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Utah Health Insurance Information

From , former About.com Guide

Updated August 20, 2008

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If you live in Utah, the following health insurance contact information may be helpful to you:

Utah Insurance Department

The Utah Insurance Department is responsible for regulating all types of insurance sold in the state of Utah, including health insurance policies.

If you are looking for health insurance coverage, the Insurance Department keeps a list of insurance companies licensed to sell policies in Utah. You can search this list for both companies and agents.

If you are having trouble resolving a claims dispute with your insurer, you can file a complaint with the Insurance Department. Find more information about how to file a complaint, including instructions and a complaint form, here.

Utah Insurance Department
State Office Building, Room 3110
Salt Lake City, UT 84114-6901
P.O. Box 149104
Phone: (801) 538-3877 or (866) 350-6242
Email: health.uid@utah.gov

U.S. Department of Labor

If you get your insurance through your job, your plan is also regulated by the U.S. Department of Labor's Employee Benefits Security Administration (EBSA). They make and enforce the rules that your employer must follow when offering health insurance coverage to employees; for example, your employer cannot single out an individual employee to exclude her from the plan because she (or one of her dependents) has a costly illness. Also, if there are 20 or more employees at your job, you should be offered COBRA continuation coverage when you leave your job. The EBSA works to make sure that all of this happens and your rights are protected.

If you have concerns about your employer's practices in administering your job-based health coverage; for example, if you think you should have been offered COBRA continuation coverage, but were not, or if you feel that you were wrongly terminated from your health plan, contact your regional EBSA office.

U.S. Department of Labor Employee Benefits Security Administration
San Francisco Regional Office
90 7th Street, Suite 11-300
San Francisco, CA 94103
Billy Beaver - Director
Phone: (415) 625-2481
Fax: (415) 625-2450

Buying Individual Policies in Utah

Insurers in Utah must offer coverage to residents who do not have access to coverage through their job, COBRA, Medicare, Medicaid, HIPUtah or other means. If you are eligible for any of these types of coverage, insurers may reject your application for coverage based on your health status.

"HIPAA-eligible" individuals are guaranteed the right to buy coverage, either through HIPUtah or through an individual insurer. You may be a "HIPAA-eligible" individual if you:

  • had at least 18 months of continuous creditable coverage, the last day of which was under a group plan AND
  • you have exhausted all COBRA continuation coverage, which was available to you

If you are not sure whether you are a HIPAA-eligible individual, your insurance agent or the Utah Insurance Department can help you find out.

HIPUtah - Utah Comprehensive Health Insurance Pool

HIPUtah offers coverage to individuals who are unable to purchase an individual health insurance policy, because they have pre-existing health conditions. It also covers "HIPAA-eligible" individuals, as described above. For more information about the program, including premium rates, contact HIPUtah.

HIPUtah
Phone: (801) 442-6660

Utah Children's Health Insurance Program (CHIP)

The CHIP program provides health insurance coverage for children whose family income meets certain guidelines.

CHIP
PO Box 144102
Salt Lake City, UT 84114-4102
Phone: (877) KIDS-NOW
Fax: (801) 538-6860
Email: chip@utah.gov

Utah Health Insurance Information Program (HIIP)

HIIP provides free one-on-one counseling for Medicare beneficiaries with questions about any aspect of Medicare, including the Medicare Part D prescription drug benefit or Medigap coverage.

HIIP
Phone: (800) 541-7735

Utah Medicaid

Medicaid is a government program designed to help the poor and indigent obtain health care services. Pregnant women and children younger than age 19 who meet certain income requirements may be eligible for Medicaid coverage, along with aged, blind and disabled individuals.

Utah Medicaid
Phone: (800) 662-9651 or (801) 538-6155

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