Section R590-167-2 - Purpose and Scope(1) The purpose of this rule is to: (a) enhance the availability of health insurance coverage to individuals and small employers;(b) regulate and prevent abuse in insurer rating practices and establish limits on differences in rates between health benefit plans;(c) ensure renewability of coverage;(d) establish limitations on the use of preexisting condition exclusions;(e) prescribe the way case characteristics may be used;(f) regulate the use and establishment of separate classes of business;(g) provide for portability;(h) improve the overall fairness and efficiency of the individual and small employer health insurance market;(i) promote broader spreading of risk in the individual and small employer marketplace; and(j) regulate rating practices for all health benefit plans sold to an individual and a small employer, whether sold directly or through an association or another group of individuals and small employers.(2)(a) This rule applies to a health benefit plan that:(i) meets one or more of the criteria in Subsections 31A-30-104(1) and 31A-30-104(2); and(ii) provides coverage to a covered insured in Utah.(b) A carrier that issues a health benefit plan to an individual or small employer is not subject to this rule solely because an individual or a small employer that was issued a health benefit plan in another state moves to Utah.Utah Admin. Code R590-167-2
Adopted by Utah State Bulletin Number 2024-05, effective 2/21/2024