reglab/housing_qa huggingface dataset:
UT Code § 31A-43-301 (2021)
2021 Utah Code|Title 31A - Insurance Code|Chapter 43 - Small Employer Stop-Loss Insurance Act|Part 3 - Stop-Loss Insurance|Section 301 - Stop-loss insurance coverage standards.

 Effective 5/12/2015  31A-43-301. Stop-loss insurance coverage standards.    (1) A small employer stop-loss insurance contract shall:   (a) be issued to the small employer to provide insurance to the group health benefit plan, not the employees of the small employer;     (b) have a contract term with guaranteed rates for at least 12 months, without adjustment, unless there is a change in the benefits provided under the small employer's health plan during the contract period;     (c) include both a specific attachment point and an aggregate attachment point in a contract;     (d) align stop-loss plan benefit limitations and exclusions with a small employer's health plan benefit limitations and exclusions, including any annual or lifetime limits in the employer's health plan;     (e) have an annual specific attachment point that is at least $10,000;     (f) have an annual aggregate attachment point that may not be less than 85% of expected claims;     (g) pay stop-loss claims:   (i) incurred during the contract period; and     (ii) paid within 12 months after the expiration date of the contract; and       (h) include provisions to cover incurred and unpaid stop-loss claims when the small employer's stop-loss plan terminates.       (2) A small employer stop-loss contract shall not:   (a) include lasering; and     (b) pay claims directly to an individual employee, member, or participant.      Amended by Chapter 244, 2015 General Session
UT Code § 31A-43-302 (2021)
2021 Utah Code|Title 31A - Insurance Code|Chapter 43 - Small Employer Stop-Loss Insurance Act|Part 3 - Stop-Loss Insurance|Section 302 - Stop-loss restrictions -- Filing requirements.

 Effective 5/13/2014  31A-43-302. Stop-loss restrictions -- Filing requirements.    (1) A stop-loss insurer shall file the stop-loss insurance contract form and rate methodology with the commissioner pursuant to Sections 31A-2-201 and 31A-2-201.1 before the stop-loss insurance contract may be issued or delivered in the state.     (2) A stop-loss insurer shall file with the commissioner, annually on or before April 1, in a form and manner required by the commissioner by administrative rule adopted by the commissioner:   (a) an actuarial memorandum and certification which demonstrates that the insurer is in compliance with this chapter; and     (b) the stop-loss insurer's stop-loss experience.       (3) An insurer shall maintain at its principal place of business:   (a) a complete and detailed description of its rating practices and renewal underwriting practices, including information and documentation that demonstrate the rating methods and practices are:   (i) based upon commonly accepted actuarial assumptions; and     (ii) in accordance with sound actuarial principles; and       (b) a copy of the annual filing required by Subsection (2).      Amended by Chapter 290, 2014 General SessionAmended by Chapter 300, 2014 General Session
UT Code § 31A-43-303 (2021)
2021 Utah Code|Title 31A - Insurance Code|Chapter 43 - Small Employer Stop-Loss Insurance Act|Part 3 - Stop-Loss Insurance|Section 303 - Stop-loss insurance disclosure.

 Effective 5/8/2018  31A-43-303. Stop-loss insurance disclosure.  A stop-loss insurance contract delivered, issued for delivery, or entered into shall include the disclosure exhibit required by the commissioner through administrative rule, which shall include at least the following information:  (1) the complete costs for the stop-loss contract;     (2) the date on which the insurance takes effect and terminates, including renewability provisions;     (3) the aggregate attachment point and the specific attachment point;     (4) limitations on coverage;     (5) an explanation of monthly accommodation and disclosure about any monthly accommodation features included in the stop-loss contract;     (6) a description of terminal liability funding, including the cost of processing claims before and after the termination of the contract;     (7) maximum claims liability to the employer; and     (8) a summary of the policy.    Amended by Chapter 319, 2018 General Session
UT Code § 31A-43-304 (2021)
2021 Utah Code|Title 31A - Insurance Code|Chapter 43 - Small Employer Stop-Loss Insurance Act|Part 3 - Stop-Loss Insurance|Section 304 - Administrative rules.

 Effective 5/13/2014  31A-43-304. Administrative rules.  The commissioner may adopt administrative rules in accordance with Title 63G, Chapter 3, Utah Administrative Rulemaking Act, to:  (1) implement this chapter;     (2) define lasering practices that are prohibited by this chapter;     (3) establish the form and manner of the actuarial certification and the annual report on stop-loss experience required by Section 31A-43-302;     (4) establish the form and manner of the disclosure required by Section 31A-43-303;     (5) assure the rates associated with the specific attachment points and aggregate attachment points are actuarially sound and are not against the public interest; and     (6) assure that stop-loss contracts include provisions to cover incurred and unpaid claims if a small employer plan terminates.    Amended by Chapter 290, 2014 General SessionAmended by Chapter 300, 2014 General Session
UT Code § 31A-44-101 (2021)
2021 Utah Code|Title 31A - Insurance Code|Chapter 44 - Continuing Care Provider Act|Part 1 - General Provisions|Section 101 - Title.

