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2011 Utah Code
Title 31A Insurance Code
Chapter 22 Contracts in Specific Lines
Section 605.5 Application.
31A-22-605.5. Application.(1) For purposes of this section "insurance mandate":
(a) means a mandatory obligation with respect to coverage, benefits, or the number or types of providers imposed on policies of accident and health insurance; and
(b) does not mean an administrative rule imposing a mandatory obligation with respect to coverage, benefits, or providers unless that mandatory obligation was specifically imposed on policies of accident and health insurance by statute.
(2) (a) Notwithstanding the provisions of Subsection 31A-1-103(3)(f), the following shall apply to health coverage offered to the state employees' risk pool under Subsection 49-20-202(1)(a):
(i) any law imposed under this title that becomes effective after January 1, 2002, which provides for an insurance mandate for policies of accident and health insurance; and
(ii) in accordance with Section 31A-22-613.5, disclosure requirements for coverage limitations.
(b) If health coverage offered to the state employees' risk pool under Subsection 49-20-202(1)(a) offers coverage in the same manner and to the same extent as the coverage required by the insurance mandate imposed under this title or coverage that is greater than the insurance mandate imposed under this title, the coverage offered to state employees under Subsection 49-20-202(1)(a) will be considered in compliance with the insurance mandate.
(c) The program regulated under Subsection 49-20-202(1)(a) shall report to the Retirement and Independent Entities Committee created under Section 63E-1-201 by November 30 of each year in which a mandate is imposed under the provisions of this section. The report shall include the costs and benefits of the particular mandatory obligation.
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