Utah Department of Administrative Services Office of Administrative Rules

File No. 32976

This notice was published in the October 1, 2009, issue (Vol. 2009, No. 19) of the Utah State Bulletin.

Insurance, Administration

Rule R590-76

Health Maintenance Organizations and Limited Health Plans

Five-Year Notice of Review and Statement of Continuation

DAR File No.: 32976
Filed: 09/14/2009 05:07:12 PM


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 allows the commissioner to make rules to implement the provisions of the code, which in this case is Chapter 8 of Title 31A.

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 within 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 ensure the availability, accessibility, and quality of services provided by health maintenance organizations (HMOs); to provide standards for terms and provisions contained in HMO contracts and certificates; to provide standards for determining financial condition; and 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:

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 jwhitby@utah.gov



Authorized by:

Jilene Whitby, Information Specialist

Additional Information

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/2009/b20091001.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 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 jwhitby@utah.gov.