Utah · Through 2026 General Session

Utah Code § 31A-22-646.2: Dental services jurisdiction.

(1)
(a) Notwithstanding Section 31A-1-103, an insurer that provides coverage for dental services that are completed in Utah to a patient that is a Utah resident shall comply with all Utah laws related to covered services, non-covered services, and reimbursement for services if 10% or more of the certificate holders or insureds are residents of this state.
(b) Subsection (1)(a) applies regardless of:
(i) the location of the insurer's domicile or principle place of business;
(ii) the location where the dental plan was written, issued, or delivered; or
(iii) a contractual choice-of-law provision.
(2)
(a) A signed provider agreement shall govern the contractual rights and obligations of the parties for dental services provided in Utah.
(b) A provider handbook that is provided to a dental provider by an insurer in connection with a provider agreement shall be deemed part of the provider contract.
(c) An insurer may not require a dental provider to comply with a provider handbook or policy that is not provided to the dental provider.
(d) An insurer shall notify a dental provider if the insurer issues a new provider handbook or updates an existing provider handbook.

Where this section sits in the code

Title 31A Insurance Code
Chapter 31A-22 Contracts in Specific Lines
Part 31A-22-6 Accident and Health Insurance

(1)

(a) Notwithstanding Section 31A-1-103, an insurer that provides coverage for dental services that are completed in Utah to a patient that is a Utah resident shall comply with all Utah laws related to covered services, non-covered services, and reimbursement for services if 10% or more of the certificate holders or insureds are residents of this state.

(b) Subsection (1)(a) applies regardless of:

(i) the location of the insurer's domicile or principle place of business;

(ii) the location where the dental plan was written, issued, or delivered; or

(iii) a contractual choice-of-law provision.

(2)

(a) A signed provider agreement shall govern the contractual rights and obligations of the parties for dental services provided in Utah.

(b) A provider handbook that is provided to a dental provider by an insurer in connection with a provider agreement shall be deemed part of the provider contract.

(c) An insurer may not require a dental provider to comply with a provider handbook or policy that is not provided to the dental provider.

(d) An insurer shall notify a dental provider if the insurer issues a new provider handbook or updates an existing provider handbook.

Collected 2026-09-03T11:34:33Z. Source file · JSON

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