This filing was published in the 11/01/2008, issue, Vol. 2008, No. 21, of the Utah State Bulletin.
Secondary Medical Condition Exclusion
NOTICE OF PROPOSED RULE
DAR File No.: 32053
Filed: 10/15/2008, 11:28
Received by: NL
Purpose of the rule or reason for the change:
The purpose of this rule is to establish examples of limitations or exclusions from coverage, including related secondary conditions.
Summary of the rule or change:
Section R590-249-3 provides instructions to insurers regarding written statements that disclose their policy limitations or exclusions, including secondary medical conditions. Section R590-249-4 provides examples of limitations or exclusions.
State statutory or constitutional authorization for this rule:
Anticipated cost or savings to:
the state budget:
This rule will have no effect on department or state budgets. It will not create additional revenue or expense. There will be no need to hire additional help to handle the policy form filings that will need to be filed with the department.
Local governments will not be affected by this rule since it deals solely with the relationship between the department and their health insurers.
small businesses and persons other than businesses:
Insurance agencies will have no fiscal impact as a result of this since insurers will be responsible to change their exclusion and limitation forms to meet the requirements of the law and this rule. The expense would be in reprinting and paper.
Compliance costs for affected persons:
Insurers will be responsible to change their current exclusion and limitation disclosure form to meet the requirements of the law and this rule. The expense would be in reprinting and paper. Due to the minimal fiscal impact on insurers insureds should not be impacted by this change.
Comments by the department head on the fiscal impact the rule may have on businesses:
This rule will have minimal impact on insurance companies and no impact on small businesses. D. Kent Michie, Commissioner
The full text of this rule may be inspected, during regular business hours, at the Division of Administrative Rules, or at:Insurance
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 firstname.lastname@example.org
Interested persons may present their views on this rule by submitting written comments to the address above no later than 5:00 p.m. on:
This rule may become effective on:
Jilene Whitby, Information Specialist
R590. Insurance, Administration.
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For questions regarding the content or application of this rule, please contact Jilene Whitby at the above address, by phone at 801-538-3803, by FAX at 801-538-3829, or by Internet E-mail at email@example.com
For questions about the rulemaking process, please contact the Division of Administrative Rules (801-538-3764). Please Note: The Division of Administrative Rules is NOT able to answer questions about the content or application of these administrative rules.
Last modified: 10/29/2008 9:23 PM