Utah Administrative Code
Topic - Insurance
Title R590 - Administration
Rule R590-220 - Submission of Accident and Health Insurance Filings
Section R590-220-8 - Additional Procedures for Individual Accident and Health Market Filings
Universal Citation: UT Admin Code R 590-220-8
Current through Bulletin 2024-06, March 15, 2024
(1)
(a) An insurer filing an individual accident
and health insurance filing shall comply with:
(i) Title 31A, Chapter 22, Part 6, Accident
and Health Insurance;
(ii) Rule
R590-85;
(iii) Rule
R590-122;
(iv) Rule
R590-126;
(v) Rule
R590-131;
(vi) Rule
R590-192;
(vii) Rule
R590-203;
(viii) Rule R590-215;
and
(ix) Rule
R590-286.
(b) An insurer
filing a health benefit plan filing shall comply with:
(i) Title 31A, Chapter 30, Individual, Small
Employer, and Group Health Insurance Act;
(ii) Title 31A, Chapter 45, Managed Care
Organizations;
(iii) Rule
R590-167;
(iv) Rule
R590-176;
(v) Rule
R590-194;
(vi) Rule
R590-200;
(vii) Rule
R590-233;
(viii) Rule
R590-237;
(ix) Rule
R590-247;
(x) Rule
R590-259;
(xi) Rule
R590-261;
(xii) Rule
R590-266;
(xiii) Rule
R590-269;
(xiv) Rule
R590-271;
(xv) Rule R590-277;
and
(xvi) Rule
R590-283.
(2) Rate Filings.
(a) A rate filing submitted
with a new form filing is a file and use filing.
(b) A rate revision filing is a file for
acceptance filing.
(c)
(i) An individual accident and health
insurance policy, rider, or endorsement affecting a benefit shall be
accompanied by a rate filing with an actuarial memorandum signed by a qualified
actuary.
(ii) A rate filing is not
required if the form filing does not impact the premium, however the filing
description shall explain the reason there is not a change in the
premium.
(3) A long-term care insurance filing, including an endorsement or rider attached to a life insurance policy, shall comply with:
(a) Title 31A, Chapter 22, Part 14, Long-Term
Care Insurance Standards;
(b) Rule
R590-148; and
(c) Sections
R590-220-12,
R590-220-13, and
R590-220-15.
(4) A limited long-term care insurance filing shall comply with:
(a) Title 31A, Chapter 22,
Part 20, Limited Long-Term Care Insurance Act;
(b) Rule R590-285; and
(c) Sections
R590-220-12,
R590-220-14, and
R590-220-15.
(5) A Medicare supplement filing shall comply with:
(a) Section
31A-22-620;
(b) Rule R590-85;
(c) Rule R590-146; and
(d) Sections
R590-220-11 and
R590-220-15.
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