reglab/housing_qa huggingface dataset:
UT Code § 31A-22-511 (2021)
2021 Utah Code|Title 31A - Insurance Code|Chapter 22 - Contracts in Specific Lines|Part 5 - Group Life Insurance|Section 511 - Dependents' coverage.

31A-22-511. Dependents' coverage.  Any group life policy issued under Sections 31A-22-502 through 31A-22-505 or Section 31A-22-509 may insure the employees or members against loss due to the death of their spouses and dependent children, or any classes of the employees or members. The premiums for the insurance shall be paid by the policyholder from funds contributed by the person to whom the policy has been issued, from funds contributed by the covered persons, or from both. Except as provided under Section 31A-22-512, a policy on which no part of the premium for the dependent's coverage is contributed by the covered persons shall insure all insured persons, including their spouses and dependent or minor children.  Enacted by Chapter 242, 1985 General Session
UT Code § 31A-22-512 (2021)
2021 Utah Code|Title 31A - Insurance Code|Chapter 22 - Contracts in Specific Lines|Part 5 - Group Life Insurance|Section 512 - Individual insurability.

31A-22-512. Individual insurability.    (1) An insurer may exclude or limit the coverage under a group life policy on any person, including a group member's dependent, as to whom the evidence of individual insurability is not satisfactory to the insurer.     (2) The group life insurance policy shall contain a provision setting forth the conditions, if any, under which the insurer reserves the right to require a person eligible for insurance to furnish satisfactory evidence to the insurer of the individual insurability as a condition to part or all of his coverage.    Enacted by Chapter 242, 1985 General Session
UT Code § 31A-22-513 (2021)
2021 Utah Code|Title 31A - Insurance Code|Chapter 22 - Contracts in Specific Lines|Part 5 - Group Life Insurance|Section 513 - Grace period.

31A-22-513. Grace period.    (1)   (a) Every group life insurance policy shall contain a provision that the policyholder is entitled to a grace period of not less than 31 days for the payment of any premium due except the first payment of premium.     (b) During the grace period described in Subsection (1)(a) the death benefit coverage continues in force, unless the policyholder gives the insurer written notice of discontinuance:   (i) in advance of the date of discontinuance; and     (ii) in accordance with the policy terms.         (2) The policy may require the policyholder to pay the pro rata premium for the time the policy is in force during the grace period.    Amended by Chapter 114, 2000 General Session
UT Code § 31A-22-514 (2021)
2021 Utah Code|Title 31A - Insurance Code|Chapter 22 - Contracts in Specific Lines|Part 5 - Group Life Insurance|Section 514 - Incontestability.

31A-22-514. Incontestability.  The group life insurance policy shall contain a provision that the validity of the policy may not be contested, except for nonpayment of premiums, after it has been in force for two years from its date of issue. This provision shall also state that no statement made by any person insured under the policy relating to his insurability may be used in contesting the validity of the insurance with respect to which the statement was made after the insurance has been in force, prior to the contest, for a period of two years during the person's lifetime, nor may the statement be used unless it is contained in a written instrument signed by him. This type of provision does not preclude the assertion of defenses based upon provisions in the policy which relate to eligibility for coverage.  Enacted by Chapter 242, 1985 General Session
UT Code § 31A-22-515 (2021)
2021 Utah Code|Title 31A - Insurance Code|Chapter 22 - Contracts in Specific Lines|Part 5 - Group Life Insurance|Section 515 - Nonforfeiture.

31A-22-515. Nonforfeiture.  If the group life insurance policy is not a term policy, it shall contain nonforfeiture provisions which the commissioner determines to be equitable to the insured persons and to the policyholder. The commissioner may not require that group life insurance policies contain the same nonforfeiture provisions which are required for individual life insurance policies.  Enacted by Chapter 242, 1985 General Session
UT Code § 31A-22-516 (2021)
2021 Utah Code|Title 31A - Insurance Code|Chapter 22 - Contracts in Specific Lines|Part 5 - Group Life Insurance|Section 516 - Payment of benefits.

