Section R590-190-3 - DefinitionsTerms used in this rule are defined in Section 31A-1-301. Additional terms are defined as follows:
(1) "Authorized agent" means an individual, corporation, association, organization, partnership, or other legal entity authorized to represent an insurer with respect to a claim.(2) "Claim file" means a record either in its original form or as recorded by a process that can accurately and reliably reproducer the original material regarding a claim, its investigation, adjustment, and settlement.(3)(a) "Claimant" means a first party claimant, a third party claimant, or both.(b) "Claimant" includes a claimant's designated legal representative and an immediate family member.(4) "Day" means calendar day.(5) "Documentation" means a physical or an electronic record related to a claim.(6)(a) "First party claimant" means a person asserting a right to a benefit under a policy to which the person is a party.(b) "First party claimant" includes a person's designated legal representative and an immediate family member.(7) "General business practice" means a pattern of conduct in a business.(8) "Investigation" means an activity by or on behalf of an insurer related to determining a claim under a policy.(9) "Notice of loss" means a claimant's notice that reasonably informs an insurer of facts related to a claim.(10) "Proof of loss" means an insured's reasonable documentation in support of a claim.(11) "Third party claimant" means a person asserting a claim against an insured.Utah Admin. Code R590-190-3
Adopted by Utah State Bulletin Number 2024-03, effective 1/24/2024