State Codes and Statutes
Statutes > South-dakota > Title-58 > Chapter-17c > Statute-58-17c-9358-17C-93. Additional voluntary review--Required notice--Rights of covered person(s) or authorized representatives. Upon receipt of a request for an additional voluntary review, the health carrier shall send notice to the covered person or, if applicable, the covered person's authorized representative of the covered person's right to:
(1) Request the opportunity to appear in person before a review panel of the health carrier's designated representatives within five working days after the date of receipt of the notice;
(2) Receive from the health carrier, upon request, copies of all documents, records, and other information that is not confidential or privileged relevant to the covered person's request for benefits;
(3) Present the covered person's case to the review panel;
(4) Submit written comments, documents, records, and other material relating to the request for benefits for the review panel to consider when conducting the review both before and, if applicable, at the review meeting;
(5) If applicable, ask questions of any representative of the health carrier on the review panel; and
(6) Be assisted or represented by an individual of the covered person's choice.
The covered person's right to a fair review may not be made conditional on the covered person's appearance at the review.
Source: SL 2003, ch 250, § 44.
