Terms Used In Utah Code > Title 31A > Chapter 22 > Part 14 - Long-Term Care Insurance Standards

• ACEC: means an area of critical environmental concern as defined in Utah Code 63J-8-102
• Agency: includes :
                 (1)(a)(ii)(A) executive branch entities;
                 (1)(a)(ii)(B) judicial branch entities; and
                 (1)(a)(ii)(C) the State Board of Education. See Utah Code 63J-5-102
• Agency: includes executive branch entities and judicial branch entities. See Utah Code 63J-7-101
• American Rescue Plan Act: means the American Rescue Plan Act, Pub. See Utah Code 63J-4-801
• Application: means a document:
       (10)(a)

            (10)(a)(i) completed by an applicant to provide information about the risk to be insured; and

            (10)(a)(ii) that contains information that is used by the insurer to evaluate risk and decide whether to:

                 (10)(a)(ii)(A) insure the risk under:

                      (10)(a)(ii)(A)(I) the coverage as originally offered; or

                      (10)(a)(ii)(A)(II) a modification of the coverage as originally offered; or

                 (10)(a)(ii)(B) decline to insure the risk; or
       (10)(b) used by the insurer to gather information from the applicant before issuance of an annuity contract. See Utah Code 31A-1-301
• Appropriation: The provision of funds, through an annual appropriations act or a permanent law, for federal agencies to make payments out of the Treasury for specified purposes. The formal federal spending process consists of two sequential steps: authorization
• Beneficiary: A person who is entitled to receive the benefits or proceeds of a will, trust, insurance policy, retirement plan, annuity, or other contract. ^{Source: OCC}
• BLM: means the United States Bureau of Land Management. See Utah Code 63J-8-102
• Certificate: means evidence of insurance given to:
       (23)(a) an insured under a group insurance policy; or
       (23)(b) a third party. See Utah Code 31A-1-301
• City: includes , depending on population, a metro township as defined in Section 10-3c-102. See Utah Code 68-3-12.5
• Contingency disclosure and plan: means , with respect to a federal funds reauthorization or new federal funds request, the submitting or requesting agency's:
            (1)(b)(i) disclosure of:

                 (1)(b)(i)(A) the likelihood that the amount or value of the federal funds will be reduced, and how that likelihood changes over time; and

                 (1)(b)(i)(B) the likelihood that the federal funds will become unavailable, and how that likelihood changes over time;
            (1)(b)(ii) explanation of:

                 (1)(b)(ii)(A) whether accepting the federal funds may create an expectation of ongoing funding by any beneficiary of the funds; and

                 (1)(b)(ii)(B) as applicable, how the agency will communicate to stakeholders that services funded by the federal funds may or will be temporary;
            (1)(b)(iii) plan for how the agency will:

                 (1)(b)(iii)(A) proceed if the amount or value of the federal funds are unexpectedly reduced in any material degree or amount;

                 (1)(b)(iii)(B) proceed if the federal funds become unavailable unexpectedly;

                 (1)(b)(iii)(C) wind down the program or services funded by the federal funds when the federal funds are exhausted; and

                 (1)(b)(iii)(D) transition any beneficiaries of the funds to a different program or service provider if the agency is unable to continue providing the same program or services due to a decrease or loss of federal funds; and
            (1)(b)(iv) designation of the federal funds and the program or purpose for which the funds will be used as either:

                 (1)(b)(iv)(A) mandatory under federal or state law;

