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Utah Code § 31A-2-216

Office of Consumer Health Assistance

Amended by Chapter 120, 2024 General Session

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

(2) The office shall:

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

(b) help health insurance consumers understand:

(i) contractual rights and responsibilities;

(ii) statutory protections; and

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

(c) educate health insurance consumers:

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

(ii) through outreach and other educational activities;

(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;

(e) analyze and monitor federal and state consumer health insurance statutes, rules, and regulations; and

(f) summarize information gathered under this section and make the summaries available to the public, government agencies, and the Legislature.

(3) The office may:

(a) obtain data from health insurance consumers as necessary to further the office's duties under this section;

(b) investigate complaints and attempt to resolve complaints at the lowest possible level; and

(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.

Official source: Utah State Legislature. Reproduced from public-domain Utah statutes; confirm against the official source for the current text. Not legal advice.