Utah Code 31A-23b-209. Agency designations
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(1) An organization shall be licensed as a navigator agency if the organization acts as a navigator.
Terms Used In Utah Code 31A-23b-209
- Agency: means :(6)(a) a person other than an individual, including a sole proprietorship by which an individual does business under an assumed name; and(6)(b) an insurance organization licensed or required to be licensed under Section
31A-23a-301 ,31A-25-207 , or31A-26-209 . See Utah Code 31A-1-301- Contract: A legal written agreement that becomes binding when signed.
- Damages: Money paid by defendants to successful plaintiffs in civil cases to compensate the plaintiffs for their injuries.
- Department: means the Insurance Department. See Utah Code 31A-1-301
- Evidence: Information presented in testimony or in documents that is used to persuade the fact finder (judge or jury) to decide the case for one side or the other.
- Form: means one of the following prepared for general use:
(74)(a)(i) a policy;(74)(a)(ii) a certificate;(74)(a)(iii) an application;(74)(a)(iv) an outline of coverage; or(74)(a)(v) an endorsement. See Utah Code 31A-1-301- Individual: means a natural person. See Utah Code 31A-1-301
- License: includes a certificate of authority issued to an insurer. 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) A navigator agency that does business in the state shall designate an individual who is licensed under this chapter to act on the agency’s behalf.(3) A navigator agency shall report to the commissioner, at intervals and in the form the commissioner establishes by rule made in accordance with Title 63G, Chapter 3, Utah Administrative Rulemaking Act:(3)(a) a new designation under Subsection (2); and(3)(b) a terminated designation under Subsection (2).(4) A navigator agency shall notify an individual designee that the individual’s designation is terminated by the agency and of the reason for termination at an interval and in the form the commissioner establishes by rule made in accordance with Title 63G, Chapter 3, Utah Administrative Rulemaking Act.(5)(5)(a) A navigator agency licensed under this chapter shall report to the commissioner the cause of termination of a designation if:(5)(a)(i) the reason for termination is a reason described in Subsection 31A-23b-401(4)(b); or(5)(a)(ii) the navigator agency has knowledge that the individual licensee engaged in an activity described in Subsection 31A-23b-401(4)(b) by:(5)(a)(ii)(A) a court;(5)(a)(ii)(B) a government body; or(5)(a)(ii)(C) a self-regulatory organization, which the commissioner may define by rule made in accordance with Title 63G, Chapter 3, Utah Administrative Rulemaking Act.(5)(b) The information provided to the commissioner under Subsection (5)(a) is a private record under Title 63G, Chapter 2, Government Records Access and Management Act.(5)(c) A navigator agency is immune from civil action, civil penalty, or damages if the agency complies in good faith with this Subsection (5) by reporting to the commissioner the cause of termination of a designation.(5)(d) A navigator agency is not immune from an action or resulting penalty imposed on the reporting agency as a result of proceedings brought by or on behalf of the department if the action is based on evidence other than the report submitted in compliance with this Subsection (5).(6) A navigator agency licensed under this chapter may act in a capacity for which it is licensed only through an individual who is licensed under this chapter to act in the same capacity.(7) A navigator agency licensed under this chapter shall designate and report to the commissioner, in accordance with any rule made by the commissioner pursuant to Title 63G, Chapter 3, Utah Administrative Rulemaking Act, the name of the designated responsible licensed individual who has authority to act on behalf of the navigator agency in the matters pertaining to compliance with this title and orders of the commissioner.(8) If a navigator agency has a contract with or designates a licensee in reports submitted under Subsection (3) or (7), there is a rebuttable presumption that the contracted or designated licensee acts on behalf of the navigator agency.(9)(9)(a) When a license is held by a navigator agency, both the navigator agency itself and any individual contracted or designated under the navigator agency license are considered the holders of the navigator agency license for purposes of this section.(9)(b) If an individual contracted or designated under the navigator agency license commits an act or fails to perform a duty that is a ground for suspending, revoking, or limiting the navigator agency license, or assessing a forfeiture under Subsection 31A-2-308(1)(b)(i) or (1)(c)(i), the commissioner may assess a forfeiture, suspend, revoke, or limit the license of, or take a combination of these actions against:(9)(b)(i) the individual;(9)(b)(ii) the navigator agency, if the navigator agency:(9)(b)(ii)(A) is reckless or negligent in its supervision of the individual; or(9)(b)(ii)(B) knowingly participates in the act or failure to act that is the ground for suspending, revoking, or limiting the license, or assessing a forfeiture; or(9)(b)(iii)(9)(b)(iii)(A) the individual; and(9)(b)(iii)(B) the navigator agency, if the agency meets the requirements of Subsection (9)(b)(ii).