 Effective 5/10/2016  31A-44-101. Title.  This chapter is known as the "Continuing Care Provider Act." Enacted by Chapter 270, 2016 General Session
UT Code § 31A-44-102 (2021)
2021 Utah Code|Title 31A - Insurance Code|Chapter 44 - Continuing Care Provider Act|Part 1 - General Provisions|Section 102 - Definitions.

 Effective 7/17/2016  31A-44-102. Definitions.  As used in this chapter:  (1) "Continuing care" means furnishing or providing access to an individual, other than by an individual related to the individual by blood, marriage, or adoption, of lodging together with nursing services, medical services, or other related services pursuant to a contract requiring an entrance fee.     (2) "Continuing care contract" means a contract under which a provider provides continuing care to a resident.     (3)   (a) "Entrance fee" means an initial or deferred transfer to a provider of a sum of money or property made or promised to be made as full or partial consideration for acceptance of a specified individual as a resident in a facility.     (b) "Entrance fee" includes a monthly fee, assessed at a rate that is greater than the value of the provider's monthly services, that a resident agrees to pay in exchange for acceptance into a facility or a promise of future monthly fees assessed at a rate that is less than the value of the services rendered.     (c) "Entrance fee" does not include an amount less than the sum of the regular period charges for three months of residency in a facility.     (d) "Entrance fee" does not include a deposit of less than $1,000 made under a reservation agreement.       (4) "Facility" means a place in which a person provides continuing care pursuant to a continuing care contract.     (5) "Ground lease" means a lease to a provider of the land and infrastructure improvements to the land on which a facility is located.     (6) "Ground lessor" means, for a facility subject to a ground lease, the owner and lessor of the land and infrastructure improvements to the land on which the facility is located.     (7) "Living unit" means a room, apartment, cottage, or other area within a facility set aside for the exclusive use or control of one or more identified individuals.     (8)   (a) "Provider" means:   (i) the owner of a facility;     (ii) a person, other than a resident, that claims a possessory interest in a facility; or     (iii) a person who enters into a continuing care contract with a resident or potential resident.       (b) "Provider" does not include a person who is solely a ground lessor.       (9) "Provider disclosure statement" means, for a given provider, the disclosure statement described in Section 31A-44-301.     (10) "Reservation agreement" means an agreement that requires the payment of a deposit to reserve a living unit for a prospective resident.     (11) "Resident" means an individual entitled to receive continuing care in a facility pursuant to a continuing care contract.     Amended by Chapter 8, 2016 Special Session 3
UT Code § 31A-44-103 (2021)
2021 Utah Code|Title 31A - Insurance Code|Chapter 44 - Continuing Care Provider Act|Part 1 - General Provisions|Section 103 - Advisory committee.

 Effective 5/10/2016  31A-44-103. Advisory committee.    (1) The commissioner may convene a continuing care advisory committee to advise the department on issues related to the continuing care industry, continuing care facility residents, and the department's duties under this chapter.     (2) The committee described in Subsection (1) shall consist of five members appointed by the department as follows:   (a) a representative from an organization that advocates for the elderly;     (b) a representative of nursing homes;     (c) a representative from the continuing care industry;     (d) a representative from the insurance community; and     (e) a member of the general public who is a resident of a continuing care facility.       (3)   (a) Except as required by Subsection (3)(b), the term of a member of the committee shall be four years and expire on July 1.     (b) The commissioner shall, at the time of appointment or reappointment, adjust the length of terms to ensure that the terms of members are staggered so that approximately half of the committee is appointed every two years.       (4) A member of the committee shall serve until the member's successor is appointed and qualified.     (5) When a vacancy occurs in the committee's membership, the department shall appoint a replacement.     (6) The department may dismiss and replace members of the committee at the department's discretion.     (7) The department may designate a chair of the committee.     (8) The committee shall meet when called by the department.     (9) A member may not receive compensation or benefits for the member's service, but may receive per diem and travel expenses in accordance with:   (a) Section 63A-3-106;     (b) Section 63A-3-107; and     (c) rules made by the Division of Finance pursuant to Sections 63A-3-106 and 63A-3-107.       (10) The department shall staff the committee.     Enacted by Chapter 270, 2016 General Session
UT Code § 31A-44-104 (2021)
2021 Utah Code|Title 31A - Insurance Code|Chapter 44 - Continuing Care Provider Act|Part 1 - General Provisions|Section 104 - Scope of regulation -- When compliance is required.

