31A-22-1404.  Rulemaking authority.
     The commissioner may adopt rules that may permit or include:

(1)  the increase of benefits over time;

Terms Used In Utah Code 31A-22-1404

  • Filing: when used as a noun, means an item required to be filed with the department including:
(a) a policy;
(b) a rate;
(c) a form;
(d) a document;
(e) a plan;
(f) a manual;
(g) an application;
(h) a report;
(i) a certificate;
(j) an endorsement;
(k) an actuarial certification;
(l) a licensee annual statement;
(m) a licensee renewal application;
(n) an advertisement;
(o) a binder; or
(p) an outline of coverage. 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
  • Premium: includes , however designated:
    (i) an assessment;
    (ii) a membership fee;
    (iii) a required contribution; or
    (iv) monetary consideration. See Utah Code 31A-1-301
  • Rate: means :
    (i) the cost of a given unit of insurance; or
    (ii) for property or casualty insurance, that cost of insurance per exposure unit either expressed as:
    (A) a single number; or
    (B) a pure premium rate, adjusted before the application of individual risk variations based on loss or expense considerations to account for the treatment of:
    (I) expenses;
    (II) profit; and
    (III) individual insurer variation in loss experience. See Utah Code 31A-1-301
    (2)  standards for full and fair disclosure of the manner, content, and required disclosures for the sale of long-term care insurance policies;

    (3)  terms of renewability;

    (4)  initial and subsequent conditions of eligibility;

    (5)  nonduplication of coverage provisions;

    (6)  coverage of dependents;

    (7)  termination of coverage;

    (8)  continuation or conversion;

    (9)  probationary periods;

    (10)  limitations, exceptions, and reductions of coverage;

    (11)  preexisting conditions;

    (12)  elimination and waiting periods;

    (13)  requirements for replacement;

    (14)  recurrent conditions;

    (15)  definition of terms;

    (16)  loss ratio requirements;

    (17)  post claim underwriting;

    (18)  waiver of premium;

    (19)  independent review of benefit determinations;

    (20)  inflation protection benefits; and

    (21)  premium rate filing and review.

    Amended by Chapter 252, 2021 General Session