Section 303 – Stop-loss insurance disclosure.
Effective 5/8/2018 31A-43-303. Stop-loss insurance disclosure. A stop-loss insurance contract delivered, issued for delivery, or entered into shall include the disclosure exhibit required by the commissioner through administrative rule, which shall include at least the following information: (1) the complete costs for the stop-loss contract; (2) the date on which the insurance takes effect and […]
Section 304 – Administrative rules.
Effective 5/13/2014 31A-43-304. Administrative rules. The commissioner may adopt administrative rules in accordance with Title 63G, Chapter 3, Utah Administrative Rulemaking Act, to: (1) implement this chapter; (2) define lasering practices that are prohibited by this chapter; (3) establish the form and manner of the actuarial certification and the annual report on stop-loss experience required […]
Section 301 – Stop-loss insurance coverage standards.
Effective 5/12/2015 31A-43-301. Stop-loss insurance coverage standards. (1) A small employer stop-loss insurance contract shall: (a) be issued to the small employer to provide insurance to the group health benefit plan, not the employees of the small employer; (b) have a contract term with guaranteed rates for at least 12 months, without adjustment, unless there […]
Section 302 – Stop-loss restrictions — Filing requirements.
Effective 5/13/2014 31A-43-302. Stop-loss restrictions — Filing requirements. (1) A stop-loss insurer shall file the stop-loss insurance contract form and rate methodology with the commissioner pursuant to Sections 31A-2-201 and 31A-2-201.1 before the stop-loss insurance contract may be issued or delivered in the state. (2) A stop-loss insurer shall file with the commissioner, annually on […]
Section 201 – Scope of chapter.
31A-43-201. Scope of chapter. (1) This chapter establishes criteria for the issuance of stop-loss insurance contracts or re-insurance contracts for small employers that establish self-funded or partially self-funded health plans for the small employer’s employees. This chapter does not: (a) impose any requirement or duty on any person other than a stop-loss insurer or re-insurer […]
Section 202 – Laws applicable to stop-loss insurance.
31A-43-202. Laws applicable to stop-loss insurance. A stop-loss insurance contract or a re-insurance contract issued to a small employer that establishes a self-funded or partially self-funded health plan: (1) is not reinsurance under this title, and is not subject to the regulations for reinsurance under this title; (2) is subject to regulation as stop-loss insurance […]