Utah Administrative Code
Topic - Insurance
Title R590 - Administration
Rule R590-203 - Health Grievance Review Process
Section R590-203-2 - Purpose and Scope
Universal Citation: UT Admin Code R 590-203-2
Current through Bulletin 2024-06, March 15, 2024
(1) The purpose of this rule is to ensure that a carrier's grievance review procedure for an individual and a group health insurance and disability income insurance plan complies with 29 CFR 2560.503-1, and Sections 31A-4-116 and 31A-22-629.
(2) This rule applies to individual and group:
(a) health
insurance;
(b) disability income
insurance; and
(c) health
maintenance organization contracts.
(3) Long term care and Medicare supplement policies are not considered health insurance under this rule.
(4) A d isability income insurance policy is exempt from R590-203-5.
(5) This rule does not apply to a health benefit plan that complies with R590-261, Health Benefit Plan Adverse Benefit Determinations.
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