Health Care Benefits: Utah
Federal law and guidance on this subject should be reviewed together with this section.
Author: Elizabeth Dunning, Holland & Hart, LLP
- 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.
- Small group plans in Utah may include coverage for mental health, alcohol and drug abuse treatments. See Alcohol and Drug Abuse 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 against individuals for certain reasons. See Prohibition in Insurer Discrimination.
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.