Utah Administrative Code
Topic - Insurance
Title R590 - Administration
Rule R590-131 - Accident and Health Coordination of Benefits Rule
Section R590-131-4 - Coordination of Benefits Contract Provisions
Current through Bulletin 2024-06, March 15, 2024
(1) A COB provision may not be used that permits a plan to reduce the plan benefits on the basis that an enrollee is eligible to enroll in another plan and the enrollee did not enroll in that plan.
(2)
(3) A plan may not use a COB or other provision that reduces the plan's benefits for non-conforming benefits.
(4) A coordinated package is one plan and there is no COB among the multiple plans or separate parts of a plan.
(5) If a plan coordinates benefits, the plan shall state the type of coverage that will be considered in applying the COB provision.
(6) Whether a plan uses the term "plan" or some other term such as "program," the definition may not be broader than the definition of "plan."