Utah Admin. Code R590-286-2 - Purpose and Scope
(1) The purpose of
this rule is to:
(a) standardize and simplify
the terms of coverage of a short-term limited duration health insurance
contract;
(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;
(e)
establish requirements for a producer that offers a short-term limited duration
health insurance policy; and
(f)
provide for full disclosure in the sale of insurance.
(2) This rule applies to a short-term limited
duration health insurance contract.
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 short-term limited duration health insurance policy or certificate to:
(a) facilitate public understanding and comparison;
(b) eliminate provisions that may be misleading or confusing in connection either with the purchase of such coverage or with the settlement of a claim;
(c) comply with certain minimum requirements;
(d) set forth requirements on insurance producers that offer short-term limited duration health insurance policies; and
(e) provide for full disclosure and notice to consumers.
(2)
(a) Except as provided in Subsections R590-286-2(2)(b) and R590-286-2(3), this rule applies to a short-term limited duration health insurance policy or certificate.
(b) This rule shall not apply to:
(i) Medicare supplement policies subject to Section 31A-22-620;
(ii) long-term care insurance policies subject to Title 31A, Chapter 22, Part 14 and Rule R590-148;
(iii) limited long-term care insurance policies subject to Title 31A, Chapter 22, Part 20 and Rule R590-285; or
(iv) TRICARE formerly known as the Civilian Health and Medical Program of the Uniformed Services, CHAMPUS, supplement insurance policies.
(3) A short-term limited duration health insurance policy or certificate may not be offered:
(a) to an employer group as directed by:
(i) Part A of Title XXVII of the Public Health Services Act;
(ii) Part 7 of ERISA; or
(iii) Chapter 100 of the Internal Revenue Code; and
(b) as a blanket insurance policy.