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Code · Utah · Title 31A — Insurance Code · Chapter 44

31A-44-602. Enforcement by department -- Rulemaking.

357 words·~2 min read·/ut/title-31a/chapter-44/31a-44-602

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Effective 7/17/2016
31A-44-602. Enforcement by department -- Rulemaking.
(1)Subject to the requirements of Title 63G, Chapter 4, Administrative Procedures Act , the department may:
(a)receive and act on a complaint from a resident about a provider or a facility;
(b)take action designed to obtain voluntary compliance by the provider with this chapter for the benefit of a resident;
(c)commence administrative or judicial proceedings on the commission's own in order to enforce compliance by a provider with this chapter for the benefit of a resident;
(d)after a complaint by a resident about a provider for a facility subject to a ground lease, require the provider to pay rent in accordance with the ground lease; or
(e)take action against a provider who fails to:
(i)respond to the department, in writing, before 30 business days after the day on which the provider receives notice from the department of a complaint filed with the department; or
(ii)submit information requested by the department.
(2)The department may:
(a)counsel an individual on the individual's rights or duties under this chapter;
(b)make rules in accordance with Title 63G, Chapter 3, Utah Administrative Rulemaking Act , to:
(i)restrict or prohibit practices by the provider that are misleading, unfair, or abusive;
(ii)promote or assure fair and full disclosure of the terms and conditions of continuing care contracts, agreements, and communications between a resident and a provider;
(iii)promote or assure the ability of the public to compare continuing care contracts, providers, and facilities; and
(iv)clearly disclose any financial risks related to a provider's facility to the facility's residents;
(c)employ hearing examiners, clerks, and other employees and agents as necessary to perform the department's duties under this chapter;
(d)appoint a receiver for a provider; and
(e)upon request by a provider, subordinate a lien imposed under Section 31A-44-601 for the purpose of the provider obtaining secondary financing or refinancing of a facility if:
(i)the facility is financially sound; and
(ii)subordinating the lien does not adversely affect the residents of the facility.
Amended by Chapter 8 , 2016 Special Session 3
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