Utah Admin. Code R590-220-8 - Additional Procedures for Individual Accident and Health Market Filings

(1)

(a) An insurer filing an individual accident and health insurance filing shall comply with:

(i) Title 31A, Chapter 22, Part 6, Accident and Health Insurance;

(ii) Rule R590-85;

(iii) Rule R590-122;

(iv) Rule R590-126;

(v) Rule R590-131;

(vi) Rule R590-192;

(vii) Rule R590-203;

(viii) Rule R590-215; and

(ix) Rule R590-286.

(b) An insurer filing a health benefit plan filing shall comply with:

(i) Title 31A, Chapter 30, Individual, Small Employer, and Group Health Insurance Act;

(ii) Title 31A, Chapter 45, Managed Care Organizations;

(iii) Rule R590-167;

(iv) Rule R590-176;

(v) Rule R590-194;

(vi) Rule R590-200;

(vii) Rule R590-233;

(viii) Rule R590-237;

(ix) Rule R590-247;

(x) Rule R590-259;

(xi) Rule R590-261;

(xii) Rule R590-266;

(xiii) Rule R590-269;

(xiv) Rule R590-271;

(xv) Rule R590-277; and

(xvi) Rule R590-283.

(2) Rate Filings.

(a) A rate filing submitted with a new form filing is a file and use filing.

(b) A rate revision filing is a file for acceptance filing.

(c)

(i) An individual accident and health insurance policy, rider, or endorsement affecting a benefit shall be accompanied by a rate filing with an actuarial memorandum signed by a qualified actuary.

(ii) A rate filing is not required if the form filing does not impact the premium, however the filing description shall explain the reason there is not a change in the premium.

(3) A long-term care insurance filing, including an endorsement or rider attached to a life insurance policy, shall comply with:

(a) Title 31A, Chapter 22, Part 14, Long-Term Care Insurance Standards;

(b) Rule R590-148; and

(c) Sections R590-220-12, R590-220-13, and R590-220-15.

(4) A limited long-term care insurance filing shall comply with:

(a) Title 31A, Chapter 22, Part 20, Limited Long-Term Care Insurance Act;

(b) Rule R590-285; and

(c) Sections R590-220-12, R590-220-14, and R590-220-15.

(5) A Medicare supplement filing shall comply with:

(a) Section 31A-22-620;

(b) Rule R590-85;

(c) Rule R590-146; and

(d) Sections R590-220-11 and R590-220-15.

Notes

Utah Admin. Code R590-220-8

Amended by Utah State Bulletin Number 2015-20, effective 9/23/2015 Adopted by Utah State Bulletin Number 2023-12, effective 3/23/2016 Adopted by Utah State Bulletin Number 2023-13, effective 6/9/2023