Utah Admin. Code R590-126-2 - Purpose and Scope
(1) Purpose. The
purpose of this rule is to provide reasonable standardization and
simplification of terms and coverages of insurance policies in order to
facilitate public understanding and comparison and to prohibit provisions which
may be misleading or confusing in connection either with the purchase of such
coverages or with the settlement of claims, and to provide for full disclosure
in the sale of such insurance.
(2)
Scope.
(a) This regulation applies to:
(i) all individual accident and health
insurance policies and group supplemental health policies and certificates,
delivered or issued for delivery in this state on and after January 1, 2006,
that are not specifically exempted from this regulation, regardless of:
(A) whether the policy is issued to an
association; a trust; a discretionary group; or other similar grouping;
or
(B) the situs of delivery of the
policy or contract; and (ii) all dental plans and vision plans.
(b) This rule shall not
apply to:
(i) employer accident and health
insurance, as defined in Section
31A-22-502;
(ii) policies issued to employees or members
as additions to franchise plans in existence on the effective date of this
regulation;
(iii) Medicare
supplement policies subject to Section
31A-22-620;
(iv) civilian Health and Medical
Program of the Uniformed Services, Chapter 55, title 10 of the United States
Code, CHAMPUS supplement insurance policies; or
(v) a health benefit plan that complies with
R590-277, Managed Care Health Benefit Plan Policy Standards.
(3) The requirements
contained in this regulation shall be in addition to any other applicable
regulations previously adopted.
Notes
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