R590-261-13. Disclosure Requirements

(1) A carrier shall include a description of the independent review procedure in or attached to the policy and certificate, and may include a description with other evidence of coverage provided to the insured. (2) The description required in Subsection (1) shall: (a) include a statement that informs the insured: (i) of the right to file a request for an independent review of a final adverse benefit determination, including the website, phone number, and address of the Utah Insurance Department; and (ii) that an authorization to obtain medical records is required for reaching a decision; and (b) be listed after the description of an appeal procedure.