31A-22-516. Payment of benefits.  Any sum which is due because of the death of the person insured is payable to the beneficiary designated by the insured person, unless the policy contains conditions providing that the beneficiary is a family member designated by the policy terms. The insurer may reserve in the policy the right, if there is no designated beneficiary living at the death of the person insured as to all or any part of the sum, to pay a part of the sum not exceeding $5,000 to any person appearing to the insurer to be equitably entitled to that money by reason of having incurred expense for the maintenance, medical attention, or burial of the insured or for other reasons.  Enacted by Chapter 242, 1985 General Session
UT Code § 31A-22-517 (2021)
2021 Utah Code|Title 31A - Insurance Code|Chapter 22 - Contracts in Specific Lines|Part 5 - Group Life Insurance|Section 517 - Conversion on termination of eligibility.

 Effective 5/5/2021  31A-22-517. Conversion on termination of eligibility.    (1) Except as provided in Subsection (6), a person is entitled to be issued by an insurer, without evidence of insurability, an individual policy offering life insurance without accident and health or other supplementary benefits, if:   (a) any portion of insurance on a person covered by a policy ceases because of:   (i) termination of employment; or     (ii) termination of membership in the classes eligible for coverage;       (b) an application for the individual policy is made; and     (c) the first premium is paid to the insurer within 31 days after the day on which the termination described in Subsection (1)(a) occurs.       (2) The individual policy described in Subsection (1) shall, at the option of the person entitled to the policy, be on any form then customarily provided by the insurer at the age and for the amount applied for, except that the group policy may exclude the option to elect:   (a) term insurance; or     (b) flexible premium insurance.       (3)   (a) The individual policy described in Subsection (1) shall be for an amount equal to or, at the election of the person entitled, less than the life insurance that ceases because of the termination described in Subsection (1)(a), less the amount of any group life insurance for which the person is eligible within 30 days after the day on which the termination described in Subsection (1)(a) occurs.     (b) Any amount of insurance that matures on or before the termination, as an endowment payable to the person insured, is not included in the amount that is considered to cease because of the termination whether the endowment payment is in:   (i) one sum;     (ii) installments; or     (iii) the form of an annuity.         (4) The premium on the individual policy described in Subsection (1) shall be at the insurer's customary rate at the time of termination, which is applicable to:   (a) the form and amount of the individual policy;     (b) the class of risk to which the person belonged when terminated from the group policy; and     (c) the age attained on the effective date of the individual policy.       (5) Subject to the conditions of this section, the conversion privilege described in this section is available:   (a) to a surviving dependent, if any, at the death of the employee or member, with respect to the survivor's coverage under the group policy that terminates by reason of the death; and     (b) to the dependent of the employee or member upon termination of coverage of the dependent, while the employee or member remains insured, because the dependent ceases to be a qualified dependent under the group policy.       (6) This section does not apply to an insured whose coverage will continue being the policy of group life insurance issued to a group as authorized under Subsection 31A-22-504(1)(b)(ii).    Amended by Chapter 252, 2021 General Session
UT Code § 31A-22-518 (2021)
2021 Utah Code|Title 31A - Insurance Code|Chapter 22 - Contracts in Specific Lines|Part 5 - Group Life Insurance|Section 518 - Conversion on termination of policy.

31A-22-518. Conversion on termination of policy.    (1) Subject to Subsection (2), if the group policy terminates or is amended to terminate the insurance of any class of covered persons, every insured person whose insurance terminates, including the insured dependent of a covered person who has been insured for at least five years prior to the termination date, is entitled to have the insurer issue to the person an individual policy of life insurance, subject to the conditions and limitations in Section 31A-22-517.     (2) The group policy described in Subsection (1) shall provide that the amount of the individual policy may not be less than the smaller of:   (a) the amount of the person's life insurance protection ceasing because of the termination or amendment of the group policy, less the amount of any life insurance for which the person is eligible under any group policy issued or reinstated by the same or another insurer within 30 days after the termination; or     (b) $10,000.      Amended by Chapter 116, 2001 General Session
UT Code § 31A-22-519 (2021)
2021 Utah Code|Title 31A - Insurance Code|Chapter 22 - Contracts in Specific Lines|Part 5 - Group Life Insurance|Section 519 - Death pending conversion.

