§ 31A-22-600 Scope of Part 6
§ 31A-22-601 Applicability of life insurance provisions
§ 31A-22-602 Premium rates
§ 31A-22-603 Persons insured under an individual accident and health policy
§ 31A-22-604 Reimbursement by insurers of Medicaid benefits
§ 31A-22-605 Accident and health insurance standards
§ 31A-22-605.1 Preexisting condition limitations
§ 31A-22-605.5 Application
§ 31A-22-606 Policy examination period
§ 31A-22-607 Grace period
§ 31A-22-608 Reinstatement of individual or franchise accident and health insurance policies
§ 31A-22-609 Incontestability for accident and health insurance
§ 31A-22-610 Dependent coverage from moment of birth or adoption
§ 31A-22-610.1 Indemnity benefit for adoption or infertility treatments
§ 31A-22-610.2 Maternity stay minimum limits
§ 31A-22-610.5 Dependent coverage
§ 31A-22-610.6 Special enrollment for individuals receiving premium assistance
§ 31A-22-611 Coverage for children with a disability
§ 31A-22-612 Conversion privileges for insured former spouse
§ 31A-22-613 Permitted provisions for accident and health insurance policies
§ 31A-22-613.5 Price and value comparisons of health insurance
§ 31A-22-614 Claims under accident and health policies
§ 31A-22-614.5 Uniform claims processing — Electronic exchange of health information
§ 31A-22-614.7 Uniform claims processing — Electronic exchange of prescription drug pre-authorization
§ 31A-22-618 Nondiscrimination among health care professionals
§ 31A-22-618.5 Coverage of insurance mandates imposed after January 1, 2009
§ 31A-22-618.6 Discontinuance, nonrenewal, or changes to group health benefit plans
§ 31A-22-618.7 Discontinuance, nonrenewal, and modification for individual health benefit plans
§ 31A-22-618.8 Discontinuance and nonrenewal limitations for health benefit plans
§ 31A-22-619 Coordination of benefits
§ 31A-22-620 Medicare Supplement Insurance Minimum Standards Act
§ 31A-22-623 Coverage of inborn metabolic errors
§ 31A-22-624 Primary care physician or physician assistant
§ 31A-22-625 Catastrophic coverage of mental health conditions
§ 31A-22-626 Coverage of diabetes
§ 31A-22-627 Coverage of emergency medical services
§ 31A-22-628 Standing referral to a specialist
§ 31A-22-629 Adverse benefit determination review process
§ 31A-22-630 Mastectomy coverage
§ 31A-22-631 Policy summary or illustration
§ 31A-22-632 Report to policy holder
§ 31A-22-633 Exemptions from standards
§ 31A-22-634 Prohibition against certain use of Social Security number — Exceptions — Applicability of section
§ 31A-22-635 Uniform application — Uniform waiver of coverage
§ 31A-22-636 Standardized health insurance information cards
§ 31A-22-637 Health care provider payment information — Notice of admissions
§ 31A-22-638 Coverage for prosthetic devices
§ 31A-22-639 Statement of preauthorization
§ 31A-22-641 Cancer treatment parity
§ 31A-22-642 Insurance coverage for autism spectrum disorder
§ 31A-22-643 Prescription synchronization — Copay and dispensing fee restrictions
§ 31A-22-644 Denial of coverage under a health benefit plan because of life expectancy or terminal condition
§ 31A-22-645 Alcohol and drug dependency treatment
§ 31A-22-646 Dental insurance — Contract provision for noncovered services
§ 31A-22-646.1 Leasing requirements for dental plans
§ 31A-22-647 Insurer shared savings program
§ 31A-22-648 Vision insurance — Contract provisions
§ 31A-22-649 Coverage of telepsychiatric consultations
§ 31A-22-649.5 Insurance parity for telemedicine services — Method of technology used
§ 31A-22-650 Health care preauthorization requirements
§ 31A-22-651 Insurance coverage for assisted outpatient treatment
§ 31A-22-652 Coverage for mental health services in schools
§ 31A-22-654 Study of coverage for in vitro fertilization and genetic testing — Reporting — Coverage requirements
§ 31A-22-655 Living organ donor coverage
§ 31A-22-656 Coverage of epinephrine auto-injector
§ 31A-22-657 Application of health insurance mandates
§ 31A-22-658 Health care provider behavioral health treatment — Single case agreement
§ 31A-22-659 Provider administered drugs

Terms Used In Utah Code > Title 31A > Chapter 22 > Part 6 - Accident and Health Insurance

  • Accident and health insurance: means insurance to provide protection against economic losses resulting from:
    (i) a medical condition including:
    (A) a medical care expense; or
    (B) the risk of disability;
    (ii) accident; or
    (iii) sickness. See Utah Code 31A-1-301
  • Account: means the Constitutional Defense Restricted Account, created in Section 63C-4a-402. See Utah Code 63C-4a-102
  • Administrator: includes "executor" when the subject matter justifies the use. See Utah Code 68-3-12.5
  • Administrator: means the same as that term is defined in Subsection (182). See Utah Code 31A-1-301
  • Adult: means an individual who is 18 years old or older. See Utah Code 31A-1-301
  • Advice and consent: Under the Constitution, presidential nominations for executive and judicial posts take effect only when confirmed by the Senate, and international treaties become effective only when the Senate approves them by a two-thirds vote.
  • advisory council: means a board, commission, or council that:
    (a) provides advice and makes recommendations to another person or entity who makes policy for the benefit of the general public;
    (b) is created by and whose duties are provided by statute or by executive order; and
    (c) performs its duties only under the supervision of another person as provided by statute. See Utah Code 63C-1-102
  • Affiliate: means a person who controls, is controlled by, or is under common control with, another person. See Utah Code 31A-1-301
  • Affirmed: In the practice of the appellate courts, the decree or order is declared valid and will stand as rendered in the lower court.
  • Agency: means :
    (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
  • Amendment: A proposal to alter the text of a pending bill or other measure by striking out some of it, by inserting new language, or both. Before an amendment becomes part of the measure, thelegislature must agree to it.
  • Annuity: A periodic (usually annual) payment of a fixed sum of money for either the life of the recipient or for a fixed number of years. A series of payments under a contract from an insurance company, a trust company, or an individual. Annuity payments are made at regular intervals over a period of more than one full year.
  • Annuity: means an agreement to make periodical payments for a period certain or over the lifetime of one or more individuals if the making or continuance of all or some of the series of the payments, or the amount of the payment, is dependent upon the continuance of human life. See Utah Code 31A-1-301
  • Appeal: A request made after a trial, asking another court (usually the court of appeals) to decide whether the trial was conducted properly. To make such a request is "to appeal" or "to take an appeal." One who appeals is called the appellant.
  • Appellate: About appeals; an appellate court has the power to review the judgement of another lower court or tribunal.
  • Application: means a document:
    (a) 
    (i) completed by an applicant to provide information about the risk to be insured; and
    (ii) that contains information that is used by the insurer to evaluate risk and decide whether to:
    (A) insure the risk under:
    (I) the coverage as originally offered; or
    (II) a modification of the coverage as originally offered; or
    (B) decline to insure the risk; or
    (b) used by the insurer to gather information from the applicant before issuance of an annuity contract. See Utah Code 31A-1-301
  • Appropriation: The provision of funds, through an annual appropriations act or a permanent law, for federal agencies to make payments out of the Treasury for specified purposes. The formal federal spending process consists of two sequential steps: authorization
  • Armed forces: means the United States Army, Navy, Air Force, Marine Corps, Space Force, and Coast Guard. See Utah Code 68-3-12.5
  • Assets: (1) The property comprising the estate of a deceased person, or (2) the property in a trust account.
