Utah Accident & Health Insurance Request for Bona Fide Employer Association Group Authorization - Utah

Utah Accident & Health Insurance Request for Bona Fide Employer Association Group Authorization - Utah

Utah Accident & Health Insurance Bona Fide Employer Association Group Authorization is a legal document that was released by the Utah Insurance Department - a government authority operating within Utah.

FAQ

Q: What is a Bona Fide Employer Association Group Authorization?
A: A Bona Fide Employer Association Group Authorization is a request for an insurance plan offered through a genuine employer association group.

Q: What is the purpose of this request?
A: The purpose of this request is to obtain approval for an accident and health insurance plan for a bona fide employer association group in Utah.

Q: Who can submit this request?
A: The request can be submitted by the employer association that wants to offer the insurance plan.

Q: What information is required in the request?
A: The request must include information about the employer association, its members, and the proposed insurance plan.

Q: What happens after the request is submitted?
A: After the request is submitted, the Utah Insurance Department will review the information provided and determine if the group qualifies for the insurance plan.

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Form Details:

  • Released on December 1, 2022;
  • The latest edition currently provided by the Utah Insurance Department;
  • Ready to use and print;
  • Easy to customize;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a fillable version of the form by clicking the link below or browse more documents and templates provided by the Utah Insurance Department.

Download Utah Accident & Health Insurance Request for Bona Fide Employer Association Group Authorization - Utah

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