Section 203 – Renewal process.
Effective 5/10/2016 31A-44-203. Renewal process. In order to renew a registration under this section, a provider shall: (1) pay an annual fee established by the department in accordance with Section 63J-1-504; (2) submit an updated provider disclosure statement that complies with Section 31A-44-301; (3) submit a copy of the most recent version of the continuing […]
Section 204 – Actuarial review.
Effective 5/10/2016 31A-44-204. Actuarial review. (1) (a) This section applies only to a provider that directly or indirectly offers a future guarantee of continuing care that the department determines develops current actuarial liabilities. (b) This section does not apply to a provider that offers continuing care under a fee-for-service model with a required entrance fee. […]
Section 205 – Suspension or revocation of registration.
Effective 5/10/2016 31A-44-205. Suspension or revocation of registration. The department may suspend or revoke a provider’s registration if the provider intentionally violates this chapter. Enacted by Chapter 270, 2016 General Session
Section 206 – Management by others.
Effective 5/10/2016 31A-44-206. Management by others. A provider may not contract for total management of a facility unless the provider notifies the department. Enacted by Chapter 270, 2016 General Session
Section 301 – Precontractual recording requirements.
Effective 5/10/2016 31A-44-301. Precontractual recording requirements. (1) A provider shall file with the department a current disclosure statement that meets the requirements of this part. (2) A provider shall comply with Subsection (1) before the provider: (a) contracts to provide continuing care to a resident in this state; (b) extends the term of an existing […]
Section 302 – Delivery of disclosure statement.
Effective 5/10/2016 31A-44-302. Delivery of disclosure statement. (1) A provider shall deliver a disclosure statement to an individual before the earlier of the date: (a) the provider executes a continuing care contract with the individual; or (b) the individual transfers an entrance fee or a nonrefundable deposit to the provider. (2) The most recently filed […]
Section 303 – Cover page of disclosure statement.
Effective 5/10/2016 31A-44-303. Cover page of disclosure statement. The cover page of a disclosure statement shall state: (1) the disclosure statement’s date in a prominent location and in type that is boldfaced, capitalized, underlined, or otherwise set out from the surrounding written material so as to be conspicuous; (2) that the provider is required to […]
Section 304 – Disclosure statement — Contents — Provider characteristics.
Effective 5/10/2016 31A-44-304. Disclosure statement — Contents — Provider characteristics. A provider disclosure statement shall contain: (1) the name and business address of each provider officer, director, trustee, and managing or general partner of the provider; (2) the name and business address of each person who has at least a 10% interest in the provider […]
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 […]