31A-30-105. Establishment of classes of business.
(1) A covered carrier may establish a separate class of business only to reflect substantial
differences in either expected claims experience or administrative costs related to the following
reasons:
(a) the covered carrier uses more than one type of system for the marketing and sale of
health benefit plans to covered insureds;
(b) the covered carrier has acquired a class of business from another covered carrier; or
(c) the covered carrier provides coverage to one or more association groups.
(2) A covered carrier may establish up to nine separate classes of business under
Subsection (1).
(3) The commissioner may establish regulations to provide for a period of transition in
order for a covered carrier to come into compliance with Subsection (2) in the instance of
acquisition of an additional class of business from another covered carrier.
(4) The commissioner may approve the establishment of additional classes of business
upon application to the commissioner and a finding by the commissioner that such action would
substantially enhance the efficiency and fairness of the health insurance marketplace subject to
this chapter.
Amended by Chapter 321, 1995 General Session
Download Code Section Zipped WordPerfect 31A30_010500.ZIP 2,127 Bytes
Sections in this Chapter|Chapters in this Title|All Titles|Legislative Home Page
Last revised: Thursday, May 28, 2009