  • Authority: means the same as that term is defined in Section 63B-1-303. See Utah Code 63C-25-101
  • Baseline: Projection of the receipts, outlays, and other budget amounts that would ensue in the future without any change in existing policy. Baseline projections are used to gauge the extent to which proposed legislation, if enacted into law, would alter current spending and revenue levels.
  • Beneficiary: A person who is entitled to receive the benefits or proceeds of a will, trust, insurance policy, retirement plan, annuity, or other contract. Source: OCC
  • Board: means the governing board of the project entity. See Utah Code 63C-26-101
  • Bond: means the same as that term is defined in Section 63B-1-101. See Utah Code 63C-25-101
  • Bonding government entity: includes :
    (i) a bonding political subdivision; and
    (ii) a public infrastructure district that is authorized to issue bonds either directly, or through the authority of a bonding political subdivision or other governmental entity. See Utah Code 63C-25-101
  • Bonding political subdivision: means :
    (a) the Utah Inland Port Authority, created in Section 11-58-201;
    (b) the Military Installation Development Authority, created in Section 63H-1-201;
    (c) the Point of the Mountain State Land Authority, created in Section 11-59-201;
    (d) the Utah Lake Authority, created in Section 11-65-201 ; or
    (e) the State Fair Park Authority, created in Section 11-68-201. See Utah Code 63C-25-101
  • Bonds: means any bonds, bond anticipation notes, or other obligations authorized under this title for which the full faith, credit, and resources and ad valorem taxing power of the state have been pledged for the payment of the principal of and interest on the bonds. See Utah Code 63B-1-101
  • Certificate: means evidence of insurance given to:
    (a) an insured under a group insurance policy; or
    (b) a third party. See Utah Code 31A-1-301
  • City: includes , depending on population, a metro township as defined in Section 10-3c-102. See Utah Code 68-3-12.5
  • Commission: means the Federalism Commission, created in Section 63C-4a-302. See Utah Code 63C-4a-102
  • Commission: means the Behavioral Health Crisis Response Commission created in Section 63C-18-202. See Utah Code 63C-18-102
  • Commission: means the Outdoor Adventure Commission created in Section 63C-21-201. See Utah Code 63C-21-102
  • Commission: means the Digital Wellness, Citizenship, and Safe Technology Commission created in Section 63C-22-201. See Utah Code 63C-22-102
  • Commission: means the Personal Privacy Oversight Commission created in Section 63C-24-201. See Utah Code 63C-24-102
  • Commission: means the State Finance Review Commission created in Section 63C-25-201. See Utah Code 63C-25-101
  • Commission: means the Point of the Mountain Development Commission, created in Section 63C-17-103. See Utah Code 63C-17-102
  • Commission: means the State Bonding Commission created in Section 63B-1-201. See Utah Code 63B-1-101
  • committee: means the Utah Population Committee created by this chapter. See Utah Code 63C-20-102
  • Committee: means the Project Entity Oversight Committee created in Section 63C-26-201. See Utah Code 63C-26-101
  • Concessionaire: means a person who:
    (a) operates, finances, maintains, or constructs a government facility under a contract with a bonding political subdivision; and
    (b) is not a bonding government entity. See Utah Code 63C-25-101
  • Concessionaire contract: means a contract:
    (a) between a bonding government entity and a concessionaire for the operation, finance, maintenance, or construction of a government facility;
    (b) that authorizes the concessionaire to operate the government facility for a term of five years or longer, including any extension of the contract; and
    (c) in which all or some of the annual source of payment to the concessionaire comes from state funds provided to the bonding government entity. See Utah Code 63C-25-101
  • Constitutional defense plan: means a plan that outlines actions and expenditures to fulfill the duties of the commission and the council. See Utah Code 63C-4a-102
  • Contract: A legal written agreement that becomes binding when signed.
  • Corporation: A legal entity owned by the holders of shares of stock that have been issued, and that can own, receive, and transfer property, and carry on business in its own name.
