Title 31A, Title 31A: Insurance Code

31A-7-302. Annual report to policyholders. Every insurer organized or operating under this chapter shall send to each policyholder or electronically post on the insurer's public website an abbreviated annual report which contains basic financial and operating data, and informatio…

31A-7-303. Board of directors. (1) Subject to other provisions under this section, Sectionsthrough, and Sections,,,, andapply to the board of directors of insurers organized or operating under this chapter. 16-6a-801 16-6a-805 16-6a-810 16-6a-812 16-6a-814 16-6a-815 16-6a-816 (2)…

31A-7-304. Waiver and consent. Sectionsandapply to waiver and consent in corporations organized or operating under this chapter.

31A-7-305. Supervision of management changes. Subsectionsandapply to supervision and management changes in corporations organized and operating under this chapter. If a trustee is removed from the board of trustees in the manner specified under Subsection, the action shall be rep…

31A-7-306. Continuity of management in emergencies. Sectionapplies to continuity of management in emergencies in corporations organized and operating under this chapter.

31A-7-307. Committees of directors. (1) If provided by the articles or bylaws of a corporation, the board of directors may, by a resolution adopted by a majority of the full board, designate one or more committees, each consisting of three or more directors, to serve at the pleas…

31A-7-308. Interlocking directorates and other relationships. Sectionapplies to interlocking directorates and other relationships in corporations organized and operating under this chapter.

31A-7-309. Transactions in which directors and others are interested. Sectionapplies to corporations organized and operating under this chapter, except that, for purposes of this chapter, Sectiondoes not preclude standard contracts for the provision of health care services with d…

31A-7-310. Officers', directors', and employees' liability and indemnification. Sectionapplies to officers', directors', and employees' liability and indemnification in corporations organized and operating under this chapter.

31A-7-311. Executive compensation. Subsections,,, andapply to executive compensation in corporations organized and operating under this chapter.

31A-7-312. Exclusive management and exclusive agency contracts. Sectionapplies to exclusive management and exclusive agency contracts in corporations organized and operating under this chapter, except that in this chapter, Subsectiondoes not preclude exclusive agency contracts wi…

31A-7-313. Books and records. Sectionapplies to the books and records of corporations organized and operating under this chapter.

31A-7-401. Mergers and consolidations. Sectionsandapply to mergers and consolidations of corporations organized and operating under this chapter.

31A-7-402. Voluntary dissolution. Sectionapplies to the voluntary dissolution of corporations organized and operating under this chapter.

31A-7-403. Conversion to a Title 31A, Chapter 5, mutual insurer. (1) An insurer organized and operating under this chapter may be converted into a mutual insurer under, as provided in this section. Chapter 5, Domestic Stock and Mutual Insurance Corporations (2) The board shall pa…

31A-7-404. Transfer of business or assets. Sectionapplies to the transfer of business or assets of corporations organized and operating under this chapter.

31A-7-501. Duties of officers, directors, agents, and employees. Sectionapplies to the duties of officers, directors, agents, and employees of corporations organized and operating under this chapter.

31A-7-502. Doing business in other states. Sectionapplies to corporations organized and operating under this chapter doing business in other states.

31A-8-101. Definitions. As used in this chapter: (1) "Ambulance membership organization" means a person that offers an ambulance membership plan. "Ambulance membership organization" does not include a person that offers ambulance services. (2) "Ambulance membership plan" means a …

31A-8-102. Scope and purposes. (1) No person may operate an organization in this state without complying with and obtaining a certificate of authority under this chapter. (2) The purposes of this chapter include to: provide for the establishment of health maintenance organization…

31A-8-103. Applicability to other provisions of law. (1) Except for exemptions specifically granted under this title, an organization is subject to regulation under all of the provisions of this title. Notwithstanding any provision of this title, an organization licensed under th…

31A-8-104. Determination of ability to provide services. (1) The commissioner may not issue a certificate of authority to an applicant for a certificate of authority under this chapter unless the applicant demonstrates to the commissioner that the applicant has: the willingness a…

31A-8-105. General powers of organizations. (1) Except as provided in Subsection, an organization may: (2) buy, sell, lease, encumber, construct, renovate, operate, or maintain hospitals, health care clinics, other health care facilities, and other real and personal property inci…

31A-8-105.5. Primary care physicians. With regard to participating providers who are physicians who are members of the American College of Obstetrics and Gynecology, organizations operating under this chapter shall: (1) permit a female enrollee to receive at least one outpatient …

31A-8-106. Other business. No organization may engage, directly or indirectly, in any business other than that of an organization and business reasonably incidental to that business.

