Utah Code 31A-43-303. Stop-loss insurance disclosure
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A stop-loss insurance contract delivered, issued for delivery, or entered into shall include the disclosure exhibit required by the commissioner through administrative rule, which shall include at least the following information:
(1) the complete costs for the stop-loss contract;
Terms Used In Utah Code 31A-43-303
- Attachment: A procedure by which a person's property is seized to pay judgments levied by the court.
- Contract: A legal written agreement that becomes binding when signed.
- 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(2) the date on which the insurance takes effect and terminates, including renewability provisions;(3) the aggregate attachment point and the specific attachment point;(4) limitations on coverage;(5) an explanation of monthly accommodation and disclosure about any monthly accommodation features included in the stop-loss contract;(6) a description of terminal liability funding, including the cost of processing claims before and after the termination of the contract;(7) maximum claims liability to the employer; and(8) a summary of the policy. - Policy: includes a service contract issued by: