Current through Bulletin 2024-24, December 15, 2024
Section 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;(iii) Chapter 100 of the Internal Revenue Code; and(b) as a blanket insurance policy.Utah Admin. Code R590-286-2
Adopted by Utah State Bulletin Number 2021-07, effective 3/11/2021