Utah Pharmacy Premium Impact Survey

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Instructions & Forms
Who is Required to File?
General Instructions
How to get the Survey

Instructions & form

The 2024 Utah Pharmacy Premium Impact Survey is an annual survey specifically for Utah’s individual, small group, and large group comprehensive hospital & medical markets. Its purpose is to fulfill the statutory requirements of Utah Code § 31A-48-103(2).

Who is required to file?

This survey must be completed and filed by all health insurers in Utah who provide Comprehensive Hospital & Medical (Major Medical) Insurance in the individual, small group, or large group markets. All other insurers are exempt.

Submit the completed survey form to the Utah Insurance Department by August 1, 2025. Failure to file by the deadline may subject your company to the enforcement penalties under Utah Code § 31A-2-308.

General instructions

We encourage you to carefully review the instructions and the new survey form to ensure accurate data reporting. This will help minimize the need for corrections after submission. As always, we're here to assist you if you have any questions about understanding or completing the survey form.

The Utah Insurance Department only accepts electronic submissions of the Utah Pharmacy Premium Impact Survey. Please submit your completed survey as an Excel spreadsheet through the UID secure file upload website:

https://portal.uid.utah.gov/sife

All survey files must be uploaded to the “Health Research” folder. Do not use any other folder for your submission. We cannot accept data submissions in any other format.

Remember to include a contact person with accurate contact information, including a valid telephone number and email address.

All data in the survey form should be whole numbers. Using decimals can lead to rounding errors when the data is processed.

Finally, please submit only one company per Excel form. Filings with multiple companies or multiple Excel sheets will not import correctly.

Getting your survey materials

You can download the instructions, signature form, and survey form from the links provided below. The survey instructions and the signature form are available in Adobe PDF format. The survey form itself is an Excel data entry form.

Important Information:

Be sure to read the instructions thoroughly before you start filling out the form.

Please Note: The survey's formatting has been updated. Make sure you use the most current form.

If you have any questions about the survey, feel free to contact the Research Analyst at uid.healthresearch@utah.gov.

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