31A-2-216. Office of Consumer Health Assistance.

248 words·~1 min read·/ut/title-31a/chapter-2/31a-2-216

A research copy — for the controlling text, always check the official state or federal source. Not legal advice.

Effective 5/1/2024

(1)The commissioner shall establish an Office of Consumer Health Assistance before July 1, 1999.

(2)The office shall:

(a)be a resource for health insurance consumers concerning health insurance coverage or the need for such coverage;

(b)help health insurance consumers understand:

(i)contractual rights and responsibilities;

(ii)statutory protections; and

(iii)available remedies, including adverse benefit determination processes;

(c)educate health insurance consumers:

(i)by producing or collecting and disseminating educational materials to consumersand health insurers; and

(ii)through outreach and other educational activities;

(d)for health insurance consumers that have difficulty in accessing their health insurance policies because of language, disability, age, or ethnicity, provide information and services, directly or through referral;

(e)analyze and monitor federal and state consumer health insurance statutes, rules, and regulations; and

(f)summarize information gathered under this section and make the summaries available to the public, government agencies, and the Legislature.

(3)The office may:

(a)obtain data from health insurance consumers as necessary to further the office's duties under this section;

(b)investigate complaints and attempt to resolve complaints at the lowest possible level; and

(c)assist, but not testify or represent, a consumer in an adverse benefit determination, arbitration, judicial, or related proceeding, unless the proceeding is in connection with an enforcement action under Section 31A-2-308 .

(4)The commissioner may adopt rules necessary to implement the requirements of this section.

Amended by Chapter 120 , 2024 General Session