Utah § 31A-2-216 Office of Consumer Health Assistance.

Utah Statutes

§ 31A-2-216 — Office of Consumer Health Assistance.

Utah·Title 31A Insurance Code·Ch. 31A-2 Administration of the Insurance Laws·Part 31A-2-2 Duties and Powers of Commissioner

(1)The commissioner shall establish an Office of Consumer Health Assistance before July 1, 1999.

(2)The office shall:

(2)(a) be a resource for health insurance consumers concerning health insurance coverage or the need for such coverage;

(2)(b) help health insurance consumers understand:

(2)(b)(i) contractual rights and responsibilities;

(2)(b)(ii) statutory protections; and

(2)(b)(iii) available remedies, including adverse benefit determination processes;

(2)(c) educate health insurance consumers:

(2)(c)(i) by producing or collecting and disseminating educational materials to consumersand health insurers; and

(2)(c)(ii) through outreach and other educational activities;

(2)(d) for health insurance consumers that have difficulty in accessing their health insurance policies because of lan

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(1) The commissioner shall establish an Office of Consumer Health Assistance before July 1, 1999.
(2) The office shall:
(2)(a) be a resource for health insurance consumers concerning health insurance coverage or the need for such coverage;
(2)(b) help health insurance consumers understand:
(2)(b)(i) contractual rights and responsibilities;
(2)(b)(ii) statutory protections; and
(2)(b)(iii) available remedies, including adverse benefit determination processes;
(2)(c) educate health insurance consumers:
(2)(c)(i) by producing or collecting and disseminating educational materials to consumersand health insurers; and
(2)(c)(ii) through outreach and other educational activities;
(2)(d) for health insurance consumers that have difficulty in accessing their health insurance policies because of language, disability, age, or ethnicity, provide information and services, directly or through referral;
(2)(e) analyze and monitor federal and state consumer health insurance statutes, rules, and regulations; and
(2)(f) summarize information gathered under this section and make the summaries available to the public, government agencies, and the Legislature.
(3) The office may:
(3)(a) obtain data from health insurance consumers as necessary to further the office's duties under this section;
(3)(b) investigate complaints and attempt to resolve complaints at the lowest possible level; and
(3)(c) assist, but not testify or represent, a consumer in an adverse benefit determination, arbitration, judicial, or related proceeding, unless the proceeding is in connection with an enforcement action under Section 31A-2-308.
(4) The commissioner may adopt rules necessary to implement the requirements of this section.