1. (1) An insurer shall file a stop-loss insurance contract and application with:

   1. (a) any related documents;
   2. (b) if altered, a disclosure as outlined in Section R590-268-4; and
   3. (c) a rate manual with an actuarial memorandum as outlined in Section R590-268-7.

2. (2) A new or a revised rate filing shall:

   1. (a) include:

      1. (i) a summary of the rate calculation;
      2. (ii) geographic rating area factors applicable in Utah;
      3. (iii) a description of how the overall rate is compliant; and
      4. (iv) an actuarial certification signed by a qualified actuary; and
   2. (b) be filed no later than 30 days before use.
3. (3) A stop-loss contract shall be consistently applied to each small employer.
4. (4) A filing shall be submitted using SERFF.

KEY: small employer stop-loss

Date of Last Change: May 9, 2023

Notice of Continuation: March 7, 2024

Authorizing, and Implemented or Interpreted Law: 31A-43-304; Title 31A, Chapter 43