Utah Code 31A-2-216. Office of Consumer Health Assistance
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(1) The commissioner shall establishan Office of Consumer Health Assistance before July 1, 1999.
Terms Used In Utah Code 31A-2-216
- Disability: means a physiological or psychological condition that partially or totally limits an individual's ability to:(51)(a) perform the duties of:(51)(a)(i) that individual's occupation; or(51)(a)(ii) an occupation for which the individual is reasonably suited by education, training, or experience; or(51)(b) perform two or more of the following basic activities of daily living:(51)(b)(i) eating;(51)(b)(ii) toileting;(51)(b)(iii) transferring;(51)(b)(iv) bathing; or(51)(b)(v) dressing. See Utah Code 31A-1-301
- health insurance: means insurance providing:
(84)(a)(i) a health care benefit; or(84)(a)(ii) payment of an incurred health care expense. See Utah Code 31A-1-301- 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- Proceeding: includes an action or special statutory proceeding. See Utah Code 31A-1-301
- State: when applied to the different parts of the United States, includes a state, district, or territory of the United States. See Utah Code 68-3-12.5
(2) The office shall:(2)(a) be a resource for health insurance consumers concerning health insurance coverage or the need for such coverage;(2)(b) help health insurance consumers understand:(2)(b)(i) contractual rights and responsibilities;(2)(b)(ii) statutory protections; and(2)(b)(iii) available remedies, including adverse benefit determination processes;(2)(c) educate health insurance consumers:(2)(c)(i) by producing or collecting and disseminating educational materials to consumersand health insurers; and(2)(c)(ii) through outreach and other educational activities;(2)(d) for health insurance consumers that have difficulty in accessing their health insurance policies because of language, disability, age, or ethnicity, provide information and services, directly or through referral;(2)(e) analyze and monitor federal and state consumer health insurance statutes, rules, and regulations; and(2)(f) summarize information gathered under this section and make the summaries available to the public, government agencies, and the Legislature.(3) The office may:(3)(a) obtain data from health insurance consumers as necessary to further the office’s duties under this section;(3)(b) investigate complaints and attempt to resolve complaints at the lowest possible level; and(3)(c) assist, but not testify or represent, a consumer in an adverse benefit determination, arbitration, judicial, or related proceeding, unless the proceeding is in connection with an enforcement action under Section31A-2-308 .(4) The commissioner may adopt rules necessary to implement the requirements of this section. - health insurance: means insurance providing: