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27-1-11
Section 27-1-11 Dentists and dental hygienists as "physicians" under health or accident
insurance policies. Whenever the terms "physician" and/or "doctor" are
used in any policy of health or accident insurance issued in this state or in any contract
for the provision of health care, services, or benefits issued by any health, medical or other
service corporation existing under, and by virtue of any laws of this state, said terms shall
include within their meaning those persons licensed under and in accordance with Chapter 9
of Title 34 in respect to any care, services, procedures, or benefits covered by said policy
of insurance or health care contract which the said persons are licensed to perform, any provisions
in any such policy of insurance or health care contract to the contrary notwithstanding. This
section shall be applicable to all policies in this state, regardless of date of issue, on
October 10, 1975. (Acts 1975, No. 1241, p. 2607, §1.)...
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27-12-13
Section 27-12-13 Life, annuity, and disability insurance - Exceptions to discrimination, rebates,
or special inducements. Nothing in Sections 27-12-11 and 27-12-12 shall be construed as including
within the definition of discrimination, rebates, or special inducements any of the following
practices: (1) In the case of any contract of life insurance or annuity, paying bonuses to
policyholders or otherwise abating their premiums in whole or in part out of surplus accumulated
from nonparticipating insurance, provided, that any such bonuses or abatement of premiums
is fair and equitable to policyholders and for the best interests of the insurer and its policyholders;
(2) In the case of life or disability insurance policies issued on the industrial debit or
weekly premium plan, making allowance to policyholders who have continuously for a specified
period made premium payments directly to an office of the insurer in an amount which fairly
represents the saving in collection expense; (3)...
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27-19A-12
Section 27-19A-12 Dental services - Coverages; fees; exceptions. (a) As used in this section,
the following terms shall have the following meanings: (1) COVERED PERSON. Any individual,
family, or family member on whose behalf third-party payment or prepayment of health or medical
expenses is provided under an insurance policy, plan, or contract providing for third-party
payment or prepayment of health care or medical expenses. (2) COVERED SERVICES. Dental care
services for which a reimbursement is available under an enrollee's plan contract, or for
which a reimbursement would be available but for the application of contractual limitations
such as deductibles, copayments, coinsurance, waiting periods, annual or lifetime maximums,
frequency limitations, alternative benefit payments, or any other limitation. (3) DENTAL CARE
PROVIDER. A licensed dentist. (4) DENTAL PLAN. Includes any policy of insurance which is issued
by a health care service contractor which provides for coverage of...
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27-43-11
Section 27-43-11 Premium rates. (a) No policy of legal expense insurance may be issued in this
state unless the premium rates for the insurance have been filed with and approved by the
commissioner. (b) Premium rates must be established and justified in accordance with generally
accepted insurance principles, including, but not limited to, the experience or judgment of
the insurer making the rate filing or actuarial computations. (c) The commissioner may disapprove
rates that are excessive, inadequate, or unfairly discriminatory. Rates are not unfairly discriminatory
because they are averaged broadly among persons insured under group, blanket, or franchise
policies. (d) The commissioner may require the submission of whatever relevant information
is deemed necessary in determining whether to approve or disapprove a filing made under this
section or Section 27-43-10. (Acts 1981, No. 81-719, p. 1214, §1.)...
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27-7-5.2
Section 27-7-5.2 Licenses - Limited license for travel insurance producers. (a) As used in
this section, the following terms shall have the following meanings: (1) OFFER AND DISSEMINATE.
Provide general information, including a description of the coverage and price, as well as
processing the application, collecting premiums, and performing other non-licensable activities
permitted by the state. (2) TRAVEL INSURANCE. a. Insurance coverage for personal risks incident
to planned travel, including, but not limited to: 1. Interruption or cancellation of trip
or event. 2. Loss of baggage or personal effects. 3. Damages to accommodations or rental vehicles.
4. Sickness, accident, disability, or death occurring during travel. b. Travel insurance does
not include major medical plans which provide comprehensive medical protection for travelers
with trips lasting six months or longer, including for example, those working overseas or
military personnel being deployed. (3) TRAVEL INSURANCE...
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19-3B-1304
Section 19-3B-1304 Trusts for employees or self-employed persons. (a) A trust of real or personal
property or real and personal property combined: (1) which is created by an employer as part
of a stock bonus plan, pension plan, disability or death benefit plan, or profit-sharing plan,
for the exclusive benefit of some or all his or her employees, to which contributions are
made by such employer or employees, or both, for the purpose of distribution to such employees
the earnings of the principal, or both earnings and principal of the fund so held in trust;
or (2) which is created by a self-employed person or group of self-employed persons and: a.
which is part of a retirement, disability, or death benefit plan for such self-employed person
or persons; and b. contributions to which are deductible, in whole or in part, from gross
income for federal income tax purposes under the internal revenue laws of the United States;
or (3) which is created for the collective investment of the funds...
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27-15-52
Section 27-15-52 Definitions. The following terms shall have the following meanings: (1) COMMERCIALLY
REASONABLE EFFORT. The plans, processes, or procedures necessary to confirm the death of the
insured, contract owner or annuitant, or retained asset account holder against other available
records and information and, as applicable, to locate the beneficiary or beneficiaries or
other person entitled to payment pursuant to the terms of the policy or contract which have
been developed by each insurer and submitted to and approved by the department. (2) CONTRACT.
An annuity contract. The term contract shall not include an annuity used to fund an employment-based
retirement plan or program where the insurer is not committed by terms of the annuity contract
to pay death benefits to the beneficiaries of specific plan participants. (3) DEATH MASTER
FILE. The United States Social Security Administration's Death Master File or any other database
or service that is at least as comprehensive as...
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27-19-2
Section 27-19-2 Scope and format of policy. No policy of disability insurance shall be delivered,
or issued for delivery, to any person in this state unless it otherwise complies with this
title and complies with the following: (1) The entire money and other considerations therefor
shall be expressed therein; (2) The time when the insurance takes effect and terminates shall
be expressed therein; (3) It shall purport to insure only one person, except that a policy
may insure, originally or by subsequent amendment, upon the application of an adult member
of the family, who shall be deemed the policyholder, any two or more eligible members of that
family, including husband, wife, dependent children, or any children under a specified age,
and any other person dependent upon the policyholder; (4) The style, arrangement, and overall
appearance of the policy shall give no undue prominence to any portion of the text, and every
printed portion of the text of the policy and of any endorsements...
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27-31A-7
Section 27-31A-7 Purchasing groups - Exemption from certain laws. A purchasing group and its
insurer or insurers shall be subject to all applicable laws of this state, except that a purchasing
group and its insurer or insurers shall be exempt, in regard to casualty insurance for the
purchasing group, from any law that would do any of the following: (1) Prohibit the establishment
of a purchasing group. (2) Make it unlawful for an insurer to provide or offer to provide
insurance on a basis providing, to a purchasing group or its members, advantages based on
their loss and expense experience not afforded to other persons with respect to rates, policy
forms, coverages, or other matters. (3) Prohibit a purchasing group or its members from purchasing
insurance on a group basis described in subdivision (2) of this section. (4) Prohibit a purchasing
group from obtaining insurance on a group basis because the group has not been in existence
for a minimum period of time or because any member has...
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25-5-334
Section 25-5-334 Notice of testing; written policy statement. (a) One time only, prior to testing,
all employees and job applicants for employment shall be given a notice of testing. In addition,
all employees shall be given a written policy statement from the employer which contains all
of the following: (1) A general statement of the employer's policy on employee substance abuse
which shall identify: a. The types of testing an employee or job applicant may be required
to submit to, including reasonable suspicion or other basis used to determine when the testing
will be required. b. The actions the employer may take against an employee or job applicant
on the basis of a positive confirmed test result. (2) A statement advising an employee or
job applicant of the existence of this article. (3) A general statement concerning confidentiality.
(4) The consequences of refusing to submit to a drug test. (5) A statement advising an employee
of the Employee Assistance Program, if the employer...
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