Health Care Benefits: Utah

Federal law and guidance on this subject should be reviewed together with this section.

Author: Elizabeth Dunning, Holland & Hart LLP

Summary

• Utah chose not to establish a state-based Marketplace under the Affordable Care Act. See Health Insurance Marketplaces Under the ACA.
• Same-sex marriage is legal nationwide. See Same-Sex Partner Benefits.
• Small employers in Utah (two to 50 employees) are eligible to purchase small group plans. See Health Coverage for Small Employers.
• Group health plans providing coverage for alcohol or drug dependency treatment may impose certain requirements regarding inpatient facilities. See Alcohol and Drug Dependency Coverage.
• Group health plans must include coverage for certain maternity and newborn expenses if the plan otherwise provides dependent coverage. See Maternity and Dependent Coverage.
• Health plans that provide coverage for mastectomy must provide coverage for reconstructive breast surgery. See Reconstructive Breast Surgery.
• Health plans generally may not discriminate among healthcare providers. See Nondiscrimination Among Healthcare Professionals.
• Insurers are prohibited from discriminating on the basis of genetic testing. See Genetic Information Restrictions.

Unless otherwise indicated, the term policy means a policy of insurance issued by an insurer licensed to do business in Utah. It does not include self-insured employer health plans.