DAR File No. 44000

This notice was published in the September 15, 2019, issue (Vol. 2019, No. 18) of the Utah State Bulletin.

Insurance, Administration

Rule R590-167

Individual, Small Employer, and Group Health Benefit Plan Rule

Five-Year Notice of Review and Statement of Continuation

DAR File No.: 44000
Filed: 08/20/2019 10:49:22 AM


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

Subsection 31A-2-201(3)(a) authorizes the Insurance Commissioner to write rules to implement the provisions of the Insurance Code, Title 31A. Subsection 31A-30-106(1)(k) � which is now (h) and will be nonsubstantively amended presently � authorizes the Insurance Commissioner to revise rules written for Sections 31A-22-602 and 31A-22-605 regarding individual accident and health policy rates that allow rating in accordance with Section 31A-30-106. Subsection 31A-30-106.1(10) gives direction in the rating of new health benefit plans into which new enrollees are enrolling.

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 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 should be continued because it is a valuable consumer protection. It regulates and prevents abuse in insurer rating practices, assures that consumers receive credit for previous coverage, and limits the use of restrictive riders.

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

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



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/b20190915.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.