Utah Admin. Code R590-261-3 - Scope
(1) Except as
provided in Subsection (2), this rule applies to all health benefit plans as
defined in
31A-1-301 except for
a grandfathered health plan as defined in
45 CFR
147.140.
(2) If all grandfathered health benefit plans
are administered consistently, a carrier may, for the grandfathered health
benefit plans, voluntarily comply with the independent review process set forth
in this rule, otherwise a grandfathered health benefit plan is subject to
R590-203.
(3) A self-funded health
plan may voluntarily comply with the independent review process set forth in
this rule.
Notes
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