Utah Code 31A-22-623. Coverage of inborn metabolic errors
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(1) As used in this section:
Terms Used In Utah Code 31A-22-623
- 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(1)(a) “Dietary products” means medical food or a low protein modified food product that:(1)(a)(i) is specifically formulated to treat inborn errors of amino acid or urea cycle metabolism;(1)(a)(ii) is not a natural food that is naturally low in protein; and(1)(a)(iii) is used under the direction of a physician.(1)(b) “Inborn errors of amino acid or urea cycle metabolism” means a disease caused by an inherited abnormality of body chemistry which is treatable by the dietary restriction of one or more amino acid.(2) The commissioner shall establish, by rule, minimum standards of coverage for dietary products used for the treatment of inborn errors of amino acid or urea cycle metabolism at levels consistent with the major medical benefit provided under an accident and health insurance policy. - Policy: includes a service contract issued by: