No. 43570 (5-year Review): Rule R590-268. Small Employer Stop-Loss Insurance

DAR File No.: 43570
Filed: 03/07/2019 10:35:52 AM

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-43-304 authorizes the Insurance Commissioner to adopt rules to implement the provisions of Title 31A, Chapter 43, that are related to the regulation of small employer stop-loss products.

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

The Insurance Department has received no written comments regarding this rule during the past five years.

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

This rule was a required as a result of the passage of H.B. 160, Health System Reform Amendments, during the 2013 General Session. This bill required the Insurance Department to develop a rule to set the content of the stop-loss insurance disclosure, prohibit lasering, and establish the form and manner of rate and form filings and of the annual actuarial certification and report on stop-loss experience. The Insurance Department continues to use the provisions of this rule to effectively regulate the health insurance market. Therefore, this rule should be continued.

The full text of this rule may be inspected, during regular business hours, at the Office 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:

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

Effective:

03/07/2019

Authorized by:

Steve Gooch, Information Specialist

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