31A-27a-104.  Persons covered.

(1)  This chapter applies to:

Terms Used In Utah Code 31A-27a-104

(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
  • Bail: Security given for the release of a criminal defendant or witness from legal custody (usually in the form of money) to secure his/her appearance on the day and time appointed.
  • business of insurance: includes any of the following acts, whether effected by mail, electronic means, or otherwise:
    (a) issuing or delivering a contract, certificate, or binder relating to insurance or annuities:
    (i) to a person who is resident in this state; or
    (ii) covering a risk located in this state;
    (b) soliciting an application for the contract, certificate, or binder described in Subsection (11)(a);
    (c) negotiating preliminary to the execution of the contract, certificate, or binder described in Subsection (11)(a);
    (d) collecting premiums, membership fees, assessments, or other consideration for the contract, certificate, or binder described in Subsection (11)(a);
    (e) transacting matters:
    (i) subsequent to execution of the contract, certificate, or binder described in Subsection (11)(a); and
    (ii) arising out of the contract, certificate, or binder described in Subsection (11)(a);
    (f) operating as an insurer under a license or certificate of authority issued by the department; or
    (g) engaging in an act identified in Chapter 15, Unauthorized Insurers, Surplus Lines, and Risk Retention Groups. See Utah Code 31A-27a-102
  • Commissioner: is a s defined in Section 31A-1-301. See Utah Code 31A-27a-102
  • consultant: means a person who:
    (a) advises another person about insurance needs and coverages;
    (b) is compensated by the person advised on a basis not directly related to the insurance placed; and
    (c) except as provided in Section 31A-23a-501, is not compensated directly or indirectly by an insurer or producer for advice given. See Utah Code 31A-1-301
  • Control: is a s defined in Section 31A-1-301. See Utah Code 31A-27a-102
  • Health care: means any of the following intended for use in the diagnosis, treatment, mitigation, or prevention of a human ailment or impairment:
    (a) a professional service;
    (b) a personal service;
    (c) a facility;
    (d) equipment;
    (e) a device;
    (f) supplies; or
    (g) medicine. See Utah Code 31A-1-301
  • Individual: means a natural person. 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
  • insurance company: means a person doing an insurance business as a principal including:
    (i) a fraternal benefit society;
    (ii) an issuer of a gift annuity other than an annuity specified in Subsections 31A-22-1305(2) and (3);
    (iii) a motor club;
    (iv) an employee welfare plan;
    (v) a person purporting or intending to do an insurance business as a principal on that person's own account; and
    (vi) a health maintenance organization. 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: means a person who:
    (a) is doing, has done, purports to do, or is licensed to do the business of insurance;
    (b) is or has been subject to the authority of, or to rehabilitation, liquidation, reorganization, supervision, or conservation by an insurance commissioner; or
    (c) is included under Section 31A-27a-104. See Utah Code 31A-27a-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
  • Process: means a writ or summons issued in the course of a judicial proceeding. See Utah Code 68-3-12.5
  • 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
  • Settlement: Parties to a lawsuit resolve their difference without having a trial. Settlements often involve the payment of compensation by one party in satisfaction of the other party's claims.
  • State: means a state, district, or territory of the United States. See Utah Code 31A-27a-102
  • Surplus: means the excess of assets over the sum of paid-in capital and liabilities. See Utah Code 31A-1-301
  • Title insurance: means the insuring, guaranteeing, or indemnifying of an owner of real or personal property or the holder of liens or encumbrances on that property, or others interested in the property against loss or damage suffered by reason of liens or encumbrances upon, defects in, or the unmarketability of the title to the property, or invalidity or unenforceability of any liens or encumbrances on the property. See Utah Code 31A-1-301
  • (a)  an insurer who:

    (i)  is doing, or has done, an insurance business in this state; and

    (ii)  against whom a claim arising from that business may exist;

    (b)  a person subject to examination by the commissioner;

    (c)  an insurer who purports to do an insurance business in this state;

    (d)  an insurer who has an insured who is resident in this state; and

    (e)  in addition to Subsections (1)(a) through (d), a person doing business as follows:

    (i)  under Chapter 6a, Service Contracts;

    (ii)  under Chapter 7, Nonprofit Health Service Insurance Corporations;

    (iii)  under Chapter 8a, Health Discount Program Consumer Protection Act;

    (iv)  under Chapter 9, Insurance Fraternals;

    (v)  under Chapter 11, Motor Clubs;

    (vi)  under Chapter 15, Unauthorized Insurers, Surplus Lines, and Risk Retention Groups;

    (vii)  as a bail bond surety company under Chapter 35, Bail Bond Act;

    (viii)  under Chapter 37, Captive Insurance Companies Act;

    (ix)  a title insurance company;

    (x)  a prepaid health care delivery plan; and

    (xi)  a person not described in Subsections (1)(e)(i) through (x) that is organized or doing insurance business, or in the process of organizing with the intent to do insurance business in this state.
  • (2)  Notwithstanding Sections 31A-1-301 and 31A-27a-102, this chapter does not apply to a person licensed by the insurance commissioner as one or more of the following in this state unless the person engages in the business of insurance as an insurer, is an affiliate as defined in Subsection 31A-1-301(5), or is a person under the control of an affiliate:

    (a)  an insurance agency;

    (b)  an insurance producer;

    (c)  a limited line producer;

    (d)  an insurance consultant;

    (e)  a managing general agent;

    (f)  reinsurance intermediary;

    (g)  an individual title insurance producer or agency title insurance producer;

    (h)  a third party administrator;

    (i)  an insurance adjustor;

    (j)  a life settlement provider; or

    (k)  a life settlement producer.

    Amended by Chapter 198, 2022 General Session