31A-23a-201.  Exceptions to producer licensing.

(1)  The commissioner may not require a license as an insurance producer of:

Terms Used In Utah Code 31A-23a-201

  • Accident and health insurance: means insurance to provide protection against economic losses resulting from:
(i) a medical condition including:
(A) a medical care expense; or
(B) the risk of disability;
(ii) accident; or
(iii) sickness. See Utah Code 31A-1-301
  • Affiliate: means a person who controls, is controlled by, or is under common control with, another person. See Utah Code 31A-1-301
  • Agency: means :
    (a) a person other than an individual, including a sole proprietorship by which an individual does business under an assumed name; and
    (b) an insurance organization licensed or required to be licensed under Section 31A-23a-301, 31A-25-207, or 31A-26-209. See Utah Code 31A-1-301
  • Casualty insurance: means liability insurance. See Utah Code 31A-1-301
  • Contract: A legal written agreement that becomes binding when signed.
  • Director: means a member of the board of directors of a corporation. See Utah Code 31A-1-301
  • Employee: means :
    (a) an individual employed by an employer; or
    (b) an individual who meets the requirements of Subsection (53)(b). See Utah Code 31A-1-301
  • Employee benefits: means one or more benefits or services provided to:
    (a) an employee; or
    (b) a dependent of an employee. See Utah Code 31A-1-301
  • Form: means one of the following prepared for general use:
    (i) a policy;
    (ii) a certificate;
    (iii) an application;
    (iv) an outline of coverage; or
    (v) an endorsement. See Utah Code 31A-1-301
  • Group insurance policy: means a policy covering a group of persons that is issued:
    (i) to a policyholder on behalf of the group; and
    (ii) for the benefit of a member of the group who is selected under a procedure defined in:
    (A) the policy; or
    (B) an agreement that is collateral to the policy. See Utah Code 31A-1-301
  • health insurance: means insurance providing:
    (i) a health care benefit; or
    (ii) payment of an incurred health care expense. See Utah Code 31A-1-301
  • Insurance: includes :
    (i) a risk distributing arrangement providing for compensation or replacement for damages or loss through the provision of a service or a benefit in kind;
    (ii) a contract of guaranty or suretyship entered into by the guarantor or surety as a business and not as merely incidental to a business transaction; and
    (iii) a plan in which the risk does not rest upon the person who makes an arrangement, but with a class of persons who have agreed to share the risk. See Utah Code 31A-1-301
  • Insured: means a person to whom or for whose benefit an insurer makes a promise in an insurance policy and includes:
    (i) a policyholder;
    (ii) a subscriber;
    (iii) a member; and
    (iv) a beneficiary. See Utah Code 31A-1-301
  • Insurer: is a s defined in Section 31A-1-301, except that the following persons or similar persons are not insurers for purposes of 7:
    (a) a risk retention group as defined in:
    (i) the Superfund Amendments and Reauthorization Act of 1986, Pub. See Utah Code 31A-23a-102
  • License: includes a certificate of authority issued to an insurer. See Utah Code 31A-1-301
  • Life insurance: means :
    (i) insurance on a human life; and
    (ii) insurance pertaining to or connected with human life. See Utah Code 31A-1-301
  • Negotiate: means the act of conferring directly with or offering advice directly to a purchaser or prospective purchaser of a particular contract of insurance concerning a substantive benefit, term, or condition of the contract if the person engaged in that act:
    (a) sells insurance; or
    (b) obtains insurance from insurers for purchasers. See Utah Code 31A-23a-102
  • Person: includes :
    (a) an individual;
    (b) a partnership;
    (c) a corporation;
    (d) an incorporated or unincorporated association;
    (e) a joint stock company;
    (f) a trust;
    (g) a limited liability company;
    (h) a reciprocal;
    (i) a syndicate; or
    (j) another similar entity or combination of entities acting in concert. See Utah Code 31A-1-301
  • Policy: includes a service contract issued by:
    (i) a motor club under Chapter 11, Motor Clubs;
    (ii) a service contract provided under Chapter 6a, Service Contracts; and
    (iii) a corporation licensed under:
    (A) Chapter 7, Nonprofit Health Service Insurance Corporations; or
    (B) Chapter 8, Health Maintenance Organizations and Limited Health Plans. See Utah Code 31A-1-301
  • producer: means a person licensed or required to be licensed under the laws of this state to sell, solicit, or negotiate insurance. See Utah Code 31A-1-301
  • Property: includes both real and personal property. See Utah Code 68-3-12.5
  • Resident: is a s defined by rule made by the commissioner in accordance with Title 63G, Chapter 3, Utah Administrative Rulemaking Act. See Utah Code 31A-23a-102
  • Sell: means to exchange a contract of insurance:
    (a) by any means;
    (b) for money or its equivalent; and
    (c) on behalf of an insurance company. See Utah Code 31A-23a-102
  • Solicit: means :
    (a) attempting to sell insurance;
    (b) asking or urging a person to apply for:
    (i) a particular kind of insurance; and
    (ii) insurance from a particular insurance company;
    (c) advertising insurance, including advertising for the purpose of obtaining leads for the sale of insurance; or
    (d) holding oneself out as being in the insurance business. See Utah Code 31A-23a-102
  • State: when applied to the different parts of the United States, includes a state, district, or territory of the United States. See Utah Code 68-3-12.5
  • Trustee: means "director" when referring to the board of directors of a corporation. See Utah Code 31A-1-301
  • Trustee: A person or institution holding and administering property in trust.
  • (a)  an officer, director, or employee of an insurer or of an insurance producer if:

    (i)  the officer, director, or employee does not receive any commission on a policy written or sold to insure risks residing, located, or to be performed in this state; and

    (ii) 

    (A)  the officer’s, director’s, or employee’s activities are:

    (I)  executive, administrative, managerial, clerical, or a combination of these activities; and

    (II)  only indirectly related to the sale, solicitation, or negotiation of insurance;

    (B)  the officer’s, director’s, or employee’s function relates to:

    (I)  underwriting;

    (II)  loss control;

    (III)  inspection; or

    (IV)  the processing, adjusting, investigating or settling of a claim on a contract of insurance; or

    (C) 

    (I)  the officer, director, or employee is acting in the capacity of a special agent or agency supervisor assisting an insurance producer;

    (II)  the officer’s, director’s, or employee’s activities are limited to providing technical advice and assistance to a licensed insurance producer; and

    (III)  the officer’s, director’s, or employee’s activities do not include the sale, solicitation, or negotiation of insurance;

    (b)  a person who:

    (i)  is paid no commission for the services described in Subsection (1)(b)(ii); and

    (ii)  secures and furnishes information for the purpose of:

    (A)  group life insurance;

    (B)  group property and casualty insurance;

    (C)  group annuities;

    (D)  a group insurance policy offering accident and health insurance or a blanket insurance policy offering accident and health insurance;

    (E)  enrolling individuals under plans;

    (F)  issuing certificates under plans; or

    (G)  otherwise assisting in administering plans;

    (c)  a person who:

    (i)  is paid no commission for the services described in Subsection (1)(c)(ii); and

    (ii)  performs administrative services related to mass marketed property and casualty insurance;

    (d) 

    (i)  any of the following if the conditions of Subsection (1)(d)(ii) are met:

    (A)  an employer or association; or

    (B)  an officer, director, employee, or trustee of an employee trust plan;

    (ii)  a person listed in Subsection (1)(d)(i):

    (A)  to the extent that the employer, officer, employee, director, or trustee is engaged in the administration or operation of a program of employee benefits for:

    (I)  the employer’s or association’s own employees; or

    (II)  the employees of a subsidiary or affiliate of an employer or association;

    (B)  the program involves the use of insurance issued by an insurer; and

    (C)  the employer, association, officer, director, employee, or trustee is not in any manner compensated, directly or indirectly, by the company issuing the contract;

    (e)  an employee of an insurer or organization employed by an insurer who:

    (i)  is engaging in:

    (A)  the inspection, rating, or classification of risks; or

    (B)  the supervision of the training of insurance producers; and

    (ii)  is not individually engaged in the sale, solicitation, or negotiation of insurance;

    (f)  a person whose activities in this state are limited to advertising:

    (i)  without the intent to solicit insurance in this state;

    (ii)  through communications in mass media including:

    (A)  a printed publication; or

    (B)  a form of electronic mass media;

    (iii)  that is distributed to residents outside of the state; and

    (iv)  if the person does not sell, solicit, or negotiate insurance that would insure risks residing, located, or to be performed in this state;

    (g)  a person who:

    (i)  is not a resident of this state;

    (ii)  sells, solicits, or negotiates a contract of insurance:

    (A)  for commercial property and casualty risks to an insured with risks located in more than one state insured under that contract; and

    (B)  insures risks located in a state in which the person is licensed as provided in Subsection (1)(g)(iii); and

    (iii)  is licensed as an insurance producer to sell, solicit, or negotiate that insurance in the state where the insured maintains its principal place of business; or

    (h)  if the employee does not sell, solicit, or receive a commission for a contract of insurance, a salaried full-time employee who counsels or advises the employee’s employer relating to the insurance interests of:

    (i)  the employer; or

    (ii)  a subsidiary or business affiliate of the employer.
  • (2)  The commissioner may by rule exempt a class of persons from the license requirement of Subsection 31A-23a-103(1) if:

    (a)  the functions performed by the class of persons does not require:

    (i)  special competence;

    (ii)  special trustworthiness; or

    (iii)  regulatory surveillance made possible by licensing; or

    (b)  other existing safeguards make regulation unnecessary.

    Amended by Chapter 252, 2021 General Session