                 (1)(b)(iv)(B) high priority; or

                 (1)(b)(iv)(C) low priority. See Utah Code 63J-5-102
• Contract: A legal written agreement that becomes binding when signed.
• Corporation: A legal entity owned by the holders of shares of stock that have been issued, and that can own, receive, and transfer property, and carry on business in its own name.
• Donor: The person who makes a gift.
• Employee: means :
       (57)(a) an individual employed by an employer; or
       (57)(b) an individual who meets the requirements of Subsection (55)(b). See Utah Code 31A-1-301
• Endorsement: means a written agreement attached to a policy or certificate to modify the policy or certificate coverage. See Utah Code 31A-1-301
• Equal: means , with respect to biological sex, of the same value. See Utah Code 68-3-12.5
• Executive director: means the chief administrative officer of the office, appointed under Section 63J-4-202. See Utah Code 63J-4-102
• Federal funds: includes federal assistance and federal assistance programs, however described. See Utah Code 63J-5-102
• Federal funds reauthorization: means :
            (1)(d)(i) the formal submission from an agency to the federal government applying for or seeking reauthorization of federal funds which the state is currently receiving;
            (1)(d)(ii) the formal submission from an agency to the federal government applying for or seeking reauthorization to participate in a federal program in which the state is currently participating that will result in federal funds being transferred to an agency; or
            (1)(d)(iii) that period after the first year of a previously authorized and awarded grant or funding award, during which federal funds are disbursed or are scheduled to be disbursed after the first year because the term of the grant or financial award extends for more than one year. See Utah Code 63J-5-102
• Federal funds request summary: includes , if available:
                 (1)(e)(ii)(A) the letter awarding an agency a grant of federal funds or other official documentation awarding an agency a grant of federal funds; and
                 (1)(e)(ii)(B) a document detailing federal maintenance of effort requirements. See Utah Code 63J-5-102
• Federal land use designation: means one or a combination of the following congressional or federal actions included in proposed congressional land use legislation:
       (5)(a) designation of wilderness within the National Wilderness Preservation System;
       (5)(b) designation of a national conservation area;
       (5)(c) designation of a watercourse within the National Wild and Scenic River System;
       (5)(d) designation of an ACEC;
       (5)(e) designation of a national monument in accordance with the Antiquities Act or by Congress;
       (5)(f) designation of a national park within the National Park System;
       (5)(g) designation of a national recreational area; or
       (5)(h) any other designation, classification, categorization, reservation, withdrawal, or similar action that has the purpose or effect of eliminating, restricting, or reducing energy and mineral development, motorized travel, grazing, active vegetation management, or any other traditional multiple use on public land. See Utah Code 63J-8-102
• Federal maintenance of effort requirements: means any matching, level of effort, or earmarking requirements, as defined in Office of Management and Budget requirements, that are imposed on an agency as a condition of receiving federal funds. See Utah Code 63J-5-102
• Federal receipts: means the federal financial assistance, as defined in Utah Code 63J-5-301
• Fiduciary: A trustee, executor, or administrator.
• Filed: means that a filing is:
            (69)(a)(i) submitted to the department as required by and in accordance with applicable statute, rule, or filing order;
            (69)(a)(ii) received by the department within the time period provided in applicable statute, rule, or filing order; and
            (69)(a)(iii) accompanied by the appropriate fee in accordance with:

                 (69)(a)(iii)(A) Section 31A-3-103; or

                 (69)(a)(iii)(B) rule. See Utah Code 31A-1-301
• 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
• Fiscal year: The fiscal year is the accounting period for the government. For the federal government, this begins on October 1 and ends on September 30. The fiscal year is designated by the calendar year in which it ends; for example, fiscal year 2006 begins on October 1, 2005 and ends on September 30, 2006.
• FLPMA: means the Federal Land Policy and Management Act of 1976, Utah Code 63J-8-102
• Forest Service: means the United States Forest Service within the United States Department of Agriculture. See Utah Code 63J-8-102
• 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
• Grant: includes :
                 (1)(b)(ii)(A) a reauthorization of an existing grant; and
                 (1)(b)(ii)(B) a donation, regardless of whether it is subject to a formal grant agreement. See Utah Code 63J-7-101
• Grant program: means the COVID-19 Local Assistance Matching Grant Program established in Section 63J-4-802. See Utah Code 63J-4-801
• Grant summary: means a document detailing:
            (1)(e)(i) the amount of money that is being requested or is available to be received by the agency from a grant;
            (1)(e)(ii) the duration of the grant and provisions for its reauthorization or extension, if any;
            (1)(e)(iii) the name of the grantor;
            (1)(e)(iv) the purpose of the grant, including, in detail, any programs, resources, and positions required to be funded by the grant;
            (1)(e)(v) any requirements that the agency must meet as a condition to receive or participate in the grant; and
            (1)(e)(vi) the amount of state money, if any, that will be required in order to obtain the grant. See Utah Code 63J-7-101
• Grantor: The person who establishes a trust and places property into it.
• Grantor: means the individual, group of individuals, foundation, corporation, or public or private organization making the grant. See Utah Code 63J-7-101
• Health care: means any of the following intended for use in the diagnosis, treatment, mitigation, or prevention of a human ailment or impairment:
       (83)(a) a professional service;
       (83)(b) a personal service;
       (83)(c) a facility;
       (83)(d) equipment;
       (83)(e) a device;
       (83)(f) supplies; or
       (83)(g) medicine. See Utah Code 31A-1-301
• Individual: means a natural person. 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
• Insured: means a person to whom or for whose benefit an insurer makes a promise in an insurance policy and includes:
            (103)(a)(i) a policyholder;
            (103)(a)(ii) a subscriber;
            (103)(a)(iii) a member; and
            (103)(a)(iv) a beneficiary. See Utah Code 31A-1-301
• Intergovernmental transfer program: means an existing reimbursement program or category that is authorized by the Medicaid state plan or waiver authority for intergovernmental transfers. See Utah Code 63J-5-102
• Jurisdiction: (1) The legal authority of a court to hear and decide a case. Concurrent jurisdiction exists when two courts have simultaneous responsibility for the same case. (2) The geographic area over which the court has authority to decide cases.
• Land: includes :
       (18)(a) land;
       (18)(b) a tenement;
       (18)(c) a hereditament;
       (18)(d) a water right;
       (18)(e) a possessory right; and
       (18)(f) a claim. See Utah Code 68-3-12.5
• Lease: A contract transferring the use of property or occupancy of land, space, structures, or equipment in consideration of a payment (e.g., rent). ^{Source: OCC}
• Legislative session: That part of a chamber's daily session in which it considers legislative business (bills, resolutions, and actions related thereto).
• Life insurance: means :
            (114)(a)(i) insurance on a human life; and
            (114)(a)(ii) insurance pertaining to or connected with human life. See Utah Code 31A-1-301
• Local government: means a county, city, town, special district, or special service district. See Utah Code 63J-4-801
• Long-term care insurance: includes :
            (121)(b)(i) any of the following that provide directly or supplement long-term care insurance:

