R590-220-8
R590-220-8. Additional Procedures for Individual Accident and Health Market Filings
Cite as Utah Admin. Code R590-220-8
(1)(a) An insurer filing an individual accident and health insurance filing shall comply with:
(i) Title 31A, Chapter 22, Part 6, Accident and Health Insurance;
(ii) Rule R590-85;
(iii) Rule R590-122;
(iv) Rule R590-126;
(v) Rule R590-131;
(vi) Rule R590-192;
(vii) Rule R590-203;
(viii) Rule R590-215; and
(ix) Rule R590-286.
(b) An insurer filing a health benefit plan filing shall comply with:
(i) Title 31A, Chapter 30, Individual, Small Employer, and Group Health Insurance Act;
(ii) Title 31A, Chapter 45, Managed Care Organizations;
(iii) Rule R590-167;
(iv) Rule R590-176;
(v) Rule R590-194;
(vi) Rule R590-200;
(vii) Rule R590-233;
(viii) Rule R590-237;
(ix) Rule R590-247;
(x) Rule R590-259;
(xi) Rule R590-261;
(xii) Rule R590-266;
(xiii) Rule R590-269;
(xiv) Rule R590-271;
(xv) Rule R590-277; and
(xvi) Rule R590-283.
(2) Rate Filings.
(a) A rate filing submitted with a new form filing is a file and use filing.
(b) A rate revision filing is a file for acceptance filing.
(c)(i) An individual accident and health insurance policy, rider, or endorsement affecting a benefit shall be accompanied by a rate filing with an actuarial memorandum signed by a qualified actuary.
(ii) A rate filing is not required if the form filing does not impact the premium, however the filing description shall explain the reason there is not a change in the premium.
(3) A long-term care insurance filing, including an endorsement or rider attached to a life insurance policy, shall comply with:
(a) Title 31A, Chapter 22, Part 14, Long-Term Care Insurance Standards;
(b) Rule R590-148; and
(c) Sections R590-220-12, R590-220-13, and R590-220-15.
(4) A limited long-term care insurance filing shall comply with:
(a) Title 31A, Chapter 22, Part 20, Limited Long-Term Care Insurance Act;
(b) Rule R590-285; and
(c) Sections R590-220-12, R590-220-14, and R590-220-15.
(5) A Medicare supplement filing shall comply with:
(a) Section 31A-22-620;
(b) Rule R590-85;
(c) Rule R590-146; and
(d) Sections R590-220-11 and R590-220-15.