 Effective 7/17/2016  31A-44-104. Scope of regulation -- When compliance is required.    (1) The regulation of providers under this chapter does not limit or replace regulation by any other governmental entity of continuing care facilities or providers.     (2) The department may not regulate, or in any manner inquire into, the quality of care provided in a facility.     (3) A record that the department receives from a provider that is not required to be part of a disclosure statement under this chapter is a protected record under Title 63G, Chapter 2, Government Records Access and Management Act.     (4) The department shall determine the amount of any fee required under this chapter, in accordance with Section 63J-1-504, and in an amount that covers the department's cost to administer this chapter.     (5) A provider that begins marketing a continuing care facility project on or before May 10, 2016, is not required to comply with this chapter until May 10, 2017.     Amended by Chapter 8, 2016 Special Session 3
UT Code § 31A-44-201 (2021)
2021 Utah Code|Title 31A - Insurance Code|Chapter 44 - Continuing Care Provider Act|Part 2 - Registration|Section 201 - Registration required.

 Effective 5/10/2016  31A-44-201. Registration required.    (1) A person may not provide or offer to provide continuing care unless the person is registered with the department.     (2) A registration expires on December 31 of a given year, unless a provider renews the provider's registration under Section 31A-44-203.     Enacted by Chapter 270, 2016 General Session
UT Code § 31A-44-202 (2021)
2021 Utah Code|Title 31A - Insurance Code|Chapter 44 - Continuing Care Provider Act|Part 2 - Registration|Section 202 - Registration.

 Effective 5/10/2016  31A-44-202. Registration.    (1) To register under this part, a person shall:   (a) pay an original registration fee established by the department in accordance with Section 63J-1-504; and     (b) submit a registration statement, in a form approved by the department, that contains the information described in Subsection (2).       (2) A provider's registration statement shall include:   (a) the provider disclosure described in Section 31A-44-301;     (b) a copy of the continuing care contract that the provider will propose to a prospective facility resident;     (c) evidence that the provider's facility is located or will be located in a zone that a municipality or county has zoned for continuing care facilities; and     (d) information required by the department by rule made in accordance with Title 63G, Chapter 3, Utah Administrative Rulemaking Act.       (3) The department shall accept or deny a registration no later than 180 days after the day on which the provider applies for registration.     Enacted by Chapter 270, 2016 General Session
UT Code § 31A-44-203 (2021)
2021 Utah Code|Title 31A - Insurance Code|Chapter 44 - Continuing Care Provider Act|Part 2 - Registration|Section 203 - Renewal process.

 Effective 5/10/2016  31A-44-203. Renewal process.  In order to renew a registration under this section, a provider shall:  (1) pay an annual fee established by the department in accordance with Section 63J-1-504;     (2) submit an updated provider disclosure statement that complies with Section 31A-44-301;     (3) submit a copy of the most recent version of the continuing care contract the provider will propose to a prospective facility resident; and     (4) comply with rules made by the department under Subsection 31A-44-202(2).     Enacted by Chapter 270, 2016 General Session
UT Code § 31A-44-204 (2021)
2021 Utah Code|Title 31A - Insurance Code|Chapter 44 - Continuing Care Provider Act|Part 2 - Registration|Section 204 - Actuarial review.

 Effective 5/10/2016  31A-44-204. Actuarial review.    (1)   (a) This section applies only to a provider that directly or indirectly offers a future guarantee of continuing care that the department determines develops current actuarial liabilities.     (b) This section does not apply to a provider that offers continuing care under a fee-for-service model with a required entrance fee.       (2) A provider subject to this section shall file, with the department, an actuarial review:   (a) upon being notified of the department's determination; and     (b) on a day designated by the department in the year five years after the day on which the department last received an actuarial review from the provider.       (3) The department may require an actuarial review in addition to the actuarial reviews required by Subsection (2) if the department determines that the provider shows an indication of financial instability.     Enacted by Chapter 270, 2016 General Session
UT Code § 31A-44-205 (2021)
2021 Utah Code|Title 31A - Insurance Code|Chapter 44 - Continuing Care Provider Act|Part 2 - Registration|Section 205 - Suspension or revocation of registration.

 Effective 5/10/2016  31A-44-205. Suspension or revocation of registration.   The department may suspend or revoke a provider's registration if the provider intentionally violates this chapter.  Enacted by Chapter 270, 2016 General Session
UT Code § 31A-44-206 (2021)
2021 Utah Code|Title 31A - Insurance Code|Chapter 44 - Continuing Care Provider Act|Part 2 - Registration|Section 206 - Management by others.

 Effective 5/10/2016  31A-44-206. Management by others.   A provider may not contract for total management of a facility unless the provider notifies the department.  Enacted by Chapter 270, 2016 General Session
UT Code § 31A-44-301 (2021)
2021 Utah Code|Title 31A - Insurance Code|Chapter 44 - Continuing Care Provider Act|Part 3 - Provider Disclosure|Section 301 - Precontractual recording requirements.