  • Corporation: means an insurance corporation, except when referring to:
    (i) a corporation doing business:
    (A) as:
    (I) an insurance producer;
    (II) a surplus lines producer;
    (III) a limited line producer;
    (IV) a consultant;
    (V) a managing general agent;
    (VI) a reinsurance intermediary;
    (VII) a third party administrator; or
    (VIII) an adjuster; and
    (B) under:
    (I) Chapter 23a, Insurance Marketing - Licensing Producers, Consultants, and Reinsurance Intermediaries;
    (II) Chapter 25, Third Party Administrators; or
    (III) Chapter 26, Insurance Adjusters; or
    (ii) a noninsurer that is part of a holding company system under Chapter 16, Insurance Holding Companies. See Utah Code 31A-1-301
  • Council: means the Constitutional Defense Council, created in Section 63C-4a-202. See Utah Code 63C-4a-102
  • Council: means the Education and Mental Health Coordinating Council created in Section 63C-23-201. See Utah Code 63C-23-102
  • Council: means the Snake Valley Aquifer Advisory Council created in Section 63C-12-103. See Utah Code 63C-12-102
  • County executive: means :Utah Code 68-3-12.5
  • Creating entity: means the same as that term is defined in Section 17D-4-102. See Utah Code 63C-25-101
  • Creditable coverage: includes coverage that is offered through a public health plan such as:
    (i) the Primary Care Network Program under a Medicaid primary care network demonstration waiver obtained subject to Section 26B-3-108;
    (ii) the Children's Health Insurance Program under Section 26B-3-904; or
    (iii) the Ryan White Program Comprehensive AIDS Resources Emergency Act, Pub. See Utah Code 31A-1-301
  • Cyber-bullying: means the same as that term is defined in Section 53G-9-601. See Utah Code 63C-22-102
  • Damages: Money paid by defendants to successful plaintiffs in civil cases to compensate the plaintiffs for their injuries.
  • Department: means the Insurance Department. See Utah Code 31A-1-301
  • Dependent: A person dependent for support upon another.
  • Digital citizenship: means the norms of appropriate, responsible, and healthy behavior related to technology use, including digital literacy, ethics, etiquette, and security. See Utah Code 63C-22-102
  • Director: means a member of the board of directors of a corporation. See Utah Code 31A-1-301
  • Disability: means a physiological or psychological condition that partially or totally limits an individual's ability to:
    (a) perform the duties of:
    (i) that individual's occupation; or
    (ii) an occupation for which the individual is reasonably suited by education, training, or experience; or
    (b) perform two or more of the following basic activities of daily living:
    (i) eating;
    (ii) toileting;
    (iii) transferring;
    (iv) bathing; or
    (v) dressing. See Utah Code 31A-1-301
  • Discovery: Lawyers' examination, before trial, of facts and documents in possession of the opponents to help the lawyers prepare for trial.
  • Division: means the Division of Facilities Construction and Management. See Utah Code 63B-1-101
  • Donor: The person who makes a gift.
  • Eligible employee: includes :
    (i) an owner, sole proprietor, or partner who:
    (A) works on a full-time basis;
    (B) has a normal work week of 30 or more hours; and
    (C) employs at least one common employee; and
    (ii) an independent contractor if the individual is included under a health benefit plan of a small employer. See Utah Code 31A-1-301
  • Emergency medical condition: means a medical condition that:
    (a) manifests itself by acute symptoms, including severe pain; and
    (b) would cause a prudent layperson possessing an average knowledge of medicine and health to reasonably expect the absence of immediate medical attention through a hospital emergency department to result in:
    (i) placing the layperson's health or the layperson's unborn child's health in serious jeopardy;
    (ii) serious impairment to bodily functions; or
    (iii) serious dysfunction of any bodily organ or part. See Utah Code 31A-1-301
  • Employee: means :
    (a) an individual employed by an employer; or
    (b) an individual who meets the requirements of Subsection (53)(b). See Utah Code 31A-1-301
  • Enrollee: includes an insured. See Utah Code 31A-1-301
  • Equitable: Pertaining to civil suits in "equity" rather than in "law." In English legal history, the courts of "law" could order the payment of damages and could afford no other remedy. See damages. A separate court of "equity" could order someone to do something or to cease to do something. See, e.g., injunction. In American jurisprudence, the federal courts have both legal and equitable power, but the distinction is still an important one. For example, a trial by jury is normally available in "law" cases but not in "equity" cases. Source: U.S. Courts
  • Evidence: Information presented in testimony or in documents that is used to persuade the fact finder (judge or jury) to decide the case for one side or the other.
