1. (1) Forms in General.

   1. (a) A form is a file and use filing.
   2. (b) A form shall be identified by a unique form number that may not be variable.
   3. (c) A form shall be in final printed form and may not be submitted as a draft.
   4. (d) Blank spaces within a form shall be completed to accurately represent the purpose and use.

2. (2) Application Filing.

   1. (a) An application or enrollment form may be submitted as a separate filing or filed with its related policy or certificate filing.
   2. (b) If an application was previously filed or is filed separately, an informational copy of the application shall be included with the policy or certificate filing.
   3. (c) The Utah filed date or SERFF tracking number for the application shall be included in the filing description.

3. (3) Policy Filing.

   1. (a) Each TOI shall be filed separately.
   2. (b) A policy filing consists of one policy form, including the application, outline of coverage, certificate, and rider or endorsement.
   3. (c) Only one policy filing for a single TOI may be filed.
   4. (d) Notwithstanding Subsections (3)(a) through (3)(c), a Medicare supplement filing may include more than one policy but is limited to only one of each of the Medicare supplement policies A through N.

4. (4) Rider or Endorsement Filing.

   1. (a) Related riders or endorsements may be filed together.
   2. (b) A single rider or endorsement that affects multiple forms may be filed if the filing description references each affected form.

   3. (c) The filing description shall include:

      1. (i) a list of each policy form number, title, and Utah filed date or SERFF tracking number; and
      2. (ii) a description of how each rider or endorsement affects the policy.
   4. (d) Unrelated riders or endorsements may not be filed together.
5. (5) Outline of Coverage. If an outline of coverage is required to be issued with a policy, a rider, or an endorsement, the outline of coverage shall be filed when the policy, rider, or endorsement is filed.

KEY: health insurance filings

Date of Last Change: July 21, 2023

Notice of Continuation: February 7, 2024

Authorizing, and Implemented or Interpreted Law: 31A-2-201; 31A-2-201.1; 31A-2-202; 31A-22-605; 31A-22-620; 31A-30-106