 Effective 5/10/2016  31A-44-301. Precontractual recording requirements.     (1) A provider shall file with the department a current disclosure statement that meets the requirements of this part.     (2) A provider shall comply with Subsection (1) before the provider:   (a) contracts to provide continuing care to a resident in this state;     (b) extends the term of an existing continuing care contract with a resident in this state that requires a person to pay an entrance fee, regardless of whether the extended continuing care contract requires an entrance fee; or     (c) solicits or offers, or directs another person to solicit or offer, a continuing care contract to a resident of the state.       (3) A provider solicits or offers a contract under Subsection (2)(c), if, after 12 months before the day on which a party to a continuing care contract signs or accepts a continuing care contract, the provider or a person acting on behalf of the provider gives information concerning the facility or the availability of a continuing care contract for the facility:   (a) in a direct communication to an individual in the state; or     (b) in a paid advertisement published in or broadcast from the state, except for a paid advertisement in a publication with more than two-thirds of the publication's circulation outside of the state.       Enacted by Chapter 270, 2016 General Session
UT Code § 31A-44-302 (2021)
2021 Utah Code|Title 31A - Insurance Code|Chapter 44 - Continuing Care Provider Act|Part 3 - Provider Disclosure|Section 302 - Delivery of disclosure statement.

 Effective 5/10/2016  31A-44-302. Delivery of disclosure statement.    (1) A provider shall deliver a disclosure statement to an individual before the earlier of the date:   (a) the provider executes a continuing care contract with the individual; or     (b) the individual transfers an entrance fee or a nonrefundable deposit to the provider.       (2) The most recently filed disclosure statement:   (a) is current for the purpose of this chapter; and     (b) is the only disclosure statement that satisfies the requirements described in Subsection (1).       Enacted by Chapter 270, 2016 General Session
UT Code § 31A-44-303 (2021)
2021 Utah Code|Title 31A - Insurance Code|Chapter 44 - Continuing Care Provider Act|Part 3 - Provider Disclosure|Section 303 - Cover page of disclosure statement.

 Effective 5/10/2016  31A-44-303. Cover page of disclosure statement.  The cover page of a disclosure statement shall state:  (1) the disclosure statement's date in a prominent location and in type that is boldfaced, capitalized, underlined, or otherwise set out from the surrounding written material so as to be conspicuous;     (2) that the provider is required to deliver a disclosure statement to an individual before the provider executes a continuing care contract with the individual or accepts payment of an entrance fee or a nonrefundable deposit from the individual; and     (3) that the disclosure statement has not been approved by a government agency to ensure the disclosure statement's accuracy.     Enacted by Chapter 270, 2016 General Session
UT Code § 31A-44-304 (2021)
2021 Utah Code|Title 31A - Insurance Code|Chapter 44 - Continuing Care Provider Act|Part 3 - Provider Disclosure|Section 304 - Disclosure statement -- Contents -- Provider characteristics.

 Effective 5/10/2016  31A-44-304. Disclosure statement -- Contents -- Provider characteristics.  A provider disclosure statement shall contain:  (1) the name and business address of each provider officer, director, trustee, and managing or general partner of the provider;     (2) the name and business address of each person who has at least a 10% interest in the provider and a description of the person's interest in or occupation with the provider;     (3) a statement of whether the continuing care provider is a for-profit or not-for-profit entity, and a statement of the provider's tax-exempt status, if any;     (4)   (a) the location and a description of the proposed or existing physical property of the facility; and     (b) if the physical property is proposed:   (i) the property's estimated completion date;     (ii) whether construction has begun; and     (iii) conditions known to the provider under which the property's construction could be deferred;         (5) if the provider intends to contract with a person other than an employee of the provider to manage the operations of the facility:   (a) a description of the person's experience in the operation or management of a continuing care or similar facility;     (b) a description of any entity that controls or is controlled by the person that proposes to provide goods, leases, or services to residents of the facility, of an aggregate value of $500 or greater in a year;     (c) a description of any goods, leases, or services described in Subsection (5)(b), and a statement of the probable or anticipated cost to the facility, provider, or residents for the goods, leases, or services, or a statement that the provider is unable to estimate the cost; and     (d) a description of any matter in which the person:   (i) has been convicted of a felony;     (ii) is subject to a restrictive court order; or     (iii) has had a state or federal license revoked as a result of a matter related to a continuing care facility or a related health care field; and         (6)   (a) any religious, charitable, or nonprofit organization affiliated with the provider;     (b) the extent of the affiliation and the extent to which the organization is responsible for contractual or financial obligations of the provider; and     (c) the organization's tax-exempt status, if any.       Enacted by Chapter 270, 2016 General Session