Utah Administrative Code
Topic - Insurance
Title R590 - Administration
Rule R590-275 - Qualified Health Plan Alternate Enrollment
Section R590-275-4 - Alternate Enrollment Process
Current through Bulletin 2024-06, March 15, 2024
(1) If an insurer will have no health insurance exchange option available for the upcoming plan year due to the insurer no longer offering an individual QHP in a particular service area in which it previously offered coverage on the health insurance exchange, the health insurance exchange shall direct enrollment for an enrollee to a QHP issued by a different insurer subject to Subsection (3) and the insurer's ability to absorb new enrollment.
(2) At renewal, if an enrollee does not have an individual QHP available from the same insurer through the health insurance exchange in which to enroll, the health insurance exchange shall direct enrollment for an enrollee to a QHP issued by a different insurer subject to Subsection (3) and the insurer's ability to absorb new enrollment.
(3)
(4) The alternate enrollment provisions in Subsection (3) do not apply to an enrollee who terminates coverage, including termination of coverage in connection with voluntarily selecting a different QHP in accordance with 45 CFR 155.430.