Utah § 31A-22-647 Insurer shared savings program.

Utah Statutes

§ 31A-22-647 — Insurer shared savings program.

Utah § 31A-22-647

Title 31AInsurance Code

Ch. 31A-22Contracts in Specific Lines

Part 31A-22-6Accident and Health Insurance

This text of Utah § 31A-22-647 (Insurer shared savings program.) is published on Counsel Stack Legal Research, covering Utah primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook

Utah Code Ann. § 31A-22-647 (2026).

Text

(1)As used in this section:

(1)(a) "Insurer" means a person who offers health care insurance, including a health maintenance organization as that term is defined in Section 31A-8-101.

(1)(b) "PEHP" means the Public Employees' Benefit and Insurance Program created in Section 49-20-103.

(1)(c) "Savings reward program" means a program to reward a health insurance enrollee if the enrollee receives services:

(1)(c)(i) covered by the enrollee's health plan; and

(1)(c)(ii) from a provider whose costs for services are lower than the average costs for the services.

(2)An insurer may, in accordance with Subsection (4), establish a savings reward program for a health benefit plan that is:

(2)(a) offered by the insurer; and

(2)(b) entered into or renewed on or after January 1, 2019.

(3)PEHP shall

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(1) As used in this section:

(1)(a) "Insurer" means a person who offers health care insurance, including a health maintenance organization as that term is defined in Section 31A-8-101.
(1)(b) "PEHP" means the Public Employees' Benefit and Insurance Program created in Section 49-20-103.
(1)(c) "Savings reward program" means a program to reward a health insurance enrollee if the enrollee receives services:
(1)(c)(i) covered by the enrollee's health plan; and
(1)(c)(ii) from a provider whose costs for services are lower than the average costs for the services.
(2) An insurer may, in accordance with Subsection (4), establish a savings reward program for a health benefit plan that is:

(2)(a) offered by the insurer; and
(2)(b) entered into or renewed on or after January 1, 2019.
(3) PEHP shall, in accordance with Subsection (4), establish a savings reward program for a health plan that is:

(3)(a) offered to state employees under Title 49, Chapter 20, Public Employees' Benefit and Insurance Program Act; and
(3)(b) entered into or renewed on or after July 1, 2019.
(4) A savings reward program described in Subsection (2) or (3) may include, in accordance with federal and state law, rewards to the enrollee through:

(4)(a) premium discounts;
(4)(b) rebates;
(4)(c) reduction of out-of-pocket costs; or
(4)(d) other rewards or incentives developed by the insurer.