H.B. 86 Enrolled

HEALTH INSURANCE - PRIMARY CARE PROVIDER
1998 GENERAL SESSION
STATE OF UTAH
Sponsor: Judy Ann Buffmire
Perry Buckner
Patrice Arent
Steve Barth
Mary Carlson
Neal B. Hendrickson
Gary F. Cox
Brad King
Christine R. Fox-Finlinson
Afton B. Bradshaw
Sheryl L. Allen
Nora B. Stephens
Margaret Dayton
Susan J. Koehn
J. Brent Haymond
David M. Jones
Gene Davis
James R. Gowans
Loretta Baca
John B. Arrington
Daniel H. Tuttle
Brent H. Goodfellow
Duane Bourdeaux
Eli H. Anderson
Ralph Becker
John W. Hickman
Brian R. Allen
Evan L. Olsen
Carl R. Saunders

AN ACT RELATING TO INSURANCE; PERMITTING AN INSURED TO SELECT AN
OBSTETRICIAN/GYNECOLOGIST AS A PRIMARY CARE PHYSICIAN; AND
PROVIDING AN EFFECTIVE DATE.
This act affects sections of Utah Code Annotated 1953 as follows:
ENACTS:
31A-22-623, Utah Code Annotated 1953
Be it enacted by the Legislature of the state of Utah:
Section 1. Section 31A-22-623 is enacted to read:
31A-22-623. Primary care physician.
A disability insurance policy that requires an insured to select a primary care physician to
receive optimum coverage:
(1) shall permit an insured to select a participating provider who is an
obstetrician/gynecologist and is qualified and willing to provide primary care services, as defined
by the health care plan, as the insured's provider from whom primary care services are received;
(2) shall clearly state in literature explaining the policy the option available to female
insureds under Subsection (1); and
(3) may not impose a higher premium, higher copayment requirement, or any other
additional expense on an insured by virtue of the insured selecting a primary care physician in

accordance with Subsection (1).
Section 2. Effective date.
This act takes effect on January 1, 1999.

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