Utah Administrative Code
Topic - Insurance
Title R590 - Administration
Rule R590-261 - Health Benefit Plan Adverse Benefit Determinations
Section R590-261-12 - Disclosure Requirements
Universal Citation: UT Admin Code R 590-261-12
Current through Bulletin 2024-06, March 15, 2024
(1) A carrier shall include a description of the independent review procedure in or attached to the policy and certificate, and may include a description with other evidence of coverage provided to the insured.
(2) The description required in Subsection (1) shall include a statement that informs the insured:
(a) of the right to file a request for an
independent review of a final adverse benefit determination, including the
website, phone number, and address of the Utah Insurance Department;
and
(b) that an authorization to
obtain medical records is required for reaching a decision.
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