Contract: A legal written agreement that becomes binding when signed.
Fraud: Intentional deception resulting in injury to another.
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
Insurer: means any person or aggregation of persons:
(a)
doing insurance business, as defined in Section 31A-1-301; or
(b)
subject to the supervision of the commissioner under:
(i)
this title; or
(ii)
any equivalent insurance supervisory official of another state. See Utah Code 31A-31-102
nonadmitted insurer: means an insurer:
(i)
not holding a valid certificate of authority to do an insurance business in this state; or
(ii)
transacting business not authorized by a valid certificate. See Utah Code 31A-1-301
Restitution: The court-ordered payment of money by the defendant to the victim for damages caused by the criminal action.
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
“Utah risks” means insurance coverage on the lives, health, or against the liability of persons residing in Utah, or on property located in Utah, other than property temporarily in transit through Utah.
(2)
To implement insurance fraud provisions, the commissioner may assess an admitted insurer and a nonadmitted insurer transacting insurance under 1, and 2, an annual fee as follows:
(a)
$200 for an insurer for which the sum of the Utah consideration is less than or equal to $1,000,000;
(b)
$450 for an insurer for which the sum of the Utah consideration is greater than $1,000,000 but is less than or equal to $2,500,000;
(c)
$800 for an insurer for which the sum of the Utah consideration is greater than $2,500,000 but is less than or equal to $5,000,000;
(d)
$1,600 for an insurer for which the sum of the Utah consideration is greater than $5,000,000 but less than or equal to $10,000,000;
(e)
$6,100 for an insurer for which the sum of the Utah consideration is greater than $10,000,000 but less than $50,000,000; and
(f)
$15,000 for an insurer for which the sum of the Utah consideration equals or exceeds $50,000,000.
(3)
Money received by the state under this section shall be deposited into the InsuranceFraud Investigation Restricted Account created in Subsection (4).
(4)
(a)
There is created in the General Fund a restricted account known as the “Insurance Fraud Investigation Restricted Account.”
(b)
The Insurance Fraud Investigation Restricted Account shall consist of the money received by the commissioner under this section and Subsections 31A-31-109(1)(a)(ii), (1)(b), (2)(b)(i), (2)(c), and (3)(a). Money ordered paid under Subsections 31A-31-109(1)(a)(i) and (2)(a) shall be deposited in the Insurance Fraud Victim Restitution Fund pursuant to Section 31A-31-108.5.
(c)
The commissioner shall administer the Insurance Fraud Investigation Restricted Account. Subject to appropriations by the Legislature, the commissioner shall use the money deposited into the Insurance Fraud Investigation Restricted Account to pay for a cost or expense incurred by the commissioner in the administration, investigation, and enforcement of insurance fraud provisions.
