Title 31A, Title 31A: Insurance Code

31A-8-407. Written contracts -- Limited liability of enrollee -- Provider claim disputes -- Leased networks. (1) Every contract between an organization and a participating provider of health care services shall be in writing and shall set forth that if the organization: fails to …

31A-8-408. Organizations offering point of service or point of sales products. Effective July 1, 1991, a health maintenance organization offering products that permit members the option of obtaining covered services from a noncontracted provider, which is a point of service or po…

31A-8-601. Definitions. Reserved.

31A-8-602. Ambulance membership plan requirements. (1) An ambulance membership organization may assess a one-time application processing fee to the ambulance membership organization's members that may not exceed $25. (2) If an ambulance membership organization cancels an ambulanc…

31A-8-603. Certificate of authority renewal -- Reporting requirements. (1) At least 90 days before the day on which an ambulance membership organization's certificate of authority expires, the ambulance membership organization seeking renewal of the ambulance membership organizat…

31A-8-604. Ambulance membership restrictions -- Medicaid program. (1) An ambulance membership organization may not knowingly sell, offer for sale, or provide an ambulance membership plan to an individual who is enrolled in the Medicaid program. (2) If an individual who enters int…

31A-8-605. Marketing requirements -- Required disclosures. (1) Each advertisement, marketing material, brochure, ambulance membership card, presentation, and any other communication of an ambulance membership organization shall be truthful and not misleading in fact or in implica…

31A-8a-101. Title. This chapter is known as the "Health Discount Program Consumer Protection Act."

31A-8a-102. Definitions. As used in this chapter: (1) "Fee" means any periodic charge for use of a discount program. (2) "Health care provider" means a health care provider as defined in Section, with the exception of "licensed athletic trainer," who: 78B-3-403 is practicing with…

31A-8a-103. Scope and purposes. (1) A person shall comply with the provisions of this chapter if the person operates a health discount program in this state. (2) Notwithstanding any provision in this title, a person who only operates or markets a health discount program is exempt…

31A-8a-201. License required. (1) Except as provided in Subsection, prior to operating or marketing a health discount program, a person shall: 31A-8a-103(3) be authorized to transact business in this state; and be licensed by the commissioner. (2) An application for licensure und…

31A-8a-202. Commissioner to issue license -- Renewals. (1) The commissioner may issue a license to a person: who files an application and pays the fee in accordance with Section; and 31A-8a-201 who the commissioner determines is in compliance with this chapter. (2) A license issu…

31A-8a-202.5. Reporting of administrative actions and criminal prosecution. (1) A health discount program operator or health discount program marketer shall report to the commissioner any administrative action or criminal prosecution brought against the health discount program op…

31A-8a-203. Information filed with the department. (1) Prior to operating a health discount program, a person shall submit the following to the commissioner: a copy of contract forms used by the health discount program for: health care providers or health care provider networks p…

31A-8a-204. Advertising restrictions and requirements. (1) An operator of a health discount program may not: use any form of words or terms that may confuse health discount programs with other types of health insurance in advertising or marketing such as "health plan," "health be…

31A-8a-205. Disclosure of health discount program terms. (1) Health discount program operators shall provide to each purchaser or potential purchaser a copy of the terms of the discount program at the time of purchase. For purposes of this section "purchaser" means the employer i…

31A-8a-205.5. Free look right. (1) Except as provided in Subsection, a person that purchases a health discount program may, with or without cause, within 30 days after the day on which the purchase contract is signed, cancel the contract without payment, damages, penalty, or liab…

31A-8a-206. Provider agreements -- Record keeping. (1) A health discount program operator may not place any restrictions on an enrollee's access to health care providers such as waiting periods or notification periods. (2) A health discount program operator may not reimburse heal…

31A-8a-207. Notice of change. (1) A health discount program operator shall provide the commissioner notice of: any change in the health discount program's organizational name, change of business or mailing address, or change in ownership or principals; and any change in the infor…

31A-8a-208. Representing or aiding an unauthorized insurer. (1) The provisions of this chapter and, apply to the activities of an unlicensed health discount program operator as if the health discount program was an unauthorized insurance contract and the unlicensed health discoun…

31A-8a-209. Health discount program fraud. For purposes of, a health discount program operator is an insurer as defined in Sectionand is subject to the provisions of.

31A-8a-210. Rulemaking authority. The commissioner has authority to adopt administrative rules in accordance with: (1) to enforce this chapter; and (2) as necessary to protect the public interest.

