Utah Admin. Code R590-268-5 - Lasering

The following lasering practices are prohibited under Section 31A-43-301:

(1) assigning a different attachment point for an individual based on the individual's expected claims or a given diagnosis;

(2) assigning a deductible to an individual that must be met before stop-loss coverage applies;

(3) denying stop-loss coverage to an individual who is otherwise covered by the small employer's health plan; and

(4) applying an actively at work exclusion to stop-loss coverage.

Notes

Utah Admin. Code R590-268-5

Amended by Utah State Bulletin Number 2016-1, effective 12/9/2015 Amended by Utah State Bulletin Number 2019-14, effective 6/21/2019 Amended by Utah State Bulletin Number 2023-10, effective 5/9/2023