31A-22-519. Death pending conversion.  If a person insured under a group life insurance policy, or the insured dependent of that person, dies during the period of eligibility for conversion under Section 31A-22-517 or 31A-22-518 and before the individual policy becomes effective, the amount of life insurance to which the insured would have been entitled to have issued under the individual policy is payable as a claim under the group policy, whether or not application for the individual policy or the payment of the first premium has been made.  Amended by Chapter 319, 2013 General Session
UT Code § 31A-22-520 (2021)
2021 Utah Code|Title 31A - Insurance Code|Chapter 22 - Contracts in Specific Lines|Part 5 - Group Life Insurance|Section 520 - Continuation of coverage during total disability.

31A-22-520. Continuation of coverage during total disability.    (1) An insured person in a group life insurance policy may continue coverage during the total disability of the insured person or dependent by timely payment to the policyholder of that portion, if any, of the premium that would have been required on behalf of the insured person in the absence of total disability.     (2) The continuation shall be on a premium paying basis until the earlier of:   (a) six months from the date of total disability;     (b) approval by the insurer of continuation of the coverage under any disability provision the group insurance policy may contain; or     (c) the discontinuance of the group insurance policy.       (3) If the group policy has a waiting period for an accident and health benefit, the continuation extends to the end of the waiting period, even if the group policy is otherwise discontinued.    Amended by Chapter 116, 2001 General Session
UT Code § 31A-22-521 (2021)
2021 Utah Code|Title 31A - Insurance Code|Chapter 22 - Contracts in Specific Lines|Part 5 - Group Life Insurance|Section 521 - Notice of right to convert under group policy.

31A-22-521. Notice of right to convert under group policy.  Certificates of insurance evidencing coverage under a group life insurance policy shall prominently notify individuals of conversion rights and contain information concerning the time and manner in which conversion to an individual life insurance policy may be made.  Repealed and Re-enacted by Chapter 316, 1994 General Session
UT Code § 31A-22-522 (2021)
2021 Utah Code|Title 31A - Insurance Code|Chapter 22 - Contracts in Specific Lines|Part 5 - Group Life Insurance|Section 522 - Required provision for notice of termination.

 Effective 5/5/2021  31A-22-522. Required provision for notice of termination.    (1) A group insurance policy offering life insurance coverage or a blanket insurance policy offering life insurance coverage shall include a provision that obligates the policyholder to notify each employee or group member:   (a) in writing;     (b) 30 days before the day on which the coverage terminates; and     (c)   (i) that the group insurance policy offering life insurance coverage or blanket insurance policy offering life insurance coverage is being terminated; and     (ii) the rights the employee or group member has to convert coverage upon termination.         (2) For a group insurance policy offering life insurance coverage or a blanket insurance policy offering life insurance coverage described in Subsection (1), an insurer shall:   (a) include a statement of a policyholder's obligations under Subsection (1) in the insurer's monthly notice to the policyholder of premium payments due; and     (b) provide a sample notice to the policyholder at least once a year.      Amended by Chapter 252, 2021 General Session
UT Code § 31A-22-600 (2021)
2021 Utah Code|Title 31A - Insurance Code|Chapter 22 - Contracts in Specific Lines|Part 6 - Accident and Health Insurance|Section 600 - Scope of Part 6.

