Utah Code § 31A-8-211
Deposit
Utah · Utah Code Title 31A — Insurance Code · Status: effective
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- Citation
- Utah Code § 31A-8-211, Deposit, Utah, version 1 as recorded 2026-10-03, yourstate.us, https://yourstate.us/provision/2333225
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Full text
(1) Except as provided in Subsection (2), each health maintenance organization authorized in this state shall maintain a deposit with the commissioner under Section 31A-2-206 in an amount equal to the sum of:
(a) $100,000; and
(b) 50% of the greater of:
(i) $900,000;
(ii) 2% of the annual premium revenues as reported on the most recent annual financial statement filed with the commissioner; or
(iii) an amount equal to the sum of three months uncovered health care expenditures as reported on the most recent financial statement filed with the commissioner.
(2)
(a) The commissioner may exempt a health maintenance organization from the deposit requirement of Subsection (1) if:
(i) the commissioner determines that the enrollees' interests are adequately protected;
(ii) the health maintenance organization has been continuously authorized to do business in this state for at least five years; and
(iii) the health maintenance organization has $5,000,000 surplus in excess of the health maintenance organization's company action level RBC as defined in Subsection 31A-17-601(8)(b).
(b) The commissioner may rescind an exemption given under Subsection (2)(a).
(3)
(a) Subject to Subsection (3)(c), each limited health plan authorized in this state shall maintain a deposit with the commissioner under Section 31A-2-206 in an amount equal to the minimum capital or permanent surplus plus 50% of the greater of:
(i) .5 times minimum required capital or minimum permanent surplus; or
(ii)
(A) during the first year of operation, 10% of the limited health plan's projected uncovered expenditures for the first year of operation;
(B) during the second year of operation, 12% of the limited health plan's projected uncovered expenditures for the second year of operation;
(C) during the third year of operation, 14% of the limited health plan's projected uncovered expenditures for the third year of operation;
(D) during the fourth year of operation, 18% of the limited health plan's projected uncovered expenditures during the fourth year of operation; or
(E) during the fifth year of operation, and during all subsequent years, 20% of the limited health plan's projected uncovered expenditures for the previous 12 months.
(b) Projections of future uncovered expenditures shall be established in a manner that is approved by the commissioner.
(c) This Subsection (3) does not apply to an ambulance membership organization.
(4) A deposit required by this section may be counted toward the minimum capital or minimum permanent surplus required under Section 31A-8-209.