reglab/housing_qa huggingface dataset:
UT Code § 31A-26-204 (2021)
2021 Utah Code|Title 31A - Insurance Code|Chapter 26 - Insurance Adjusters|Part 2 - Licensing and Registration of Insurance Adjusters|Section 204 - License classifications.

31A-26-204. License classifications.  A resident or nonresident license issued under this chapter shall be issued under the classifications described under Subsections (1), (2), and (3). A classification describes the matters to be considered under a prerequisite education or examination required of license applicants under Sections 31A-26-206 and 31A-26-207.  (1) Independent adjuster license classifications include:   (a) accident and health insurance, including related service insurance under Chapter 7, Nonprofit Health Service Insurance Corporations, or Chapter 8, Health Maintenance Organizations and Limited Health Plans;     (b) property and casualty insurance, including a surety or other bond;     (c) crop insurance; and     (d) workers' compensation insurance.       (2) Public adjuster license classifications include:   (a) accident and health insurance, including related service insurance under Chapter 7, Nonprofit Health Service Insurance Corporations, or Chapter 8, Health Maintenance Organizations and Limited Health Plans;     (b) property and casualty insurance, including a surety or other bond;     (c) crop insurance; and     (d) workers' compensation insurance.       (3)   (a) The commissioner may by rule:   (i) recognize other independent adjuster or public adjuster license classifications as to other kinds of insurance not listed under Subsection (1); and     (ii) create license classifications that grant only part of the authority arising under another license class.       (b) Notwithstanding Subsection (3)(a), for purpose of title insurance, the Title and Escrow Commission may make the rules provided for in Subsection (3)(a), subject to Section 31A-2-404.      Amended by Chapter 349, 2009 General Session
UT Code § 31A-26-205 (2021)
2021 Utah Code|Title 31A - Insurance Code|Chapter 26 - Insurance Adjusters|Part 2 - Licensing and Registration of Insurance Adjusters|Section 205 - Character requirements.

 Effective 5/8/2018  31A-26-205. Character requirements.  Each applicant for a license under this chapter shall show to the commissioner that:  (1) the applicant has the good faith intent to engage in the type of business the license or licenses applied for would permit;     (2)   (a) if a natural person, the applicant is:   (i) competent; and     (ii) trustworthy; or       (b) if an organization, all the partners, directors, principal officers, or persons in fact having comparable powers are trustworthy, and that the applicant will transact business in such a way that all acts that may only be performed by a licensed adjuster are performed exclusively by natural persons who are licensed under this chapter to transact that business and listed on the organization's license under Section 31A-26-209; and       (3) if a natural person, the applicant is at least 18 years of age.    Amended by Chapter 319, 2018 General Session
UT Code § 31A-26-207 (2021)
2021 Utah Code|Title 31A - Insurance Code|Chapter 26 - Insurance Adjusters|Part 2 - Licensing and Registration of Insurance Adjusters|Section 207 - Examination requirements.

 Effective 5/13/2014  31A-26-207. Examination requirements.    (1) The commissioner may require applicants for a particular class of license under Section 31A-26-204 to pass an examination as a requirement to receiving a license. The examination shall reasonably relate to the specific license class for which it is prescribed. The examinations may be administered by the commissioner or as specified by rule.     (2) The commissioner shall waive the requirement of an examination for a nonresident applicant who:   (a) applies for an insurance adjuster license in this state;     (b) has been licensed for the same line of authority in another state; and     (c)   (i) is licensed in the state described in Subsection (2)(b) at the time the applicant applies for an insurance producer license in this state; or     (ii) if the application is received within 90 days of the cancellation of the applicant's previous license:   (A) the prior state certifies that at the time of cancellation, the applicant was in good standing in that state; or     (B) the state's producer database records maintained by the National Association of Insurance Commissioners or the National Association of Insurance Commissioner's affiliates or subsidiaries, indicates that the producer is or was licensed in good standing for the line of authority requested.           (3)   (a) To become a resident licensee in accordance with Sections 31A-26-202 and 31A-26-203, a person licensed as an insurance producer in another state who moves to this state shall make application within 90 days of establishing legal residence in this state.     (b) A person who becomes a resident licensee under Subsection (3)(a) may not be required to meet prelicensing education or examination requirements to obtain any line of authority previously held in the prior state unless:   (i) the prior state would require a prior resident of this state to meet the prior state's prelicensing education or examination requirements to become a resident licensee; or     (ii) the commissioner imposes the requirements by rule.         (4) The requirements of this section only apply to an applicant who is a natural person.     (5) The requirements of this section do not apply to:   (a) a member of the Utah State Bar; or     (b) an applicant for the crop insurance license class who has satisfactorily completed:   (i) a national crop adjuster program, as adopted by the commissioner by rule; or     (ii) the loss adjustment training curriculum and competency testing required by the Federal Crop Insurance Corporation Standard Reinsurance Agreement through the Risk Management Agency of the United States Department of Agriculture.        Amended by Chapter 290, 2014 General SessionAmended by Chapter 300, 2014 General Session
UT Code § 31A-26-208 (2021)
2021 Utah Code|Title 31A - Insurance Code|Chapter 26 - Insurance Adjusters|Part 2 - Licensing and Registration of Insurance Adjusters|Section 208 - Nonresident jurisdictional agreement.

