Utah Administrative Code (Current through November 1, 2019) |
R590. Insurance, Administration |
R590-176. Health Benefit Plan Enrollment |
R590-176-4. General Provisions
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(1) Any attempt to selectively or unfairly delay, obstruct or otherwise hinder any person from obtaining coverage under Chapter 30 is a violation of Section 31A-30-108.
(2) Enrollment shall be equally available through all distribution systems.
(3) A carrier may not market or encourage producers to market individual or small employer health benefit plans in such a way that there is a lessened incentive to insure business with greater health risks.
(4) All records regarding enrollment applications and underwriting determinations shall:
(a) be retrievable for examination by the time period the application was received;
(b) include all documents, indicating the applicable date, pertaining to the application and its underwriting; and
(c) be retained for the current year plus three years.
(5) The documents indicated in Subsection (4)(b) would include:
(a) application and date received,
(b) notifications to the applicant and the date of notification;
(c) records used in underwriting and date received; and
(d) underwriting decision and date of decision.