  • Ex officio: Literally, by virtue of one's office.
  • Exclusion: means for the purposes of accident and health insurance that an insurer does not provide insurance coverage, for whatever reason, for one of the following:
    (a) a specific physical condition;
    (b) a specific medical procedure;
    (c) a specific disease or disorder; or
    (d) a specific prescription drug or class of prescription drugs. See Utah Code 31A-1-301
  • Federal governmental entity: means :
    (a) the president of the United States;
    (b) the United States Congress;
    (c) a United States agency; or
    (d) an employee or official appointed by the president of the United States. See Utah Code 63C-4a-102
  • Federal law: means :
    (a) an executive order by the president of the United States;
    (b) a statute passed by the United States Congress;
    (c) a regulation adopted by a United States agency; or
    (d) a policy statement, order, guidance, or action by:
    (i) a United States agency; or
    (ii) an employee or official appointed by the president of the United States. See Utah Code 63C-4a-102
  • Fiduciary: A trustee, executor, or administrator.
  • Fiscal year: The fiscal year is the accounting period for the government. For the federal government, this begins on October 1 and ends on September 30. The fiscal year is designated by the calendar year in which it ends; for example, fiscal year 2006 begins on October 1, 2005 and ends on September 30, 2006.
  • Form: means one of the following prepared for general use:
    (i) a policy;
    (ii) a certificate;
    (iii) an application;
    (iv) an outline of coverage; or
    (v) an endorsement. See Utah Code 31A-1-301
  • Fraud: Intentional deception resulting in injury to another.
  • Gift: A voluntary transfer or conveyance of property without consideration, or for less than full and adequate consideration based on fair market value.
  • Government facility: means infrastructure, improvements, or a building that:
    (a) costs more than $5,000,000 to construct; and
    (b) has a useful life greater than five years. See Utah Code 63C-25-101
  • Grace period: The number of days you'll have to pay your bill for purchases in full without triggering a finance charge. Source: Federal Reserve
  • Grantor: The person who establishes a trust and places property into it.
  • Group health plan: means an employee welfare benefit plan to the extent that the plan provides medical care:
    (a) 
    (i) to an employee; or
    (ii) to a dependent of an employee; and
    (b) 
    (i) directly;
    (ii) through insurance reimbursement; or
    (iii) through another method. See Utah Code 31A-1-301
  • Group insurance policy: means a policy covering a group of persons that is issued:
    (i) to a policyholder on behalf of the group; and
    (ii) for the benefit of a member of the group who is selected under a procedure defined in:
    (A) the policy; or
    (B) an agreement that is collateral to the policy. See Utah Code 31A-1-301
  • Health benefit plan: means a policy, contract, certificate, or agreement offered or issued by an insurer to provide, deliver, arrange for, pay for, or reimburse any of the costs of health care, including major medical expense coverage. See Utah Code 31A-1-301
  • 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
  • Health care provider: means the same as that term is defined in Section 78B-3-403. See Utah Code 31A-1-301
  • health insurance: means insurance providing:
    (i) a health care benefit; or
    (ii) payment of an incurred health care expense. See Utah Code 31A-1-301
  • Health Insurance Portability and Accountability Act: means the Health Insurance Portability and Accountability Act of 1996, Pub. See Utah Code 31A-1-301
  • Highway: includes :Utah Code 68-3-12.5
  • Indemnity: means the payment of an amount to offset all or part of an insured loss. See Utah Code 31A-1-301
  • Independent entity: means the same as that term is defined in Section 63E-1-102. See Utah Code 63C-24-102
  • 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
  • Intellectual disability: means a significant, subaverage general intellectual functioning that:Utah Code 68-3-12.5
  • Interest rate: The amount paid by a borrower to a lender in exchange for the use of the lender's money for a certain period of time. Interest is paid on loans or on debt instruments, such as notes or bonds, either at regular intervals or as part of a lump sum payment when the issue matures. Source: OCC
  • Jurisdiction: (1) The legal authority of a court to hear and decide a case. Concurrent jurisdiction exists when two courts have simultaneous responsibility for the same case. (2) The geographic area over which the court has authority to decide cases.
