South Dakota § 58-18B-15 - Provisions for premium rates.

Full text of South Dakota South Dakota Codified Laws § 58-18B-15 — Provisions for premium rates., with citation guidance and answers to common questions.

§ 58-18B-15. Provisions for premium rates.

Premium rates for health benefit plans subject to this chapter are subject to the following provisions:

(1)    Adjustments in rates for claim experience, health status, and duration of coverage may not be charged to individual employees or dependents. Any such adjustments shall be applied uniformly to the rates charged for all employees and dependents of the small employer;

(2)    A small employer carrier may utilize industry as a case characteristic in establishing premium rates, if the highest rate factor associated with any industry classification does not exceed the lowest rate factor associated with any industry classification by more than fifteen percent;

(3)    Small employer carriers shall apply rating factors, including case characteristics, consistently with respect to all small employers in a class of business;

(4)    For the purposes of this section, a health benefit plan that utilizes a restricted provider network is not considered similar coverage to a health benefit plan that does not utilize such a network, if utilization of the restricted provider network results in substantial differences in claims costs; and

(5)    No small employer carrier may use case characteristics, other than age, gender, industry, family composition, and group size without prior approval of the director.

Source: SL 1995, ch 281, § 8.

Source: official South Dakota text · Last verified 2026-08-27

Frequently Asked Questions About South Dakota § 58-18B-15

What does South Dakota Codified Laws § 58-18B-15 cover?

Section 58-18B-15 ("Provisions for premium rates.") is part of the South Dakota Codified Laws, the codified statutory law of South Dakota. It sets out the legal rule or procedure described in the text above. Statutes are amended regularly, so always verify against the official source.

How do I cite South Dakota § 58-18B-15?

A common citation format is "South Dakota Codified Laws § 58-18B-15" (South Dakota). Legal writing may require the code abbreviation, section number, and year or edition. Match the style required by your court, professor, or publisher.

Is this the official text of South Dakota law?

No. This page is for research and education and may not include the most recent amendments. For official current law, check the South Dakota official source linked on this page or consult a licensed South Dakota attorney.

How does South Dakota § 58-18B-15 apply to my situation?

Statutes are interpreted in context, and application depends on your specific facts. Only a licensed attorney in South Dakota can advise on how this section applies to you. Contact your state or local bar association for a referral.

Sources & Verification

Not legal advice. Verify against the official source and consult a licensed attorney in South Dakota.