 Effective 5/8/2018  31A-26-208. Nonresident jurisdictional agreement.    (1)   (a) If a nonresident license applicant has a valid license from the nonresident license applicant's home state or designated home state and the conditions of Subsection (1)(b) are met, the commissioner shall:   (i) waive any license requirement for a license under this chapter; and     (ii) issue the nonresident license applicant a nonresident adjuster's license.       (b) Subsection (1)(a) applies if:   (i) the nonresident license applicant:   (A) is licensed in the nonresident license applicant's home state or designated home state at the time the nonresident license applicant applies for a nonresident adjuster license;     (B) has submitted the proper request for licensure;     (C) has submitted to the commissioner:   (I) the application for licensure that the nonresident license applicant submitted to the applicant's home state or designated home state; or     (II) a completed uniform application; and       (D) has paid the applicable fees under Section 31A-3-103;       (ii) the nonresident license applicant's license in the applicant's home state or designated home state is in good standing; and     (iii) the nonresident license applicant's home state or designated home state awards nonresident adjuster licenses to residents of this state on the same basis as this state awards licenses to residents of that home state or designated home state.         (2) A nonresident applicant shall execute in a form acceptable to the commissioner an agreement to be subject to the jurisdiction of the commissioner and courts of this state on any matter related to the adjuster's insurance activities in this state, on the basis of:   (a) service of process under Sections 31A-2-309 and 31A-2-310; or     (b) other service authorized under the Utah Rules of Civil Procedure or Section 78B-3-206.       (3) The commissioner may verify an adjuster's licensing status through the database maintained by:   (a) the National Association of Insurance Commissioners; or     (b) an affiliate or subsidiary of the National Association of Insurance Commissioners.       (4) The commissioner may not assess a greater fee for an insurance license or related service to a person not residing in this state based solely on the fact that the person does not reside in this state.    Amended by Chapter 319, 2018 General Session
UT Code § 31A-26-209 (2021)
2021 Utah Code|Title 31A - Insurance Code|Chapter 26 - Insurance Adjusters|Part 2 - Licensing and Registration of Insurance Adjusters|Section 209 - Form and contents of license.

 Effective 5/9/2017  31A-26-209. Form and contents of license.    (1) Licenses issued under this chapter shall be in the form the commissioner prescribes and shall set forth:   (a) the name, address, and the one or more telephone numbers of the licensee;     (b) the license classifications under Section 31A-26-204;     (c) the date of license issuance; and     (d) any other information the commissioner considers advisable.       (2) An adjuster doing business under any other name than the adjuster's legal name shall notify the commissioner prior to using the assumed name in this state.     (3)   (a) An organization shall be licensed as an agency if the organization acts as:   (i) an independent adjuster; or     (ii) a public adjuster.       (b) The agency license issued under Subsection (3)(a) shall set forth the names of all natural persons licensed under this chapter who are authorized to act in those capacities for the organization in this state.      Amended by Chapter 168, 2017 General Session
UT Code § 31A-26-211 (2021)
2021 Utah Code|Title 31A - Insurance Code|Chapter 26 - Insurance Adjusters|Part 2 - Licensing and Registration of Insurance Adjusters|Section 211 - Claims liaison.

31A-26-211. Claims liaison.  Authorized insurers with employees engaged in insurance adjusting may be required by the commissioner to designate one or more natural persons to whom the commissioner or his staff may direct inquiries concerning the insurer's claims adjustments. Insurers shall report to the commissioner the name, title, business address, telephone number of, and any changes in its designees under this section.  Amended by Chapter 204, 1986 General Session
UT Code § 31A-26-212 (2021)
2021 Utah Code|Title 31A - Insurance Code|Chapter 26 - Insurance Adjusters|Part 2 - Licensing and Registration of Insurance Adjusters|Section 212 - Emergency license.

