Utah Admin. Code R590-203-2 - Purpose and Scope
(1) The purpose
of this rule is to ensure that a carrier's grievance review procedure for an
individual and a group health insurance and disability income insurance plan
complies with
29 CFR
2560.503-1, and Sections
31A-4-116
and
31A-22-629.
(2) This rule applies to
individual and group:
(a) health
insurance;
(b) disability income
insurance; and
(c) health
maintenance organization contracts.
(3) Long term care and Medicare supplement
policies are not considered health insurance under this rule.
(4) A d isability income insurance policy is
exempt from
R590-203-5.
(5) This rule does not apply to a health
benefit plan that complies with R590-261, Health Benefit Plan Adverse Benefit
Determinations.
Notes
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