No. 38827 (5-year Review): Rule R590-76. Health Maintenance Organizations  

  • DAR File No.: 38827
    Filed: 08/29/2014 11:14:55 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:

    Title 31A, Chapter 8, of the Insurance Code regulates health maintenance organizations, their incorporation, licensure, solvency, securities standards, requirements regarding their operations, and access to health care providers. Subsection 31A-2-201(3) is the general rulemaking provision that authorizes the commissioner to make rules to implement the provisions of the code.

    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 department has received no written comments regarding this rule in 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:

    Health maintenance organizations are major players in our health insurance market. This rule, along with Title 31A, Chapter 8, of the Insurance Code have been developed to: 1) ensure the availability, accessibility, and quality of services provided by health maintenance organizations; 2) to provide standards for terms and provisions contained in HMO contracts and certificates; 3) to provide standards for determining financial condition; and 4) to provide other standards deemed necessary to protect the interests of the citizens of Utah. 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:

    Effective:

    08/29/2014

    Authorized by:

    Todd Kiser, Commissioner


Document Information

Effective Date:
8/29/2014
Publication Date:
09/15/2014
Type:
Five-Year Notices of Review and Statements of Continuation
Filed Date:
08/29/2014
Agencies:
Insurance, Administration
Authorized By:
Todd Kiser, Commissioner
DAR File No.:
38827
Summary:

The department has received no written comments regarding this rule in the past five years.

CodeNo:
R590-76
CodeName:
{34346|R590-76|R590-76. Health Maintenance Organizations and Limited Health Plans}
Link Address:
InsuranceAdministrationRoom 3110 STATE OFFICE BLDG450 N MAIN STSALT LAKE CITY, UT 84114-1201
Link Way:

Jilene Whitby, by phone at 801-538-3803, by FAX at 801-538-3829, or by Internet E-mail at jwhitby@utah.gov

AdditionalInfo:
More information about a Five-Year Notice of Review and Statement of Continuation is available online. The Portable Document Format (PDF) version of the Bulletin is the official version. The PDF version of this issue is available at http://www.rules.utah.gov/publicat/bull-pdf/2014/b20140915.pdf. The HTML edition of the Bulletin is a convenience copy. Any discrepancy between the PDF version and HTML version is resolved in favor of the PDF version. For questions regarding the content or ...
Related Chapter/Rule NO.: (1)
R590-76. Health Maintenance Organizations and Limited Health Plans.