- (1) A carrier shall include a description of the independent review procedure in or attached to the policy and certificate, and may include a description with other evidence of coverage provided to the insured.
(2) The description required in Subsection (1) shall:
(a) include a statement that informs the insured:
- (i) of the right to file a request for an independent review of a final adverse benefit determination, including the website, phone number, and address of the Utah Insurance Department; and
- (ii) that an authorization to obtain medical records is required for reaching a decision; and
- (b) be listed after the description of an appeal procedure.
KEY: health benefit plan insurance
Date of Last Change: August 27, 2025
Notice of Continuation: May 19, 2026
Authorizing, and Implemented or Interpreted Law: 31A-22-629; 31A-2-201; 31A-2-212