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:
Jurisdiction: (1) The legal authority of a court to hear and decide a case. Concurrent jurisdiction exists when two courts have simultaneous responsibility for the same case. (2) The geographic area over which the court has authority to decide cases.
Obligation: An order placed, contract awarded, service received, or similar transaction during a given period that will require payments during the same or a future period.
certificate of interest or participation in a profit-sharing agreement;
(vii)
collateral-trust certificate;
(viii)
preorganization certificate or subscription;
(ix)
transferable share;
(x)
investment contract;
(xi)
voting trust certificate;
(xii)
certificate of deposit for a security;
(xiii)
certificate of interest of participation in an oil, gas, or mining title or lease or in payments out of production under such a title or lease;
(xiv)
commodity contract or commodity option;
(xv)
certificate of interest or participation in, temporary or interim certificate for, receipt for, guarantee of, or warrant or right to subscribe to or purchase any of the items listed in Subsections (171)(a)(i) through (xiv); or
(xvi)
another interest or instrument commonly known as a security. See Utah Code 31A-1-301
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
(a)
a retainer contract made by an attorney-at-law:
(i)
with an individual client; and
(ii)
under which fees are based on estimates of the nature and amount of services to be provided to the specific client;
(b)
a contract similar to a contract described in Subsection (1)(a) made with a group of clients involved in the same or closely related legal matters;
(c)
an arrangement for providing benefits that do not exceed a limited amount of consultations, advice on simple legal matters, either alone or in combination with referral services, or the promise of fee discounts for handling other legal matters;
(d)
limited legal assistance on an informal basis involving neither an express contractual obligation nor reasonable expectations, in the context of an employment, membership, educational, or similar relationship;
(e)
legal assistance by employee organizations to their members in matters relating to employment;
(f)
death, accident, health, or disability benefits provided to a person by an organization or its affiliate if:
(i)
the organization is tax exempt under Section 501(c)(3) of the Internal Revenue Code and has had its principal place of business in Utah for at least five years;
(ii)
the person is not an employee of the organization; and
(iii)
(A)
substantially all the person’s time in the organization is spent providing voluntary services:
(I)
in furtherance of the organization’s purposes;
(II)
for a designated period of time; and
(III)
for which no compensation, other than expenses, is paid; or
(B)
the time since the service under Subsection (1)(f)(iii)(A) was completed is no more than 18 months; or
(g)
a prepaid contract of limited duration that provides for scheduled maintenance only.
(2)
(a)
This title restricts otherwise legitimate business activity.
(b)
What this title does not prohibit is permitted unless contrary to other provisions of Utah law.
(3)
Except as otherwise expressly provided, this title does not apply to:
(a)
those activities of an insurer where statejurisdiction is preempted by Section 514 of the federal Employee Retirement Income Security Act of 1974, as amended;
(b)
ocean marine insurance;
(c)
death, accident, health, or disability benefits provided by an organization if the organization:
(i)
has as the organization’s principal purpose to achieve charitable, educational, social, or religious objectives rather than to provide death, accident, health, or disability benefits;
(ii)
does not incur a legal obligation to pay a specified amount; and
(iii)
does not create reasonable expectations of receiving a specified amount on the part of an insured person;
(d)
other business specified in rules adopted by the commissioner on a finding that:
(i)
the transaction of the business in this state does not require regulation for the protection of the interests of the residents of this state; or
(ii)
it would be impracticable to require compliance with this title;
(e)
except as provided in Subsection (4), a transaction independently procured through negotiations under Section 31A-15-104;
(f)
self-insurance;
(g)
reinsurance;
(h)
subject to Subsection (5), an employee or labor union group insurance policy covering risks in this state or an employee or labor union blanket insurance policy covering risks in this state, if:
(i)
the policyholder exists primarily for purposes other than to procure insurance;
(ii)
the policyholder:
(A)
is not a resident of this state;
(B)
is not a domestic corporation; or
(C)
does not have the policyholder’s principal office in this state;
(iii)
no more than 25% of the certificate holders or insureds are residents of this state;
(iv)
on request of the commissioner, the insurer files with the department a copy of the policy and a copy of each form or certificate; and
(v)
(A)
the insurer agrees to pay premium taxes on the Utah portion of the insurer’s business, as if the insurer were authorized to do business in this state; and
A transaction described in Subsection (3)(e) is subject to taxation under Section 31A-3-301.