                 (121)(b)(i)(A) a group or individual annuity or rider; or

                 (121)(b)(i)(B) a life insurance policy or rider;
            (121)(b)(ii) a policy or rider that provides for payment of benefits on the basis of:

                 (121)(b)(ii)(A) cognitive impairment; or

                 (121)(b)(ii)(B) functional capacity; or
            (121)(b)(iii) a qualified long-term care insurance contract. See Utah Code 31A-1-301
• Medicare: means the "Health Insurance for the Aged Act" Title XVIII of the federal Social Security Act, as then constituted or later amended. See Utah Code 31A-1-301
• Month: means a calendar month, unless otherwise expressed. See Utah Code 68-3-12.5
• Multiple use: means proper stewardship of the subject lands pursuant to Section 103(c) of FLPMA, Utah Code 63J-8-102
• National conservation area: means an area designated by Congress and managed by the BLM. See Utah Code 63J-8-102
• National Wild and Scenic River System: means the National Wild and Scenic River System established in Utah Code 63J-8-102
• New federal funds: means :
            (1)(i)(i) federal assistance or other federal funds that are available from the federal government that:

                 (1)(i)(i)(A) the state is not currently receiving; or

                 (1)(i)(i)(B) exceed the federal funds amount most recently approved by the Legislature by more than 25% for a federal grant or program in which the state is currently participating;
            (1)(i)(ii) a federal assistance program or other federal program in which the state is not currently participating; or
            (1)(i)(iii) a one-time TANF request. See Utah Code 63J-5-102
• New federal funds request: means :
            (1)(j)(i) the formal submission from an agency to the federal government:

