Health discount program: means a business arrangement or contract in which a person pays fees, dues, charges, or other consideration in exchange for a program that provides access to health care providers who agree to provide a discount for health care services. See Utah Code 31A-8a-102
Health discount program operator: means a person that provides a health discount program by entering into a contract or agreement, directly or indirectly, with a person or persons in this state who agree to provide discounts for health care services to enrollees of the health discount program and determines the charge to members. See Utah Code 31A-8a-102
Marketing: means making or causing to be made any communication that contains information that relates to a product or contract regulated under this chapter. See Utah Code 31A-8a-102
Participating: means a plan of insurance under which the insured is entitled to receive a dividend representing a share of the surplus of the insurer. See Utah Code 31A-1-301
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
(a)
a copy of contract forms used by the health discount program for:
(i)
health care providers or health care provider networks participating in the health discount program, including the discounts for medical services provided to enrollees;
(ii)
marketing;
(iii)
administration of the health discount program;
(iv)
enrollment;
(v)
investment management for the health discount programs; and
(vi)
subcontracts for any services;
(b)
the program’s proposed marketing plan; and
(c)
dispute resolution procedures for program holders.
(2)
The company shall file prior to use:
(a)
the form of contracts used by the health discount program operator;