  • Land: includes :Utah Code 68-3-12.5
  • Large public transit district: means the same as that term is defined in Section 17B-2a-802. See Utah Code 63C-25-101
  • LEA: means a school district, a charter school, or the Utah Schools for the Deaf and the Blind. See Utah Code 63C-22-102
  • Lease: A contract transferring the use of property or occupancy of land, space, structures, or equipment in consideration of a payment (e.g., rent). Source: OCC
  • Life insurance: means :
    (i) insurance on a human life; and
    (ii) insurance pertaining to or connected with human life. See Utah Code 31A-1-301
  • Litigation: A case, controversy, or lawsuit. Participants (plaintiffs and defendants) in lawsuits are called litigants.
  • Loan entity: means the board, person, unit, or agency with legal responsibility for making a loan from a revolving loan fund. See Utah Code 63C-25-101
  • Local mental health authority: means a local mental health authority described in Section 17-43-301. See Utah Code 63C-23-102
  • Local mental health crisis line: means the same as that term is defined in Section 26B-5-610. See Utah Code 63C-18-102
  • Local substance abuse authority: means a local substance abuse authority described in Section 17-43-201. See Utah Code 63C-23-102
  • Managed care organization: means a person:
    (a) licensed as a health maintenance organization under Chapter 8, Health Maintenance Organizations and Limited Health Plans; or
    (b) 
    (i) licensed under:
    (A) Chapter 5, Domestic Stock and Mutual Insurance Corporations;
    (B) Chapter 7, Nonprofit Health Service Insurance Corporations; or
    (C) Chapter 14, Foreign Insurers; and
    (ii) that requires an enrollee to use, or offers incentives, including financial incentives, for an enrollee to use, network providers. See Utah Code 31A-1-301
  • Member: means a person having membership rights in an insurance corporation. See Utah Code 31A-1-301
  • Minority leader: See Floor Leaders
  • Month: means a calendar month, unless otherwise expressed. See Utah Code 68-3-12.5
  • Network provider: means a health care provider who has an agreement with a managed care organization to provide health care services to an enrollee with an expectation of receiving payment, other than coinsurance, copayments, or deductibles, directly from the managed care organization. See Utah Code 31A-1-301
  • Obligation: means the same as that term is defined in Section 63B-1-303. See Utah Code 63C-25-101
  • Obligation: An order placed, contract awarded, service received, or similar transaction during a given period that will require payments during the same or a future period.
  • Order: means an order of the commissioner. See Utah Code 31A-1-301
  • Outline of coverage: means a summary that explains an accident and health insurance policy. See Utah Code 31A-1-301
  • Oversight: Committee review of the activities of a Federal agency or program.
