Section R590-220-10 - Additional Procedures for Individual, Small Employer, and Group Health Benefit Plan Filings(1) An insurer filing a health benefit plan filing shall comply with: (a) Title 31A, Chapter 30, Individual, Small Employer, and Group Health Insurance Act;(b) Title 31A, Chapter 45, Managed Care Organizations;(2) Form Filing. (a) A non-2014 PPACA compliant health benefit plan form filing shall include the SERFF tracking number for the form's applicable rate manual filing.(b) A grandfathered or transitional plan shall be filed separate from a 2014 PPACA compliant health benefit plan.(3) Rate Manual Filing for a Non-2014 PPACA Compliant Health Benefit Plan.(a) A rate manual filing that does not request a change in rating methodology is a file before use filing.(b) A change in a rating methodology filing is a file for approval filing.(c) A new or revised rate manual shall: (i) include an actuarial certification signed by a qualified actuary; and(ii) be filed 30 days before use.(d) The company rate information on the rate/rule schedule tab shall be compliant.(4) Rate Filing for a 2014 PPACA Compliant Health Benefit Plan.(a) A rate filing shall be filed according to the department's annual bulletin to insurers.(b) Quarterly changes to a rate filing shall be filed according to Bulletin 2015-3.Utah Admin. Code R590-220-10
Amended by Utah State Bulletin Number 2015-20, effective 9/23/2015Adopted by Utah State Bulletin Number 2023-12, effective 3/23/2016Adopted by Utah State Bulletin Number 2023-13, effective 6/9/2023