31A-22-633. Exemptions from standards.
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/ut/title-31a/chapter-22/31a-22-633A research copy — for the controlling text, always check the official state or federal source. Not legal advice.
Effective 5/3/2023
31A-22-633. Exemptions from standards.
Notwithstanding the provisions of this title, any accident and health insurer or health maintenance organization may offer a choice of coverage that is less or different than is otherwise required by applicable state law if:
(1)the Department of Health and Human Services offers a choice of coverage as part of a Medicaid waiver under Title 26B, Chapter 3, Health Care - Administration and Assistance , which includes:
(a)less or different coverage than the basic coverage;
(b)less or different coverage than is otherwise required in an insurance policy or health maintenance organization contract under applicable state law; or
(c)less or different coverage than required by Subsection 31A-22-605(4)(b) ; and
(2)the choice of coverage offered by the carrier:
(a)is the same or similar coverage as the coverage offered by the Department of Health and Human Services under Subsection
(1);
(b)is offered to the same or similar population as the coverage offered by the Department of Health and Human Services under Subsection
(1); and
(c)contains an explanation for each insured of coverage exclusions and limitations.
Amended by Chapter 328 , 2023 General Session