(5)
(a)
After a hearing, the commissioner may order an insurer of certain group insurance policies or blanket insurance policies to transfer the Utah portion of the business otherwise exempted under Subsection (3)(h) to an authorized insurer if the contracts have been written by an unauthorized insurer.
(b)
If the commissioner finds that the conditions required for the exemption of a group or blanket insurer are not satisfied or that adequate protection to residents of this state is not provided, the commissioner may require:
(i)
the insurer to be authorized to do business in this state; or
(ii)
that any of the insurer’s transactions be subject to this title.
(c)
Subsection (3)(h) does not apply to a blanket insurance policy offering accident and health insurance.
(6)
(a)
As used in Subsection (3)(i) and this Subsection (6):
(i)
“manufacturer’s or seller’s service contract” means a service contract:
(A)
made available by:
(I)
a manufacturer of a product;
(II)
a seller of a product; or
(III)
an affiliate of a manufacturer or seller of a product;
(B)
made available:
(I)
on one or more specific products; or
(II)
on products that are components of a system; and
(C)
under which the person described in Subsection (6)(a)(i)(A) is liable for services to be provided under the service contract including, if the manufacturer’s or seller’s service contract designates, providing parts and labor;
(ii)
“manufacturer’s or seller’s warranty” means the guaranty of:
(A)
(I)
the manufacturer of a product;
(II)
a seller of a product; or
(III)
an affiliate of a manufacturer or seller of a product;
(B)
(I)
on one or more specific products; or
(II)
on products that are components of a system; and
(C)
under which the person described in Subsection (6)(a)(ii)(A) is liable for services to be provided under the warranty, including, if the manufacturer’s or seller’s warranty designates, providing parts and labor; and
(iii)
“service contract” means the same as that term is defined in Section 31A-6a-101.
(b)
A manufacturer’s or seller’s warranty may be designated as:
(i)
a warranty;
(ii)
a guaranty; or
(iii)
a term similar to a term described in Subsection (6)(b)(i) or (ii).
(c)
This title does not apply to:
(i)
a manufacturer’s or seller’s warranty;
(ii)
a manufacturer’s or seller’s service contract paid for with consideration that is in addition to the consideration paid for the product itself; and
(iii)
a service contract that is not a manufacturer’s or seller’s warranty or manufacturer’s or seller’s service contract if:
(A)
the service contract is paid for with consideration that is in addition to the consideration paid for the product itself;
(B)
the service contract is for the repair or maintenance of goods;
(C)
the purchase price of the product is $3,700 or less;
(D)
the product is not a motor vehicle; and
(E)
the product is not the subject of a home warranty service contract.
(d)
This title does not apply to a manufacturer’s or seller’s warranty or service contract paid for with consideration that is in addition to the consideration paid for the product itself regardless of whether the manufacturer’s or seller’s warranty or service contract is sold:
(i)
at the time of the purchase of the product; or
(ii)
at a time other than the time of the purchase of the product.
(7)
(a)
For purposes of this Subsection (7), “public agency insurance mutual” means an entity formed by two or more political subdivisions or public agencies of the state:
for the purpose of providing for the political subdivisions or public agencies:
(A)
subject to Subsection (7)(b), insurance coverage; or
(B)
risk management.
(b)
Notwithstanding Subsection (7)(a)(ii)(A), a public agency insurance mutual may not provide health insurance unless the public agency insurance mutual provides the health insurance using:
Except for this Subsection (7), a public agency insurance mutual is exempt from this title.
(d)
A public agency insurance mutual is considered to be a governmental entity and political subdivision of the state with all of the rights, privileges, and immunities of a governmental entity or political subdivision of the state including all the rights and benefits of Title 63G, Chapter 7, Governmental Immunity Act of Utah.
