No. 30635: R590-131. Accident and Health Coordination of Benefits Rule

DAR File No.: 30635
Filed: 10/31/2007, 03:23
Received by: NL

NOTICE OF REVIEW AND STATEMENT OF CONTINUATION

Concise explanation of the particular statutory provisions under which the rule is enacted and how these provisions authorize or require the rule:

Section 31A-2-201 gives the commissioner the right to make rules to implement the provisions of Title 31A. Section 31A-22-619 gives the commissioner the authority to adopt rules to coordinate the benefits between health and accident group and individual insurance policies; this rule establishes order of priority in which plans pay their coordination of benefit (COB) claims; provides the authority for the orderly transfer of information needed to pay COB claims promptly; and reduces duplication of benefits by permitting a reduction of the benefits paid by a plan when the plan does not have to pay its benefits first.

Summary of written comments received during and since the last five-year review of the rule from interested persons supporting or opposing the rule:

No written comments have been received.

Reasoned justification for continuation of the rule, including reasons why the agency disagrees with comments in opposition to the rule, if any:

This rule brings consistency and order when considering which health policy covers a claim when there is more than one health carrier covering the same individual or group. It eliminates law suits and expedites the payment of health claims. Therefore, this rule should be continued.

The full text of this rule may be inspected, during regular business hours, at the Division of Administrative Rules, or at:

Insurance
Administration
Room 3110 STATE OFFICE BLDG
450 N MAIN ST
SALT LAKE CITY UT 84114-1201

Direct questions regarding this rule to:

Jilene Whitby at the above address, by phone at 801-538-3803, by FAX at 801-538-3829, or by Internet E-mail at [e-mail]

Authorized by:

Jilene Whitby, Information Specialist