- (1) An adverse benefit determination review procedure shall comply with the adverse benefit determination review requirements set forth in 29 CFR 2560.503-1.
- (2) A carrier's adverse benefit determination appeal board or body shall include at least one consumer representative who is present at every meeting.
- (3) A carrier's adverse benefit determination notice shall conspicuously disclose the carrier's address and telephone number before the Utah Insurance Department's address and telephone number.
KEY: insurance
Date of Last Change: October 29, 2025
Notice of Continuation: March 31, 2022
Authorizing, and Implemented or Interpreted Law: 31A-2-201; 31A-2-203; 31A-4-116; 31A-22-629