Department of Labor and Regulation

Title - Division of Insurance email the Division of Insurance

Small Employers' Options for Guaranteed Health Insurance

Small employers, those with two to 50 employees, must be offered coverage without medical underwriting. Coverage must be extended to all eligible employees and their dependents. An eligible employee is defined as a permanent employee who works a minimum of 30 hours per week.

The plans must be actively marketed to all employers whether the employer would ordinarily qualify for underwriting or not. It is still the employer's choice whether to purchase a health plan and which plan to purchase.


Division of Insurance
445 E. Capitol Avenue
Pierre, SD 57501
Tel. 605.773.3563
Fax. 605.773.5369