R590-203-4. Adverse Benefit Determination

(1) An adverse benefit determination review procedure shall comply with the adverse benefit determination review requirements set forth in 29 CFR 2560.503-1. (2) A carrier's adverse benefit determination appeal board or body shall include at least one consumer representative who is present at every meeting. (3) A carrier's adverse benefit determination notice shall conspicuously disclose the carrier's address and telephone number before the Utah Insurance Department's address and telephone number.