31A-26-212. Emergency license.  In the event of a catastrophe or emergency which arises out of a disaster, act of God, riot, civil commotion, conflagration, or other similar occurrence, the commissioner shall, upon application, issue emergency licenses to persons who are not licensed adjusters. An emergency license shall be applied for within a week of beginning claims adjustment. It may remain in force for not more than 90 days, unless extended by the commissioner before it expires for an additional period of not more than 90 additional days. The insurer who contracts with an independent adjuster who is so licensed is responsible for all his claims practices while so engaged, as if he were a regular salaried employee. The fee for an emergency license is the same as the fee required of other licensed adjusters, unless the commissioner waives the fee.  Enacted by Chapter 242, 1985 General Session
UT Code § 31A-26-214 (2021)
2021 Utah Code|Title 31A - Insurance Code|Chapter 26 - Insurance Adjusters|Part 2 - Licensing and Registration of Insurance Adjusters|Section 214 - Probation -- Grounds for revocation.

 Effective 5/13/2014  31A-26-214. Probation -- Grounds for revocation.    (1) The commissioner may place a licensee on probation for a period not to exceed 24 months as follows:   (a) after an adjudicative proceeding under Title 63G, Chapter 4, Administrative Procedures Act, for any circumstances that would justify a suspension under Section 31A-26-213; or     (b) at the issuance of a new license:   (i) with an admitted violation under 18 U.S.C. Sec. 1033; or     (ii) with a response to a background information question on any new license application indicating that:   (A) the person has been convicted of a crime, that is listed by rule made in accordance with Title 63G, Chapter 3, Utah Administrative Rulemaking Act, as a crime that is grounds for probation;     (B) the person is currently charged with a crime, that is listed by rule made in accordance with Title 63G, Chapter 3, Utah Administrative Rulemaking Act, as a crime that is grounds for probation regardless of whether adjudication was withheld;     (C) the person has been involved in an administrative proceeding regarding any professional or occupational license; or     (D) any business in which the person is or was an owner, partner, officer, or director has been involved in an administrative proceeding regarding any professional or occupational license.           (2) The commissioner may put a licensee on probation for a specified period no longer than 24 months if the licensee has admitted to violations under 18 U.S.C. Sec. 1033.     (3) A probation order under this section shall state the conditions for retention of the license, which shall be reasonable.     (4) A violation of the probation is grounds for revocation pursuant to any proceeding authorized under Title 63G, Chapter 4, Administrative Procedures Act.    Amended by Chapter 290, 2014 General SessionAmended by Chapter 300, 2014 General Session
UT Code § 31A-26-214.5 (2021)
2021 Utah Code|Title 31A - Insurance Code|Chapter 26 - Insurance Adjusters|Part 2 - Licensing and Registration of Insurance Adjusters|Section 214.5 - License lapse and voluntary surrender.

 Effective 5/13/2014  31A-26-214.5. License lapse and voluntary surrender.    (1)   (a) A license issued under this chapter shall lapse if the licensee fails to:   (i) pay when due a fee under Section 31A-3-103;     (ii) complete continuing education requirements under Section 31A-26-206 before submitting the license renewal application;     (iii) submit a completed renewal application as required by Section 31A-26-202;     (iv) submit additional documentation required to complete the licensing process as related to a specific license type or license classification; or     (v) maintain an active license in the licensee's home state if the licensee is a nonresident licensee.       (b)   (i) A licensee whose license lapses due to the following may request an action described in Subsection (1)(b)(ii):   (A) military service;     (B) voluntary service for a period of time designated by the person for whom the licensee provides voluntary service; or     (C) some other extenuating circumstances, such as long-term medical disability.       (ii) A licensee described in Subsection (1)(b)(i) may request:   (A) reinstatement of the license no later than one year after the day on which the license lapses; and     (B) waiver of any of the following imposed for failure to comply with renewal procedures:   (I) an examination requirement;     (II) reinstatement fees set under Section 31A-3-103;     (III) continuing education requirements; or     (IV) other sanction imposed for failure to comply with renewal procedures.             (2) If a license issued under this chapter is voluntarily surrendered, the license may be reinstated:   (a) during the license period in which it is voluntarily surrendered; and     (b) no later than one year after the day on which the license is voluntarily surrendered.      Amended by Chapter 290, 2014 General SessionAmended by Chapter 300, 2014 General Session
UT Code § 31A-26-216 (2021)
2021 Utah Code|Title 31A - Insurance Code|Chapter 26 - Insurance Adjusters|Part 2 - Licensing and Registration of Insurance Adjusters|Section 216 - Portable electronics adjusting.

