26-19-14 - Insurance policies not to deny or reduce benefits of persons eligible for state medical assistance -- Exemptions. - Utah Statutes

State Codes and Statutes

Statutes > Utah > Title-26 > Chapter-19 > 26-19-14

26-19-14. Insurance policies not to deny or reduce benefits of persons eligible forstate medical assistance -- Exemptions.
(1) A policy of accident or sickness insurance issued or renewed after May 12, 1981,may not contain any provision denying or reducing benefits because services are rendered to aninsured or dependent who is eligible for or receiving medical assistance from the state.
(2) After May 12, 1981, no association, corporation, or organization may deliver, issuefor delivery, or renew any subscriber's contract which contains any provisions denying orreducing benefits because services are rendered to a subscriber or dependent who is eligible for orreceiving medical assistance from the state.
(3) After May 12, 1981, no association, corporation, business, or organization authorizedto do business in this state and which provides or pays for any health care benefits may deny orreduce benefits because services are rendered to a beneficiary who is eligible for or receivingmedical assistance from the state.
(4) Notwithstanding Subsection (1), (2), or (3), the Utah State Public Employees HealthProgram, administered by the Utah State Retirement Board, is not required to reimburse anyagency of state government for custodial care which the agency provides, through its staff orfacilities, to members of the Utah State Public Employees Health Program.
(5) This section is subject to the provisions of Subsection 31A-22-610.5(3).

Amended by Chapter 102, 1995 General Session

State Codes and Statutes

Statutes > Utah > Title-26 > Chapter-19 > 26-19-14

26-19-14. Insurance policies not to deny or reduce benefits of persons eligible forstate medical assistance -- Exemptions.
(1) A policy of accident or sickness insurance issued or renewed after May 12, 1981,may not contain any provision denying or reducing benefits because services are rendered to aninsured or dependent who is eligible for or receiving medical assistance from the state.
(2) After May 12, 1981, no association, corporation, or organization may deliver, issuefor delivery, or renew any subscriber's contract which contains any provisions denying orreducing benefits because services are rendered to a subscriber or dependent who is eligible for orreceiving medical assistance from the state.
(3) After May 12, 1981, no association, corporation, business, or organization authorizedto do business in this state and which provides or pays for any health care benefits may deny orreduce benefits because services are rendered to a beneficiary who is eligible for or receivingmedical assistance from the state.
(4) Notwithstanding Subsection (1), (2), or (3), the Utah State Public Employees HealthProgram, administered by the Utah State Retirement Board, is not required to reimburse anyagency of state government for custodial care which the agency provides, through its staff orfacilities, to members of the Utah State Public Employees Health Program.
(5) This section is subject to the provisions of Subsection 31A-22-610.5(3).

Amended by Chapter 102, 1995 General Session

State Codes and Statutes

Back To Homepage

State Codes and Statutes

Statutes > Utah > Title-26 > Chapter-19 > 26-19-14

26-19-14. Insurance policies not to deny or reduce benefits of persons eligible forstate medical assistance -- Exemptions.
(1) A policy of accident or sickness insurance issued or renewed after May 12, 1981,may not contain any provision denying or reducing benefits because services are rendered to aninsured or dependent who is eligible for or receiving medical assistance from the state.
(2) After May 12, 1981, no association, corporation, or organization may deliver, issuefor delivery, or renew any subscriber's contract which contains any provisions denying orreducing benefits because services are rendered to a subscriber or dependent who is eligible for orreceiving medical assistance from the state.
(3) After May 12, 1981, no association, corporation, business, or organization authorizedto do business in this state and which provides or pays for any health care benefits may deny orreduce benefits because services are rendered to a beneficiary who is eligible for or receivingmedical assistance from the state.
(4) Notwithstanding Subsection (1), (2), or (3), the Utah State Public Employees HealthProgram, administered by the Utah State Retirement Board, is not required to reimburse anyagency of state government for custodial care which the agency provides, through its staff orfacilities, to members of the Utah State Public Employees Health Program.
(5) This section is subject to the provisions of Subsection 31A-22-610.5(3).

Amended by Chapter 102, 1995 General Session