 Effective 5/5/2021  31A-22-600. Scope of Part 6.    (1) Except where a provision's application is otherwise specifically limited, this part applies to all:   (a) accident and health insurance contracts, including credit accident and health;     (b) franchise;     (c) group contracts; and     (d) life insurance and annuity policies that directly or through a rider provide:   (i) accident and health insurance benefits; or     (ii) accelerated benefits where the receipt of benefits is contingent on morbidity requirements.         (2) Nothing in this part applies to or affects:   (a) workers' compensation insurance;     (b) reinsurance; or     (c) accident and health insurance when it is part of or supplemental to liability, steam boiler, elevator, automobile, or other insurance covering loss of or damage to property, provided the loss, damage, or expense arises out of a hazard directly related to the other insurance.       (3) Except as provided in Subsection (1), this part does not apply to or affect a life insurance or annuity policy including a life insurance policy:   (a) with a rider or supplemental benefit that accelerates the death benefit contingent upon a mortality risk specifically for one or more of the qualifying events of:   (i) terminal illness;     (ii) medical conditions requiring extraordinary medical intervention; or     (iii) permanent institutional confinement; and       (b) that provides the option of a lump-sum payment for those benefits.      Amended by Chapter 252, 2021 General Session
UT Code § 31A-22-601 (2021)
2021 Utah Code|Title 31A - Insurance Code|Chapter 22 - Contracts in Specific Lines|Part 6 - Accident and Health Insurance|Section 601 - Applicability of life insurance provisions.

31A-22-601. Applicability of life insurance provisions.  Sections 31A-22-412 through 31A-22-417 apply to death benefits in accident and health insurance policies.  Amended by Chapter 116, 2001 General Session
UT Code § 31A-22-602 (2021)
2021 Utah Code|Title 31A - Insurance Code|Chapter 22 - Contracts in Specific Lines|Part 6 - Accident and Health Insurance|Section 602 - Premium rates.

 Effective 5/5/2021  31A-22-602. Premium rates.    (1) Except as provided in Subsection 31A-22-701(4), this section does not apply to group accident and health insurance.     (2) The benefits in an accident and health insurance policy shall be reasonable in relation to the premiums charged.     (3) The commissioner shall prohibit the use of a policy offering accident and health insurance form or rates if the form or rates do not satisfy Subsection (2).    Amended by Chapter 252, 2021 General Session
UT Code § 31A-22-603 (2021)
2021 Utah Code|Title 31A - Insurance Code|Chapter 22 - Contracts in Specific Lines|Part 6 - Accident and Health Insurance|Section 603 - Persons insured under an individual accident and health policy.

 Effective 5/10/2016  31A-22-603. Persons insured under an individual accident and health policy.  A policy of individual accident and health insurance may insure only one person, except that originally or by subsequent amendment, upon the application of an adult policyholder, a policy may insure any two or more eligible members of the policyholder's family, including spouse, dependent children, and any other person dependent upon the policyholder. Amended by Chapter 138, 2016 General Session
UT Code § 31A-22-604 (2021)
2021 Utah Code|Title 31A - Insurance Code|Chapter 22 - Contracts in Specific Lines|Part 6 - Accident and Health Insurance|Section 604 - Reimbursement by insurers of Medicaid benefits.

31A-22-604. Reimbursement by insurers of Medicaid benefits.    (1) As used in this section, "Medicaid" means the program under Title XIX of the federal Social Security Act.     (2) Any accident and health insurer, including a group accident and health insurance plan, as defined in Section 607(1), Federal Employee Retirement Income Security Act of 1974, or health maintenance organization as defined in Section 31A-8-101, is prohibited from considering the availability or eligibility for medical assistance in this or any other state under Medicaid, when considering eligibility for coverage or making payments under its plan for eligible enrollees, subscribers, policyholders, or certificate holders.     (3) To the extent that payment for covered expenses has been made under the state Medicaid program for health care items or services furnished to an individual in any case when a third party has a legal liability to make payments, the state is considered to have acquired the rights of the individual to payment by any other party for those health care items or services.     (4)Title 26, Chapter 19, Medical Benefits Recovery Act, applies to reimbursement of insurers of Medicaid benefits.    Amended by Chapter 116, 2001 General Session
UT Code § 31A-22-606 (2021)
2021 Utah Code|Title 31A - Insurance Code|Chapter 22 - Contracts in Specific Lines|Part 6 - Accident and Health Insurance|Section 606 - Policy examination period.

