Utah Admin. Code R590-250-4 - Fully Insured Health Benefit Plan
(1) A fully insured health benefit plan may
include financial responsibility for claims assumed by the PEO if the insurer
is responsible for 100% of the PEO's liability for non-payment by the
PEO.
(2) A covered individual in a
fully insured health benefit plan may make a claim for payment directly to the
insurer.
(3) A fully insured health
benefit plan may have co-pay or deductible requirements as required by
contract.
Notes
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