  • Parameters resolution: means a resolution of a bonding government entity that sets forth for proposed bonds:
    (a) the maximum:
    (i) amount of bonds;
    (ii) term; and
    (iii) interest rate; and
    (b) the expected security for the bonds. See Utah Code 63C-25-101
  • 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: means :Utah Code 68-3-12.5
  • 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
  • Personal data: includes personally identifying information. See Utah Code 63C-24-102
  • Plan sponsor: means the same as that term is defined in 29 U. See Utah Code 31A-1-301
  • Plan year: means :
    (a) the year that is designated as the plan year in:
    (i) the plan document of a group health plan; or
    (ii) a summary plan description of a group health plan;
    (b) if the plan document or summary plan description does not designate a plan year or there is no plan document or summary plan description:
    (i) the year used to determine deductibles or limits;
    (ii) the policy year, if the plan does not impose deductibles or limits on a yearly basis; or
    (iii) the employer's taxable year if:
    (A) the plan does not impose deductibles or limits on a yearly basis; and
    (B) 
    (I) the plan is not insured; or
    (II) the insurance policy is not renewed on an annual basis; or
    (c) in a case not described in Subsection (144)(a) or (b), the calendar year. See Utah Code 31A-1-301
  • Policy: includes a service contract issued by:
    (i) a motor club under Chapter 11, Motor Clubs;
    (ii) a service contract provided under Chapter 6a, Service Contracts; and
    (iii) a corporation licensed under:
    (A) Chapter 7, Nonprofit Health Service Insurance Corporations; or
    (B) Chapter 8, Health Maintenance Organizations and Limited Health Plans. See Utah Code 31A-1-301
  • Policy summary: means a synopsis describing the elements of a life insurance policy. See Utah Code 31A-1-301
  • Policyholder: means a person who controls a policy, binder, or oral contract by ownership, premium payment, or otherwise. See Utah Code 31A-1-301
  • Precedent: A court decision in an earlier case with facts and law similar to a dispute currently before a court. Precedent will ordinarily govern the decision of a later similar case, unless a party can show that it was wrongly decided or that it differed in some significant way.
  • 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
  • Presiding officer: A majority-party Senator who presides over the Senate and is charged with maintaining order and decorum, recognizing Members to speak, and interpreting the Senate's rules, practices and precedents.
  • 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
  • Project area: means the area surrounding the border between Salt Lake County and Utah County, commonly referred to as the Point of the Mountain. See Utah Code 63C-17-102
  • Project entity: means the same as that term is defined in Section 11-13-103. See Utah Code 63C-26-101
  • Property: includes both real and personal property. See Utah Code 68-3-12.5
  • Prosecute: To charge someone with a crime. A prosecutor tries a criminal case on behalf of the government.
  • Public infrastructure district: means a public infrastructure district created under Title 17D, Chapter 4, Public Infrastructure District Act. See Utah Code 63C-25-101
  • Quorum: The number of legislators that must be present to do business.
  • 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
  • Remainder: An interest in property that takes effect in the future at a specified time or after the occurrence of some event, such as the death of a life tenant.
  • Research team: means the Snake Valley Research Team created in Section 63C-12-107. See Utah Code 63C-12-102
  • Revolving loan fund: means :
    (a) the Water Resources Conservation and Development Fund, created in Section 73-10-24;
    (b) the Water Resources Construction Fund, created in Section 73-10-8;
    (c) the Water Resources Cities Water Loan Fund, created in Section 73-10-22;
    (d) the Clean Fuel Conversion Funds, created in 4;
    (e) the Water Development Security Fund and its subaccounts, created in Section 73-10c-5;
    (f) the Agriculture Resource Development Fund, created in Section 4-18-106;
    (g) the Utah Rural Rehabilitation Fund, created in Section 4-19-105;
    (h) the Permanent Community Impact Fund, created in Section 35A-8-303;
    (i) the Petroleum Storage Tank Fund, created in Section 19-6-409;
    (j) the School Building Revolving Account, created in Section 53F-9-206;
    (k) the State Infrastructure Bank Fund, created in Section 72-2-202;
    (l) the Uintah Basin Revitalization Fund, created in Section 35A-8-1602;
    (m) the Navajo Revitalization Fund, created in Section 35A-8-1704;
