Adverse benefit determination procedures.

Utah Code § 31A-4-116, under Chapter 31A-4: Insurers in General.

Utah Code § 31A-4-116

31A-4-116. Adverse benefit determination procedures.

(1) If an insurer has established a complaint resolution body or grievance appeal board, the body or board shall include at least one consumer representative.

(2) Adverse benefit determination procedures for health insurance policies and health maintenance organization contracts shall be established in accordance Sectionsand. 31A-22-629 31A-22-650