{"data":{"id":"us-ut/utah-code-31a-22-647","jurisdiction":"us-ut","citation":"Utah Code § 31A-22-647","heading":"Insurer shared savings program.","body":"(1) As used in this section:\n(a) \"Insurer\" means a person who offers health care insurance, including a health maintenance organization as that term is defined in Section 31A-8-101.\n(b) \"PEHP\" means the Public Employees' Benefit and Insurance Program created in Section 49-20-103.\n(c) \"Savings reward program\" means a program to reward a health insurance enrollee if the enrollee receives services:\n(i) covered by the enrollee's health plan; and\n(ii) from a provider whose costs for services are lower than the average costs for the services.\n(2) An insurer may, in accordance with Subsection (4), establish a savings reward program for a health benefit plan that is:\n(a) offered by the insurer; and\n(b) entered into or renewed on or after January 1, 2019.\n(3) PEHP shall, in accordance with Subsection (4), establish a savings reward program for a health plan that is:\n(a) offered to state employees under Title 49, Chapter 20, Public Employees' Benefit and Insurance Program Act; and\n(b) entered into or renewed on or after July 1, 2019.\n(4) A savings reward program described in Subsection (2) or (3) may include, in accordance with federal and state law, rewards to the enrollee through:\n(a) premium discounts;\n(b) rebates;\n(c) reduction of out-of-pocket costs; or\n(d) other rewards or incentives developed by the insurer.","path":["Title 31A Insurance Code","Chapter 31A-22 Contracts in Specific Lines","Part 31A-22-6 Accident and Health Insurance"],"source_url":"https://le.utah.gov/xcode/Title31A/Chapter22/31A-22-S647.html","current_through":"2026 General Session","vintage":"","retrieved_at":"2026-09-03T11:34:33Z","sha256":"55c45e080dee654817c3947938fbc49c043644a87e93ab108e9b7f966c151765","source_id":"us-ut","stale":false,"prev":"us-ut/utah-code-31a-22-646.2","next":"us-ut/utah-code-31a-22-648"},"notice":"GroundRules: Original legal text. Not legal advice."}