    (n) the Energy Efficiency Fund, created in Section 11-45-201;
    (o) the Brownfields Fund, created in Section 19-8-120;
    (p) the following enterprise revolving loan funds created in Section 63A-3-402:
    (i) the inland port infrastructure revolving loan fund;
    (ii) the point of the mountain infrastructure revolving loan fund; or
    (iii) the military development infrastructure revolving loan fund; and
    (q) any other revolving loan fund created in statute where the borrower from the revolving loan fund is a public non-profit entity or political subdivision, including a fund listed in Section 63A-3-205, from which a loan entity is authorized to make a loan. See Utah Code 63C-25-101
  • Rider: means an endorsement to:
    (a) an insurance policy; or
    (b) an insurance certificate. See Utah Code 31A-1-301
  • Road: includes :Utah Code 68-3-12.5
  • Secondary medical condition: means a complication related to an exclusion from coverage in accident and health insurance. See Utah Code 31A-1-301
  • Security: means a:
    (i) note;
    (ii) stock;
    (iii) bond;
    (iv) debenture;
    (v) evidence of indebtedness;
    (vi) certificate of interest or participation in a profit-sharing agreement;
    (vii) collateral-trust certificate;
    (viii) preorganization certificate or subscription;
    (ix) transferable share;
    (x) investment contract;
    (xi) voting trust certificate;
    (xii) certificate of deposit for a security;
    (xiii) certificate of interest of participation in an oil, gas, or mining title or lease or in payments out of production under such a title or lease;
    (xiv) commodity contract or commodity option;
    (xv) certificate of interest or participation in, temporary or interim certificate for, receipt for, guarantee of, or warrant or right to subscribe to or purchase any of the items listed in Subsections (171)(a)(i) through (xiv); or
    (xvi) another interest or instrument commonly known as a security. 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.
  • Significant break in coverage: means a period of 63 consecutive days during each of which an individual does not have creditable coverage. See Utah Code 31A-1-301
  • Small employer: means , in connection with a health benefit plan and with respect to a calendar year and to a plan year, an employer who:
    (i) 
    (A) employed at least one but not more than 50 eligible employees on business days during the preceding calendar year; or
    (B) if the employer did not exist for the entirety of the preceding calendar year, reasonably expects to employ an average of at least one but not more than 50 eligible employees on business days during the current calendar year;
    (ii) employs at least one employee on the first day of the plan year; and
    (iii) for an employer who has common ownership with one or more other employers, is treated as a single employer under 26 U. See Utah Code 31A-1-301
  • 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
  • State board: means the State Board of Education. See Utah Code 63C-22-102
  • State funds: means an appropriation by the Legislature identified as coming from the General Fund or Education Fund. See Utah Code 63C-25-101
  • State superintendent: means the state superintendent of public instruction appointed under Section 53E-3-301. See Utah Code 63C-22-102
  • Statewide mental health crisis line: means the same as that term is defined in Section 26B-5-610. See Utah Code 63C-18-102
  • Statewide warm line: means the same as that term is defined in Section 26B-5-610. See Utah Code 63C-18-102
  • Statute: A law passed by a legislature.
  • Strategic plan: means the strategic plan developed in Section 63C-21-202. See Utah Code 63C-21-102
  • Student: means a child who is under the age of 18. See Utah Code 63C-22-102
  • Testimony: Evidence presented orally by witnesses during trials or before grand juries.
  • United States: includes each state, district, and territory of the United States of America. See Utah Code 68-3-12.5
  • United States agency: means a department, agency, authority, commission, council, board, office, bureau, or other administrative unit of the executive branch of the United States government. See Utah Code 63C-4a-102
  • Veto: The procedure established under the Constitution by which the President/Governor refuses to approve a bill or joint resolution and thus prevents its enactment into law. A regular veto occurs when the President/Governor returns the legislation to the house in which it originated. The President/Governor usually returns a vetoed bill with a message indicating his reasons for rejecting the measure. In Congress, the veto can be overridden only by a two-thirds vote in both the Senate and the House.
  • Writing: includes :Utah Code 68-3-12.5