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

• Petition for Rule Change
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Rules Being Proposed, Changed or Repealed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.

• New R590-237-8, Rural Health Notification.
  This is an amendment to an existing rule. Comments accepted until 09-14-2020. No hearing is scheduled. Earliest possible effective date is 09-21-2020.
• New R590-225-3, Documents Incorporated by Reference.
  This is an amendment to an existing rule. Comments accepted until 09-14-2020. No hearing is scheduled. Earliest possible effective date is 09-21-2020.
• R590-102, Insurance Department Fee Payment Rule.
  This is an amendment to an existing rule. Comments accepted until 07-31-2020. No hearing is scheduled. Earliest possible effective date is 08-07-2020.
• R590-231, Workers’ Compensation Market of Last Resort.
  This is a repeal of an existing rule. Comments accepted until 06-15-2020. No hearing is scheduled. Earliest possible effective date is 06-22-2020. This repeal has been withdrawn. It will be refiled at a later date.

Rules Completing the Rulemaking Process

• New R590-237, Access to Health Care Providers in Rural Counties.
  Rule changes put into effect 07-22-2020.
• New 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  Rule repealed effective 06-08-2020.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.
• R592-11, Title Insurance Producer Annual Report. Filing Form.
  Rule changes put into effect 12-23-2019.
• R590-283, Defrayal of State-Required Benefits. Filing Form.
  Rule put into effect 12-23-2019.
  • Adaptive Behavior Services/Applied Behavior Analysis (ABA) Billing Standard v3.1
• R590-233-2, Purpose and Scope. Filing Form.
  Rule changes put into effect 12-23-2019.
• R590-76, Health Maintenance Organizations and Limited Health Plans. Filing Form.
  Rule changes put into effect 12-23-2019.
• R590-277, Managed Care Health Benefit Plan Policy Standards. Filing Form.
  Rule put into effect 08-20-2019.
  • Utah Individual and Small Employer Health Benefit Plan Age Curve
  • Original Rule & Filing Form
• R590-281, License Applications Submitted by Individuals Who Have a Criminal Conviction. Filing Form.
  Rule put into effect 06-21-2019.
• R590-278, Consent Requests Under 18 USC 1033(e)(2). Filing Form.
  Rule changes put into effect 06-21-2019.
• R590-186, Bail Bond Surety Business. Filing Form.
  Rule changes put into effect 06-21-2019.
  • Renewal Application for Utah Resident Bail Bond Agency License
• R590-238-4, Annual Reporting Requirements. Filing Form.
  Rule changes put into effect 06-21-2019.
• R590-268, Small Employer Stop-Loss Insurance. Filing Form.
  Rule changes put into effect 06-21-2019.
  • Utah Stop-Loss Disclosure
  • Utah Stop-Loss Experience Report
• R590-146, Medicare Supplement Insurance Standards. Filing Form.
  Rule changes put into effect 06-07-2019.
  • Medicare Supplement Refund Calculation Form
  • Reporting Form for the Calculation of Benchmark Ratio Since Inception for Group Policies
  • Reporting Form for the Calculation of Benchmark Ratio Since Inception for Individual Policies
  • Form for Reporting Medicare Supplement Policies
  • Disclosure Statements
  • Outline of Medicare Supplement Coverage
  • 2010 Medicare Supplement Rate Data Template
• R590-218, Permitted Language for Reservation of Discretion Clauses. Filing Form.
  Rule repealed effective 06-07-2019.
• R590-155, Utah Life and Health Insurance Guaranty Association Summary Document. Filing Form.
  Rule changes put into effect 06-07-2019.
  • Notice of Protection Provided by the Utah Life and Health Insurance Guaranty Association
  • Original Rule & Filing Form
• R590-225-3, Documents Incorporated by Reference. Filing Form.
  Rule changes put into effect 05-22-2019.
  • Original Rule & Filing Form
• R590-126-2, Purpose and Scope. Filing Form.
  Rule changes put into effect 05-01-2019.
• R590-280, Counting Short-Term Funds. Filing Form.
  Rule put into effect 04-23-2019.
• R590-102-21, Dedicated Fees. Filing Form.
  Rule changes put into effect 03-26-2019.
• R590-186-5, Company License Renewal. Filing Form.
  Rule changes put into effect 02-07-2019.