31A-22-606. Policy examination period.    (1)   (a) Except as provided in Subsection (2), all accident and health policies shall contain a notice prominently printed on or attached to the cover or front page stating that the policyholder has the right to return the policy for any reason within 10 days after its delivery.     (b) "Return" means delivery to the insurer or its agent or mailing of the policy to either, properly addressed and stamped for first class handling, with a written statement on the policy or an accompanying communication that it is being returned for termination of coverage. A policy returned under this Subsection (1) is void from the beginning and a policyholder returning his policy is entitled to a refund of any premium paid.       (2) This section does not apply to:   (a) group policies;     (b) policies issued to persons entitled to a 30-day examination period under Subsection 31A-22-605(9);     (c) single premium nonrenewable policies issued for terms not longer than 60 days;     (d) policies covering accidents only or accidental bodily injury only; and     (e) other classes of policies which the commissioner by rule specifies after a finding that a right to return those policies would be impracticable or unnecessary to protect the policyholder's interests.      Amended by Chapter 78, 2005 General Session
UT Code § 31A-22-608 (2021)
2021 Utah Code|Title 31A - Insurance Code|Chapter 22 - Contracts in Specific Lines|Part 6 - Accident and Health Insurance|Section 608 - Reinstatement of individual or franchise accident and health insurance policies.

 Effective 5/5/2021  31A-22-608. Reinstatement of individual or franchise accident and health insurance policies.    (1) Every individual or franchise accident and health insurance policy shall contain a provision which reads substantially as follows: "REINSTATEMENT: If any renewal premium is not paid within the time granted the insured for payment, a subsequent acceptance of premium by the insurer or by any agent duly authorized by the insurer to accept the premium, without also requiring an application for reinstatement, shall reinstate the policy. However, if the insurer or agent requires an application for reinstatement and issues a conditional receipt for the premium tendered, the policy shall be reinstated upon approval of this application from the insurer or, lacking this approval, upon the 45th day following the date of the conditional receipt, unless the insurer has previously notified the insured in writing of its disapproval of the application. The reinstated policy shall cover only loss resulting from such accidental injury as may be sustained after the date of reinstatement and loss due to such sickness as may begin more than 10 days after that date. In all other respects the insured and insurer have the same rights under the reinstated policy as they had under the policy immediately before the due date of the defaulted premium, subject to any provisions endorsed on or attached to this policy in connection with the reinstatement. Any premium accepted in connection with a reinstatement shall be applied to a period for which premium has not been previously paid, but not to any period more than 60 days prior to the date of reinstatement."     (2) The last sentence of the provision described in Subsection (1) may be omitted from any policy that the insured has the right to continue in force subject to the policy's terms by the timely payment of premiums until at least age 50, or in the case of a policy issued after age 44, for at least five years from the day on which the insurer issues the policy.    Amended by Chapter 252, 2021 General Session
UT Code § 31A-22-609 (2021)
2021 Utah Code|Title 31A - Insurance Code|Chapter 22 - Contracts in Specific Lines|Part 6 - Accident and Health Insurance|Section 609 - Incontestability for accident and health insurance.

31A-22-609. Incontestability for accident and health insurance.    (1)   (a) A statement made by an applicant relating to the person's insurability, except fraudulent misrepresentation, may not be a basis for avoidance of a policy, coverage, or denial of a claim for loss incurred or disability commencing after the coverage has been in effect for two years.     (b) The insurer has the burden of proving fraud by clear and convincing evidence.       (2) Except as provided under Section 31A-22-605.1, a claim for loss incurred or disability commencing after two years from the date of issue of the policy may not be reduced or denied on the ground that a disease or physical condition existed prior to the effective date of coverage, unless the condition was excluded from coverage by name or specific description in a provision that was in effect on the date of loss.     (3) Except as provided in Subsection (1)(a), a specified disease policy may not include wording that provides a defense based upon a disease or physical condition that existed prior to the effective date of coverage except as allowed under Subsection 31A-22-605.1(2).    Amended by Chapter 78, 2005 General Session