Utah Administrative Code
Topic - Insurance
Title R590 - Administration
Rule R590-250 - Professional Employer Organization License Procedure and Assurance Organization Designation
Section R590-250-4 - Fully Insured Health Benefit Plan
Universal Citation: UT Admin Code R 590-250-4
Current through Bulletin 2024-06, March 15, 2024
(1) A fully insured health benefit plan may include financial responsibility for claims assumed by the PEO if the insurer is responsible for 100% of the PEO's liability for non-payment by the PEO.
(2) A covered individual in a fully insured health benefit plan may make a claim for payment directly to the insurer.
(3) A fully insured health benefit plan may have co-pay or deductible requirements as required by contract.
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