DAR File No. 43785
This notice was published in the July 1, 2019, issue (Vol. 2019, No. 13) of the Utah State Bulletin.
Insurance, Administration
Rule R590-192
Unfair Accident and Health Claims Settlement Practices
Five-Year Notice of Review and Statement of Continuation
DAR File No.: 43785
Filed: 06/10/2019 05:10:20 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:
Subsections 31A-2-201(1) and 31A-2-201(3)(a) authorize the Insurance Commissioner to administer, enforce, and make rules to implement the provisions of the Insurance Code, Title 31A. Subsection 31A-26-301(1) authorizes the Insurance Commissioner to write rules to ensure the timely payment of claims. Section 31A-26-301 and Subsection 31A-21-312(5) authorize the Insurance Commissioner to write rules regarding notice of loss and proof of loss. Subsection 31A-26-303(4) authorizes the Insurance Commissioner to define by rule acts that are considered to be unfair claim settlement practices. Subsections 31A-2-202(4) and 31A-2-202(6) authorize the Insurance Commissioner to require timely, accurate, and complete responses to the Commissioner.
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 Insurance Department 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 is a major consumer protection regulation. It sets parameters and timelines for payment of health insurance claims. Therefore, this rule should be continued.
The full text of this rule may be inspected, during regular business hours, at the Office of Administrative Rules, or at:
InsuranceAdministration
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 sgooch@utah.gov
Effective:
06/10/2019
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/2019/b20190701.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 sgooch@utah.gov. For questions about the rulemaking process, please contact the Office of Administrative Rules.