DAR File No. 42230

This notice was published in the November 1, 2017, issue (Vol. 2017, No. 21) of the Utah State Bulletin.


Insurance, Administration

Rule R590-266

Utah Essential Health Benefits Package

Five-Year Notice of Review and Statement of Continuation

DAR File No.: 42230
Filed: 10/16/2017 04:08:34 PM

NOTICE OF REVIEW AND STATEMENT OF CONTINUATION

Concise explanation of the particular statutory provisions under which the rule is enacted and how these provisions authorize or require the rule:

Subsection 31A-30-116(3)(b) requires the Insurance Commissioner to adopt a rule that designates the essential health benefits that shall be included in health care plans in the small employer group and individual markets. NOTE: Section 31A-30-116 was erroneously repealed without replacement during the renumbering from Title 31A, Chapter 30, to Title 31A, Chapter 45, as a result of H.B. 336 during the 2017 General Session. It is proposed to be reenacted in the Insurance Department's cleanup bill for the 2018 General Session.

Summary of written comments received during and since the last five-year review of the rule from interested persons supporting or opposing the rule:

The Department of Insurance has received no written comments regarding this rule during the past five years.

Reasoned justification for continuation of the rule, including reasons why the agency disagrees with comments in opposition to the rule, if any:

This rule must be continued for Utah to maintain self-governance of its health insurance market. One provision of the Affordable Care Act allows each state to designate the essential health benefits that must be included in the small employer group and individual market health care plans; if the state does not designate such benefits, the federal government will enforce federal standards.

The full text of this rule may be inspected, during regular business hours, at the Office of Administrative Rules, or at:

Insurance
Administration
Room 3110 STATE OFFICE BLDG
450 N MAIN ST
SALT LAKE CITY, UT 84114-1201

Direct questions regarding this rule to:

  • Steve Gooch at the above address, by phone at 801-538-3803, by FAX at 801-538-3829, or by Internet E-mail at [email protected]

Effective:

10/16/2017

Authorized by:

Steve Gooch, Information Specialist


Additional Information

More information about a Five-Year Notice of Review and Statement of Continuation is available online.

The Portable Document Format (PDF) version of the Bulletin is the official version. The PDF version of this issue is available at https://rules.utah.gov/publicat/bull_pdf/2017/b20171101.pdf. The HTML edition of the Bulletin is a convenience copy. Any discrepancy between the PDF version and HTML version is resolved in favor of the PDF version.

For questions regarding the content or application of this rule, please contact Steve Gooch at the above address, by phone at 801-538-3803, by FAX at 801-538-3829, or by Internet E-mail at [email protected].  For questions about the rulemaking process, please contact the Office of Administrative Rules.