Utah Code 31A-22-657. Application of health insurance mandates
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(1) As used in this section:
Terms Used In Utah Code 31A-22-657
- Enrollee: includes an insured. See Utah Code 31A-1-301
- Order: means an order of the commissioner. See Utah Code 31A-1-301
(1)(a) “Cost-sharing mandate” means a statutory requirement limiting a cost-sharing requirement.
(1)(b) “Cost-sharing requirement” means a copayment, coinsurance, or deductible required by or on behalf of an enrollee in order to receive a benefit under a qualified high-deductible health plan.
(1)(c) “Health savings account” means the same as that term is defined in 26 U.S.C. § 223(d)(1).
(1)(d) “Qualified high-deductible health plan” means a high-deductible health plan as defined in 26 U.S.C. § 223(c)(2)(A) that is used in conjunction with a health savings account.
(2)
(2)(a) Except as provided in Subsection (2)(b), if under federal law, a cost-sharing mandate would result in an enrollee becoming ineligible for a health savings account, the cost-sharing mandate applies only to the enrollee’s qualified high-deductible health plan after the enrollee satisfies the enrollee’s health plan deductible.
(2)(b) Subsection (2)(a) does not apply to an item or service that is preventive care under 26 U.S.C. § 223(c)(2)(C).