Utah Admin. Code R590-277-2 - Purpose and Scope
(1) The purpose of
this rule is to:
(a) standardize and simplify
the terms and coverage of a managed care health benefit plan;
(b) facilitate public understanding and
comparison of coverage;
(c)
prohibit use of a provision that is misleading or confusing in connection with
the purchase of coverage or the settlement of a claim;
(d) set minimum coverage requirements;
and
(e) provide for full disclosure
in the sale of insurance.
(2) This rule applies to a health benefit
plan issued by a managed care organization.
(3) This rule does not apply to short-term
limited duration health insurance subject to Rule R590-286.
Notes
State regulations are updated quarterly; we currently have two versions available. Below is a comparison between our most recent version and the prior quarterly release. More comparison features will be added as we have more versions to compare.
(1) The purpose of this rule is to provide reasonable standardization and simplification of terms and coverages of a managed care health benefit plan policy in order to:
(a) facilitate public understanding and comparison;
(b) prohibit provisions which may be misleading or confusing in connection either with the purchase of such coverages or with the settlement of claims; and
(c) provide for full disclosure.
(2) This rule applies to any health benefit plan issued by a managed care organization to an individual or group, including policies issued to an association, trust, discretionary group, or other similar group.
(3) This rule does not apply to short-term limited duration health insurance that complies with both R590-85, Individual Accident and Health Insurance and Individual and Group Medicare Supplement rates, and R590-126, Accident and Health Insurance Standards.