Utah Admin. Code R590-286-2 - Purpose and Scope

(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.

Notes

Utah Admin. Code R590-286-2

Adopted by Utah State Bulletin Number 2021-07, effective 3/11/2021