31A-26-216. Portable electronics adjusting.    (1) As used in this section, "automated claims adjudication system" means a preprogrammed computer system designed for the collection, data entry, calculation, and final resolution of a portable electronics insurance claim that:   (a) may only be used by a Utah licensed independent adjuster, a Utah licensed producer, or an individual supervised as provided in this section;     (b) complies with the claims payment requirements of this title; and     (c) is certified as compliant with this section by a Utah licensed independent adjuster that is an officer of an organization licensed under this chapter.       (2) An individual is exempt from licensure as an adjuster, if the individual for purposes of a portable electronics insurance claim:   (a) collects claim information from, or furnishes claim information to, insureds or claimants;     (b) conducts data entry, including entering data into an automated claims adjudication system;     (c) is an employee of a licensed independent adjuster or its affiliate; and     (d) is one of no more than 25 individuals who are under the supervision of:   (i) a Utah licensed independent adjuster; or     (ii) a Utah licensed producer who is exempt from licensure pursuant to Section 31A-26-201.        Enacted by Chapter 151, 2012 General Session
UT Code § 31A-26-301 (2021)
2021 Utah Code|Title 31A - Insurance Code|Chapter 26 - Insurance Adjusters|Part 3 - Claim Practices|Section 301 - Timely payment of claims.

31A-26-301. Timely payment of claims.    (1)   (a) Unless otherwise provided by law, an insurer shall timely pay every valid insurance claim made by an insured.     (b) By rule the commissioner may prescribe:   (i) the kinds of notice and proof of loss that will establish validity;     (ii) the manner in which an insurer may make a bona fide denial of a claim;     (iii) the periods of time within which payment is required to be made to be timely; and     (iv) the reasonable interest rates to be charged upon late claim payments.         (2)   (a) Notwithstanding Subsection (1) and subject to Subsection (2)(b), the payment of a claim is not overdue during any period in which:   (i) the insurer is unable to pay the claim because there is no recipient legally able to give a valid release for the payment; or     (ii) the insurer is unable to determine who is entitled to receive the payment.       (b) Subsection (2)(a) applies only if the insurer:   (i) promptly notifies the claimant of the inability to pay the claim; and     (ii) offers in good faith to pay the claim promptly when the inability to pay the claim is removed.         (3) This section applies only to a claim for first party benefits made by a person who is:   (a) named or defined as an insured under the terms of an insurance policy;     (b) described as a covered person under the terms of a policy of health care insurance as defined in Section 31A-1-301; or     (c) named, defined, or described:   (i) as:   (A) an insured;     (B) a beneficiary;     (C) a policyholder; or     (D) otherwise covered person; and       (ii) under the terms of:   (A) a life insurance policy; or     (B) an annuity.          Amended by Chapter 309, 2002 General Session
UT Code § 31A-26-301.5 (2021)
2021 Utah Code|Title 31A - Insurance Code|Chapter 26 - Insurance Adjusters|Part 3 - Claim Practices|Section 301.5 - Health care claims practices.

 Effective 5/8/2018  31A-26-301.5. Health care claims practices.    (1)   (a) Except as provided in Section 31A-8-407, an insured retains ultimate responsibility for paying for health care services the insured receives.     (b) If a health care service is covered by one or more individual or group health insurance policies, all insurers covering the insured have the responsibility to pay valid health care claims in a timely manner according to the terms and limits specified in the policies.       (2) A health care provider may:   (a) except as provided in Section 31A-22-610.1, bill and collect for any deductible, copayment, or uncovered service; and     (b) bill an insured for services covered by health insurance policies or otherwise notify the insured of the expenses covered by the policies.       (3) Beginning October 31, 1992, all insurers covering the insured shall notify the insured of payment and the amount of payment made to the health care provider.     (4) A health care provider shall return to an insured any amount the insured overpaid, including interest that begins accruing 90 days after the date of the overpayment, if:   (a) the insured has multiple insurers with whom the health care provider has contracts that cover the insured; and     (b) the health care provider becomes aware that the health care provider has received, for any reason, payment for a claim in an amount greater than the health care provider's contracted rate allows.       (5)   (a) The commissioner shall make rules consistent with this chapter governing disclosure to the insured of customary charges by health care providers on the explanation of benefits as part of the claims payment process.     (b) These rules shall be limited to the form and content of the disclosures on the explanation of benefits, and shall include:   (i) a requirement that the method of determination of any specifically referenced customary charges and the range of the customary charges be disclosed; and     (ii) a prohibition against an implication that the health care provider is charging excessively if the health care provider is:   (A) a participating provider; and     (B) prohibited from balance billing.          Amended by Chapter 203, 2018 General Session