In furtherance of the purposes in Section 31A-1-102, the commissioner may educate consumers about insurance and provide consumer assistance.
Terms Used In Utah Code 31A-2-215
Complaint: A written statement by the plaintiff stating the wrongs allegedly committed by the defendant.
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
Proceeding: includes an action or special statutory proceeding. See Utah Code 31A-1-301
(2)
Consumer education may include:
(a)
outreach activities; and
(b)
the production or collection and dissemination of educational materials.
(3)
(a)
Consumer assistance may include explaining:
(i)
the terms of a policy;
(ii)
a policy’s complaint, grievance, or adverse benefit determination procedure; and
(iii)
the fundamentals of self-advocacy.
(b)
Notwithstanding Subsection (3)(a), consumer assistance may not include testifying or representing a consumer in any grievance or adverse benefit determination, arbitration, judicial, or related proceeding, unless the proceeding is in connection with an enforcement action brought under Section 31A-2-308.
(4)
The commissioner may adopt rules necessary to implement the requirements of this section.
