Section 1412 – Nonforfeiture benefits.
31A-22-1412. Nonforfeiture benefits. (1) (a) A long-term care insurance policy or certificate may not be delivered or issued for delivery in this state unless the policyholder or certificate holder has been offered the option of purchasing a policy or certificate including a nonforfeiture benefit. (b) The offer of a nonforfeiture benefit under Subsection (1)(a) may […]
Section 1413 – Claim information.
31A-22-1413. Claim information. If a claim under a long-term care insurance contract is denied, within 60 days of the date a written request by the policyholder or a representative of a policyholder is filed with the insurer, the insurer shall: (1) provide a written explanation of the reason for the denial; and (2) make available […]
Section 1414 – Marketing.
31A-22-1414. Marketing. A policy or rider shall comply with this part if it is advertised, marketed, or offered as: (1) long-term care insurance; or (2) nursing home insurance. Enacted by Chapter 116, 2001 General Session
Section 1415 – Living organ donor coverage.
Effective 5/12/2020 31A-22-1415. Living organ donor coverage. (1) For the purposes of this section, “living organ donor” means the same as that term is defined in Section 31A-22-655. (2) An insurer may not: (a) deny eligibility for coverage or limit coverage of a individual under a long-term care insurance policy or contract solely due to […]
Section 1502 – Motorboat liability coverage.
31A-22-1502. Motorboat liability coverage. (1) A liability insurance policy purchased to satisfy the owner’s or operator’s security requirement of Section 73-18c-301 shall: (a) name the motorboat owner or operator in whose name the policy was purchased, state that named insured’s address, the coverage afforded, the premium charged, the policy period, and the limits of liability; […]
Section 1407 – Restricted conditional terms.
31A-22-1407. Restricted conditional terms. (1) A long-term care insurance policy may not contain a provision that conditions eligibility: (a) for any benefits on a prior hospitalization requirement; (b) for benefits provided in an institutional care setting on the receipt of a higher level of institutional care; or (c) for any benefits on a prior institutionalization […]
Section 1307 – Use of consumer reports by residential dwelling liability insurers.
31A-22-1307. Use of consumer reports by residential dwelling liability insurers. (1) An insurer who uses consumer reports in connection with the underwriting of residential dwelling liability insurance shall establish and adhere to written procedures that: (a) identify the circumstances under which the insurer may request and the manner in which it will use consumer reports […]
Section 1308 – Use of loss history by insurers.
31A-22-1308. Use of loss history by insurers. (1) For purposes of this section: (a) “Adverse eligibility or rate decision” means: (i) declining insurance coverage; (ii) terminating insurance coverage; (iii) not renewing insurance coverage; or (iv) the charging of a higher rate for insurance coverage. (b) (i) “Loss reporting agency” means any person who regularly engages, […]
Section 1309 – Return of unearned premium upon cancellation of errors and omissions insurance.
31A-22-1309. Return of unearned premium upon cancellation of errors and omissions insurance. (1) As used in this section, “unearned premium” means the amount of the premium that is collected by the insurer in excess of premium earned as of the date of the cancellation of the errors and omissions insurance policy. (2) For an errors […]
Section 1401 – Application.
Effective 5/14/2019 31A-22-1401. Application. (1) The requirements of this part apply to individual policies and to group policies and certificates marketed in this state on or after July 1, 2001. (2) Entities subject to this part shall comply with other applicable insurance laws and rules unless they are in conflict with this part. (3) The […]