverage of proprietors, partners and executive corporate officer employees](https://www.frixlaw.com/law-library/statutes/STATE_SD_T58_C18_S58-18-6.1.md)
- [S.D. Codified Laws § 58-18-7 Continuation without evidence of insurability--Application](https://www.frixlaw.com/law-library/statutes/STATE_SD_T58_C18_S58-18-7.md)
- [S.D. Codified Laws § 58-18-7.1 Coverage for inpatient treatment of alcoholism to be offered in group policies--Treatment within state included](https://www.frixlaw.com/law-library/statutes/STATE_SD_T58_C18_S58-18-7.1.md)
- [S.D. Codified Laws § 58-18-7.2 Benefits provided under alcoholism coverage--Maximum treatment periods permitted](https://www.frixlaw.com/law-library/statutes/STATE_SD_T58_C18_S58-18-7.2.md)

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Source: Frix Law Library, https://www.frixlaw.com/law-library/statutes/STATE_SD_T58_C18_S58-18-4.4. Check the current official text before relying on it. Not legal advice.