31A-9-101. Definitions. (1) As used in this chapter: "Fraternal" or "fraternal benefit society" means a corporation organized or operating under this chapter that: has no capital stock; exists solely for: the benefit of its members and their beneficiaries; and any lawful social, …

31A-9-102. Scope and purposes. (1) This chapter applies to all fraternals organized under the laws of this state. Except as expressly provided in this chapter and in Section, this chapter does not apply to nondomestic fraternals. 31A-14-210 (2) The purposes of this chapter includ…

31A-9-103. Orders imposing and relaxing restrictions. (1) The commissioner may subject any fraternal to some or all of the restrictions of Subsectionsand, and Subsection, as such provisions are incorporated by Sectionsand. 31A-5-305(2)(a)(i) (ii) 31A-5-410(1)(b) 31A-9-303 31A-9-4…

31A-9-104. Applicability of other insurance laws to fraternals. (1) No section of, applies to fraternals unless it is specifically made applicable by this chapter. Chapter 5, Domestic Stock and Mutual Insurance Corporations (2) Each section of the Insurance Code, other than in, t…

31A-9-105. General corporate powers and procedures. (1) Sectionapplies to the general powers of fraternals. 16-10a-302 (2) Sectionapplies to ultra vires issues in fraternals. 16-6a-304 (3) Subsectionapplies to the omission of a seal in a fraternal. 31A-5-104(3) (4) Sectionsandapp…

31A-9-106. Miscellaneous provisions. Sectionsandapply to fraternals.

31A-9-201. Reservation of corporate name. Sectionapplies to the reservation of a corporate name for a fraternal.

31A-9-202. Members and applicants in fraternals. (1) A fraternal may admit any natural person to membership under the conditions and for the type of insurance and other benefits its laws prescribe, subject to this chapter and other applicable laws. A member without insurance ceas…

31A-9-203. Incorporators. One or more adult natural persons may organize and act as the incorporators of a fraternal under this chapter.

31A-9-204. Articles of incorporation and bylaws. (1) The articles of incorporation shall set forth: the name of the corporation, which shall include the word "fraternal" or words of equivalent meaning; the location of the principal office of the fraternal, which shall be in this …

31A-9-205. Organization permit and certificate of incorporation. (1) Sectionapplies to fraternals except that the word "mutual" shall be read "fraternal" and "Section" in Subsectionshall be read "Section." 31A-5-204 31A-5-211 31A-5-204(5) 31A-9-209 (2) The application for an orga…

31A-9-206. Powers under organization permit and deposit of proceeds of subscriptions. Subsectionand Sectionapply to fraternals, except that: (1) the word "mutual" shall be read "fraternal"; and (2) there are no qualifying insurance policies as referred to in Subsection. 31A-5-207…

31A-9-207. Termination of organization permit and payment of organization expenses. Section, other than Subsection, applies to fraternals, except that: (1) the word "mutual" shall be read "fraternal"; and (2) the reference to "Section" shall be read "Section." 31A-5-212 31A-9-210…

31A-9-208. Incorporators' liability and organization expenses. Subsectionsandapply to fraternals, except that the word "mutual" shall be read "fraternal."

31A-9-209. Initial surplus requirements. (1) The requirements of Subsectionsthroughapply to fraternals with respect to the amount of permanent surplus required of the fraternal. 31A-5-211(1) (4) For purposes of Subsection: (1)(a) wherever the word "mutual" appears in Subsectionst…

31A-9-210. Certificate of authority. Sectionapplies to certificates of authority for fraternals, except that references to other sections in, shall be read to refer to the corresponding sections in.

31A-9-211. Accelerated organization procedure. Sectionapplies to the accelerated organization procedure for fraternals, except that the word "mutual" shall be read "fraternal."

31A-9-212. Separate accounts and subsidiaries. (1) Except as provided in Subsectionsand, Sectionsandapply to separate accounts and subsidiaries of fraternals. If a fraternal issues contracts on a variable basis, Subsectionsandanddo not apply, except that Subsectionapplies to any …

31A-9-213. Amendment of articles of incorporation. (1) The articles of a fraternal may provide for amendment by the supreme governing body or by the board of directors, and may also provide for amendment by an affirmative vote of a majority of those members who vote in a referend…

31A-9-301. Securities regulation. Sectionapplies to fraternal bonds but does not apply to contribution notes, as they are defined in Section, as incorporated by Section.

31A-9-302. Registration of securities. Sectionapplies to securities of fraternals.

31A-9-303. Authorized securities. Subsectionapplies to authorized securities of fraternals, except that the words "mutual" and "nonassessable mutual" shall be read "fraternal."

31A-9-401. Principal office, registered agent, and corruption in members' meetings. Sectiongoverns the location of the principal office and existence of a registered agent for fraternals. Sectionapplies to members' meetings of domestic fraternals.

31A-9-402. Communications to members. (1) A fraternal may provide in its laws for an official publication in which any notice, report, or statement required by law to be given to members, including a notice of election, may be published. Any required notice shall be printed consp…