Section R590-70-4 - Forms - General Requirements(1)(a) Form A, Form B, Form C, Form D, Form E, and Form F are intended to be guides for preparing statements required by Sections 31A-16-103, 31A-16-105, and 31A-16-106.(b) The forms listed in Subsection (1)(a) are blank forms that are not intended to be filled in.(c) Each statement filed shall contain the numbers and captions of each item, except that the text of the items may be omitted if the answers clearly indicate the scope and coverage of the items.(d) Any instructions appearing under the items of the form or elsewhere shall be omitted.(e) Unless otherwise required, if any item is inapplicable or the answer to the item is in the negative, a statement shall be made to that effect .(2)(a) Each statement, including exhibits and any other documents filed as a part of the statement, shall be filed with the commissioner in a secure electronic form .(b) Each statement shall be signed in the manner prescribed on the form. If the signature of any person is affixed pursuant to a power of attorney or other similar authority, a copy of the power of attorney or other authority shall be filed with the statement.(3) If an applicant requests a consolidated hearing under Subsection 31A-16-103(10), the applicant shall file in electronic form:(a) the Form A with the commissioner; and(b) a copy of the Form A with the NAIC .(4)(a) Each statement should be prepared electronically.(b) Each statement shall be easily readable and suitable for review and reproduction.(c) A debit in a credit category and a credit in a debit category shall be clearly distinguishable.(d) Each statement shall be in the English language.(e) Monetary value shall be stated in United States currency. (f) Any exhibit or other document filed with the statement in a foreign language shall be accompanied by an English language translation. (g) Any monetary value shown in a foreign currency normally shall be converted into United States currency.(5) Form A, Form B, Form C, Form D, Form E, and Form F can be obtained from the department's website at https://insurance.utah.gov.Utah Admin. Code R590-70-4
Adopted by Utah State Bulletin Number 2017-3, effective 1/10/2017Amended by Utah State Bulletin Number 2021-21, effective 10/25/2021