Utah Statutes
§ 31A-45-403 — Essential health benefits.
Utah·Title 31A Insurance Code·Ch. 31A-45 Managed Care Organizations·Part 31A-45-4 Access to Services for Managed Care Enrollees
(1)The state designates the state's own essential health benefits benchmark plan and does not accept a federal determination of the essential health benefits benchmark plan under the PPACA.
(2)The commissioner shall make rules in accordance with Title 63G, Chapter 3, Utah Administrative Rulemaking Act, that designate the essential health benefits benchmark plan for the state.
(3)(3)(a) The commissioner shall update the state's essential health benefits benchmark plan for plan years beginning on January 1, 2027.
(3)(b) The commissioner shall include in the plan described in Subsection (3)(a):
(3)(b)(i) any state mandated health insurance benefit that applies to a health benefit plan effective on or after January 1, 2012, through January 1, 2025; and
(3)(b)(ii) additional benefits mandate
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Legislative History
Amended by Chapter 350, 2025 General Session
Nearby Sections
15
§ 31A-1-101
Short title.§ 31A-1-102
Purposes.§ 31A-1-103
Scope and applicability of title.§ 31A-1-104
Authorization to do insurance business.§ 31A-1-105
Presumption of jurisdiction.§ 31A-1-106
Residual unlicensed domestic insurers.§ 31A-1-107
Licensees under former Title 31.§ 31A-1-108
Corporations in the process of organizing.§ 31A-1-109
Name of licensee.§ 31A-1-110
Scope of a license.§ 31A-1-201
Construction.§ 31A-1-202
Effect of repeal of former provisions.§ 31A-1-203
Interpretive rules.§ 31A-1-205
Severability.§ 31A-1-301
Definitions.