Utah Code 31A-2-215. Consumer education
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(1) In furtherance of the purposes in Section 31A-1-102 , the commissioner may educate consumers about insurance and provide consumer assistance.
Terms Used In Utah Code 31A-2-215
- Complaint: A written statement by the plaintiff stating the wrongs allegedly committed by the defendant.
- Insurance: includes :(96)(b)(i) a risk distributing arrangement providing for compensation or replacement for damages or loss through the provision of a service or a benefit in kind;(96)(b)(ii) a contract of guaranty or suretyship entered into by the guarantor or surety as a business and not as merely incidental to a business transaction; and(96)(b)(iii) a plan in which the risk does not rest upon the person who makes an arrangement, but with a class of persons who have agreed to share the risk. See Utah Code 31A-1-301
- Policy: includes a service contract issued by:
(150)(b)(i) a motor club under Chapter 11, Motor Clubs;(150)(b)(ii) a service contract provided under Chapter 6a, Service Contracts; and(150)(b)(iii) a corporation licensed under:(150)(b)(iii)(A) Chapter 7, Nonprofit Health Service Insurance Corporations; or(150)(b)(iii)(B) Chapter 8, Health Maintenance Organizations and Limited Health Plans. See Utah Code 31A-1-301- Proceeding: includes an action or special statutory proceeding. See Utah Code 31A-1-301
(2) Consumer education may include:(2)(a) outreach activities; and(2)(b) the production or collection and dissemination of educational materials.(3) Consumer assistance may include:(3)(a) explaining:(3)(a)(i) the terms of a policy;(3)(a)(ii) a policy’s complaint, grievance, or adverse benefit determination procedure; and(3)(a)(iii) the fundamentals of self-advocacy; and(3)(b) informal efforts to negotiate a resolution of a dispute between a consumer and a licensee.(4)(4)(a) Notwithstanding Subsection (3) and Section31A-2-216 , consumer assistance may not include:(4)(a)(i) commencing an administrative, judicial, or other proceeding against a licensee to obtain specific relief from the licensee for a specific consumer; or(4)(a)(ii) otherwise representing a consumer in any administrative, judicial, or other proceeding.(5) Nothing in this section prohibits the commissioner from taking enforcement action for violations under Section31A-2-308 .(6) The commissioner may adopt rules necessary to implement the requirements of this section. - Policy: includes a service contract issued by: