Utah Insurance Rules — R590 and R592

Insurance rules are issued to implement or interpret the Utah Insurance Code or federal mandates and have the effect of law.

• List of Current Rules

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Rules Being Proposed, Changed or Repealed

Your written comments are encouraged. Please direct your comments to Steve Gooch by email: sgooch@utah.gov; FAX 801-538-3829; or mail: State Office Building, Room 3110, Salt Lake City, UT 84114.

In compliance with the Americans with Disabilities Act, individuals desiring to attend a hearing listed below, who need special accommodations during the hearing (including auxiliary communicative aids and services), should notify us as directed above.

If no hearing is scheduled on a rule listed below, the department will schedule one if they receive requests by mail, email or fax from 10 or more individuals or an organization composed of 10 or more members.

• R590-238-16, Acquisition of Control of or Merger with Domestic Company.
  This is an amendment to an existing rule. Comments accepted until 03-03-2021. No hearing is scheduled. Earliest possible effective date is 03-10-2021.
• R590-286, Minimum Standards for Short-Term Limited Duration Health Insurance.
  This is a change to a proposed rule. Comments accepted until 03-03-2021. No hearing is scheduled. Earliest possible effective date is 03-10-2021.
  • Short-Term Limited Duration Insurance Disclosure
  • Original filing
• R590-85, Accident and Health Insurance and Medicare Supplement Rates.
  This is a change to a proposed rule. Comments accepted until 03-03-2021. No hearing is scheduled. Earliest possible effective date is 03-10-2021.
  • Original filing
• R590-102, Insurance Department Fee Payment Rule.
  This is an amendment to an existing rule. Comments accepted until 02-16-2021. Hearing scheduled for 01-19-2021 at 10:00 am. Teleconference only due to COVID-19 restrictions; contact sgooch@utah.gov for details. Earliest possible effective date is 02-23-2021.
• R590-238-20, Fee Schedule. Initial Application. Renewal.
  This is an amendment to an existing rule. Comments accepted until 02-16-2021. No hearing is scheduled. Earliest possible effective date is 02-23-2021.
• R590-285, Limited Long-Term Care Insurance.
  This is a change to a proposed rule. Comments accepted until 02-16-2021. No hearing is scheduled. Earliest possible effective date is 02-23-2021.
  • Original filing
  • Appendix A: Potential Premium Increase Disclosure Form
  • Appendix B: Notice to Applicant Regarding Replacement of Individual Accident and Sickness or Limited Long-Term Care Insurance or Long-Term Care Insurance
  • Appendix C: Notice to Applicant Regarding Replacement of Accident and Sickness or Limited Long-Term Care Insurance or Long-Term Care Insurance
  • Appendix D: Outline of Coverage
  • Appendix E: Replacement and Lapse Reporting Form
  • Appendix F: Guidelines for Long-Term Care Independent Review Entities
• R590-284, Corporate Governance Annual Disclosure Rule.
  This is an amendment to an existing rule. Comments accepted until 02-01-2021. No hearing is scheduled. Earliest possible effective date is 02-08-2021.

Rules Completing the Rulemaking Process

• New R590-160, Adjudicative Proceedings.
  Rule changes put into effect 01-22-2021.
• New R590-231, Workers’ Compensation Market of Last Resort.
  Rule repealed effective 01-22-2021.
• R590-244, Individual and Agency Licensing Requirements.
  Rule changes put into effect 01-08-2021.
• R590-281, License Applications Submitted by Individuals Who Have a Criminal Conviction.
  Rule changes put into effect 12-23-2020.
• R590-258, Email Address Requirement.
  Rule changes put into effect 11-23-2020.
• R590-237-8, Rural Health Notification.
  Rule changes put into effect 09-22-2020.
• R590-225-3, Documents Incorporated by Reference.
  Rule changes put into effect 09-22-2020.
• R590-102, Insurance Department Fee Payment Rule.
  Rule changes put into effect 08-10-2020.
• R590-237, Access to Health Care Providers in Rural Counties.
  Rule changes put into effect 07-22-2020.
• R590-131, Accident and Health Coordination of Benefits Rule.
  Rule changes put into effect 07-22-2020.
• R590-278, Consent Requests Under 18 USC 1033(e)(2).
  Rule repealed effective 06-08-2020.
• R590-281-4, Eligibility to Apply for a License.
  Rule changes put into effect 06-08-2020.
• R590-160, Adjudicative Proceedings.
  Rule changes put into effect 06-08-2020.
• R590-277-4, Prohibited Policy Provisions.
  Rule changes put into effect 04-22-2020.
• R590-102, Insurance Department Fee Payment Rule.
  Rule changes put into effect 03-10-2020.
• R590-160-9, Agency Review.
  Rule changes put into effect 03-10-2020.
• R590-284, Corporate Governance Annual Disclosure Rule.
  Rule put into effect 03-10-2020.
• R590-271, Data Reporting for Consumer Quality Comparison.
  Rule changes put into effect 01-22-2020.
  • Transparency Administration Performance Standard v1.5
  • Transparency Denial Standard v1.5
• R590-260, Utah Defined Contribution Risk Adjuster Plan of Operation.
  Rule repealed effective 01-22-2020.
• R590-164, Uniform Health Billing Rule.
  Rule changes put into effect 01-22-2020.
  • Adaptive Behavior Services/Applied Behavior Analysis (ABA) Billing Standard v3.1
  • Dental Claim Billing Standard – J430 v4
  • NPI and Atypical Provider Identifier Standard v3.1
  • Transparency Administration Performance Standard v1.5
  • Transparency Denial Standard v1.5
• R590-282, Pharmacy Benefit Manager Reporting. Filing Form.
  Rule put into effect 01-14-2020.
  • PBM Application
  • Reporting Form
  • Reporting Instructions
  • Signature Form
• R590-267, Personal Injury Protection Relative Value Study Rule. Filing Form.
  Rule changes put into effect 01-01-2020.