                 (1)(j)(i)(A) applying for or otherwise seeking to obtain new federal funds; or

                 (1)(j)(i)(B) applying for or seeking to participate in a new federal program that will result in federal funds being transferred to an agency; or
            (1)(j)(ii) a one-time TANF request. See Utah Code 63J-5-102
• New state money: includes money expended to meet federal maintenance of effort requirements. See Utah Code 63J-5-102
• New state money: means money, whether specifically appropriated by the Legislature or not, that the grantor requires Utah to expend as a condition for receiving the grant. See Utah Code 63J-7-101
• Obligation: An order placed, contract awarded, service received, or similar transaction during a given period that will require payments during the same or a future period.
• Office: means the Governor's Office of Planning and Budget created in Section 63J-4-201. See Utah Code 63J-4-102
• Office: means the Public Lands Policy Coordinating Office created in Section 63L-11-201. See Utah Code 63J-8-102
• OHV: means off-highway vehicle as defined in Section 41-22-2. See Utah Code 63J-8-102
• Outline of coverage: means a summary that explains an accident and health insurance policy. See Utah Code 31A-1-301
• Person: means :
       (24)(a) an individual;
       (24)(b) an association;
       (24)(c) an institution;
       (24)(d) a corporation;
       (24)(e) a company;
       (24)(f) a trust;
       (24)(g) a limited liability company;
       (24)(h) a partnership;
       (24)(i) a political subdivision;
       (24)(j) a government office, department, division, bureau, or other body of government; and
       (24)(k) any other organization or entity. See Utah Code 68-3-12.5
• Person: includes :
       (146)(a) an individual;
       (146)(b) a partnership;
       (146)(c) a corporation;
       (146)(d) an incorporated or unincorporated association;
       (146)(e) a joint stock company;
       (146)(f) a trust;
       (146)(g) a limited liability company;
       (146)(h) a reciprocal;
       (146)(i) a syndicate; or
       (146)(j) another similar entity or combination of entities acting in concert. See Utah Code 31A-1-301
• Planning coordinator: means the individual appointed as the planning coordinator under Section 63J-4-401. See Utah Code 63J-4-102
• 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
• Policy summary: means a synopsis describing the elements of a life insurance policy. See Utah Code 31A-1-301
• Policyholder: means a person who controls a policy, binder, or oral contract by ownership, premium payment, or otherwise. See Utah Code 31A-1-301
• Political subdivision: means :
       (4)(a) a county, municipality, special district, special service district, school district, or interlocal entity, as defined in Section 11-13-103; or
       (4)(b) an administrative subunit of an entity listed in Subsection (4)(a). See Utah Code 63J-4-102
• 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
• Process: means a writ or summons issued in the course of a judicial proceeding. See Utah Code 68-3-12.5
• Property: includes both real and personal property. See Utah Code 68-3-12.5
• Proposed congressional land use legislation: means a draft or a working document of congressional legislation prepared by a person that includes a federal land use designation. See Utah Code 63J-8-102
• Qualifying agency: means an agency that, in a single fiscal year, has federal receipts composing more than 33% of the agency's total budget. See Utah Code 63J-5-301
• Qualifying federal funds: means federal funds that are:
            (1)(m)(i) greater than 10% of the receiving entity's annual budget; or
            (1)(m)(ii) greater than $2,000,000. See Utah Code 63J-5-102
• 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
• Review committee: means the COVID-19 Local Assistance Matching Grant Program Review Committee established in Section 63J-4-803. See Utah Code 63J-4-801
• Rider: means an endorsement to:
       (173)(a) an insurance policy; or
       (173)(b) an insurance certificate. See Utah Code 31A-1-301
• Road: includes :
       (33)(a) a public bridge;
       (33)(b) a county way;
       (33)(c) a county road;
       (33)(d) a common road; and
       (33)(e) a state road. See Utah Code 68-3-12.5
• Settlement: Parties to a lawsuit resolve their difference without having a trial. Settlements often involve the payment of compensation by one party in satisfaction of the other party's claims.
• Settlement Agreement: means the written agreement between the state and the Department of the Interior in 2003 (revised in 2005) that resolved the case of State of Utah v. See Utah Code 63J-8-102
• Single audit: means the same as that term is defined in Utah Code 63J-5-301
• SITLA: means the School and Institutional Trust Lands Administration as created in Section 53C-1-201. See Utah Code 63J-8-102
• State: means the state of Utah and all of its agencies, and any administrative subunits of those agencies. See Utah Code 63J-7-101
• State: means the state of Utah and all of its agencies, and any administrative subunits of those agencies. See Utah Code 63J-5-102
• 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
• Statute: A law passed by a legislature.
• Subject lands: means the following non-WSA BLM lands:
            (21)(a)(i) in Beaver County:

                 (21)(a)(i)(A) Mountain Home Range South, Jackson Wash, The Toad, North Wah Wah Mountains, Central Wah Wah Mountains, and San Francisco Mountains according to the region map entitled "Great Basin Central" linked in the webpage entitled "Citizen's Proposal for Wilderness in Utah" at http://www. See Utah Code 63J-8-102
• Town: includes , depending on population, a metro township as defined in Section 10-3c-102. See Utah Code 68-3-12.5
• United States: includes each state, district, and territory of the United States of America. See Utah Code 68-3-12.5
• Wilderness: means the same as that term is defined in Utah Code 63J-8-102
• Wilderness area: means those BLM and Forest Service lands added to the National Wilderness Preservation System by an act of Congress. See Utah Code 63J-8-102
• Wilderness Preservation System: means the Wilderness Preservation System established in Utah Code 63J-8-102