31A-8-107. Documents as evidence. Sectionapplies to documents as evidence in organizations.

31A-8-108. Unauthorized assumption of corporate power. Sectionapplies to the unauthorized assumption of corporate power in organizations.

31A-8-201. Scope of part. This part applies to all organizations doing business in this state.

31A-8-202. Corporate name -- Office -- Registered agent. (1) Sections,, andapply to the reservation and registration of the corporate name in domestic health maintenance organizations. Reservation and registration fees under Sectionapply. 16-10a-402 16-10a-403 42-2-5 31A-3-103 (2…

31A-8-202. Corporate name -- Office -- Registered agent. (1) Sections,, andapply to the reservation and registration of the corporate name in domestic health maintenance organizations. 16-1a-304 16-10a-403 42-2-201 Reservation and registration fees under Sectionapply. 31A-3-103 (…

31A-8-203. Incorporators. One or more adult natural persons may organize and act as the incorporators of a domestic health maintenance organization under this part.

31A-8-204. Articles and bylaws. (1) The articles of a nonprofit organization shall conform to Subsectionsthrough. The articles of other organizations shall conform to Section. In addition: 16-6a-202(1)(a) (e) 16-10a-202 the powers of the corporation shall be limited to those perm…

31A-8-205. Organization permit and certificate of incorporation. (1) Sectionapplies to the formation of organizations, except that "Section" in Subsectionshall be read "Section." 31A-5-204 31A-5-211 31A-5-204(5) 31A-8-209 (2) In addition to the requirements of Section, the applic…

31A-8-206. Powers under organization permit -- Deposit of proceeds of subscriptions. Sectionsandapply to the powers of an organization under an organization permit and the deposit of proceeds of subscriptions, except that there are no qualifying insurance policies as referred to …

31A-8-207. Termination of organization permit -- Payment of organization expenses. Section, other than Subsection, applies to the termination of the organization permit and the payment of organization expenses of organizations, except that "Section" shall be read "Section."

31A-8-208. Incorporators' liability and organization expenses. Sectionapplies to incorporators' liability and organization expenses in organizations.

31A-8-209. Minimum capital or minimum permanent surplus. (1) A health maintenance organization being organized or operating under this chapter shall have and maintain a minimum capital or minimum permanent surplus of $100,000. Each health maintenance organization authorized to do…

31A-8-211. Deposit. (1) Except as provided in Subsection, each health maintenance organization authorized in this state shall maintain a deposit with the commissioner under Sectionin an amount equal to the sum of: (2) 31A-2-206 $100,000; and 50% of the greater of: $900,000; 2% of…

31A-8-213. Certificate of authority. (1) An organization may apply for a certificate of authority at any time prior to the expiration of its organization permit. The application shall include: a detailed statement by a principal officer about any material changes that have taken …

31A-8-214. Securities. , applies to securities of organizations, except that the amount "$150,000" in Subsectionshall be read "one-half of the minimum capital required of the organization."

31A-8-215. Management. , applies to organizations, except that for purposes of this chapter, Subsectionsthroughshall be read: "corporate reorganizations under Section."

31A-8-216. Corporate reorganizations. Sectionsthroughand Sectionapply to corporate reorganizations of organizations.

31A-8-217. Material transactions by insurers which are part of holding company system. (1) This section applies to an insurer licensed under this chapter that is part of a holding company system, for purposes of: the reporting requirements of Section; and 31A-16-105 the material …

31A-8-301. Requirements for doing business in state. (1) Only a corporation incorporated and licensed under, may do business in this state as an organization. Part 2, Domestic Organizations (2) To do business in this state as an organization, a foreign corporation doing a similar…

31A-8-303. Foreign ambulance membership organizations. A foreign ambulance membership organization limited health plan is exempt from: (1) Section; 31A-8-204 (2) Section; 31A-8-205 (3) Section; 31A-8-206 (4) Section; 31A-8-211 (5) Section; 31A-8-214 (6) Section; 31A-8-215 (7) Sec…

31A-8-401. Enrollee participation. Every organization shall provide a reasonable procedure, consistent with Section, for allowing enrollees to participate in matters of policy of the organization and for resolving complaints and adverse benefit determinations initiated by enrolle…