Utah Code § 31A-22-624

Current through the 2024 Fourth Special Session
Section 31A-22-624 - Primary care physician or physician assistant

An accident and health insurance policy that requires an insured to select a primary care physician to receive optimum coverage:

(1) shall permit an insured to select a participating provider who:
(a) is an:
(i) obstetrician;
(ii) gynecologist;
(iii) pediatrician; or
(iv) physician assistant who works with a physician:
(A) providing primary care; or
(B) described in Subsections (1)(a)(i), (ii), or (iii); and
(b) is qualified and willing to provide primary care services, as defined by the health care plan, as the insured's provider from whom primary care services are received;
(2) shall clearly state in literature explaining the policy the option available to insureds under Subsection (1); and
(3) may not impose a higher premium, higher copayment requirement, or any other additional expense on an insured because the insured selected a primary care physician in accordance with Subsection (1).

Utah Code § 31A-22-624

Amended by Chapter 349, 2019 General Session ,§ 26, eff. 5/14/2019.
Amended by Chapter 308, 2002 General Session.