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.


Utah Admin. Code R590-203-2
Amended by Utah State Bulletin Number 2022-12, effective 5/26/2022

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