Utah Code 31A-22-1404. Rulemaking authority
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The commissioner may adopt rules that may permit or include:
(1) the increase of benefits over time;
Terms Used In Utah Code 31A-22-1404
- Filing: when used as a noun, means an item required to be filed with the department including:(70)(a) a policy;(70)(b) a rate;(70)(c) a form;(70)(d) a document;(70)(e) a plan;(70)(f) a manual;(70)(g) an application;(70)(h) a report;(70)(i) a certificate;(70)(j) an endorsement;(70)(k) an actuarial certification;(70)(l) a licensee annual statement;(70)(m) a licensee renewal application;(70)(n) an advertisement;(70)(o) a binder; or(70)(p) an outline of coverage. 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
- Premium: includes , however designated:(156)(b)(i) an assessment;(156)(b)(ii) a membership fee;(156)(b)(iii) a required contribution; or(156)(b)(iv) monetary consideration. See Utah Code 31A-1-301
- Rate: means :(163)(a)(i) the cost of a given unit of insurance; or(163)(a)(ii) for property or casualty insurance, that cost of insurance per exposure unit either expressed as:(163)(a)(ii)(A) a single number; or(163)(a)(ii)(B) a pure premium rate, adjusted before the application of individual risk variations based on loss or expense considerations to account for the treatment of:(163)(a)(ii)(B)(I) expenses;(163)(a)(ii)(B)(II) profit; and(163)(a)(ii)(B)(III) individual insurer variation in loss experience. See Utah Code 31A-1-301
(2) standards for full and fair disclosure of the manner, content, and required disclosures for the sale of long-term care insurance policies;
(3) terms of renewability;
(4) initial and subsequent conditions of eligibility;
(5) nonduplication of coverage provisions;
(6) coverage of dependents;
(7) termination of coverage;
(8) continuation or conversion;
(9) probationary periods;
(10) limitations, exceptions, and reductions of coverage;
(11) preexisting conditions;
(12) elimination and waiting periods;
(13) requirements for replacement;
(14) recurrent conditions;
(15) definition of terms;
(16) loss ratio requirements;
(17) post claim underwriting;
(18) waiver of premium;
(19) independent review of benefit determinations;
(20) inflation protection benefits; and
(21) premium rate filing and review.