R590-233-2. Purpose and Scope

(1) The purpose of this rule is to: (a) standardize and simplify the terms and coverage of a health benefit plan contract; (b) facilitate public understanding and comparison of coverage; (c) prohibit use of a provision that is misleading or confusing in connection with the purchase of coverage or the settlement of a claim; (d) set minimum coverage requirements; and (e) provide for full disclosure in the sale of insurance. (2)(a) Except as excluded in Subsection (2)(b), this rule applies to a health benefit plan contract. (b) This rule does not apply to a: (i) health benefit plan issued to an employee group under Section 31A-22-502; (ii) health benefit plan subject to Rule R590-277; or (iii) short-term limited duration health insurance contract subject to Rule R590-286.