2 | 8 | | 1 UNINSURED MOTORI ST AMENDMENTS |
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3 | 9 | | 2 2023 GENERAL SESSION |
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4 | 10 | | 3 STATE OF UTAH |
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5 | 11 | | 4 Chief Sponsor: Nelson T. Abbott |
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6 | 12 | | 5 Senate Sponsor: Curtis S. Bramble |
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7 | 13 | | 6 |
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8 | 14 | | 7LONG TITLE |
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9 | 15 | | 8General Description: |
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10 | 16 | | 9 This bill amends provisions related to underinsured motorist coverage. |
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11 | 17 | | 10Highlighted Provisions: |
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12 | 18 | | 11 This bill: |
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13 | 19 | | 12 <amends provisions related to the commencement of an action related to an |
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14 | 20 | | 13underinsured motorist claim; and |
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15 | 21 | | 14 <makes technical changes. |
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16 | 22 | | 15Money Appropriated in this Bill: |
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17 | 23 | | 16 None |
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18 | 24 | | 17Other Special Clauses: |
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19 | 25 | | 18 None |
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20 | 26 | | 19Utah Code Sections Affected: |
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21 | 27 | | 20AMENDS: |
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22 | 28 | | 21 31A-22-305, as last amended by Laws of Utah 2022, Chapter 163 |
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23 | 29 | | 22 31A-22-305.3, as last amended by Laws of Utah 2022, Chapters 163, 198 |
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24 | 30 | | 23 |
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25 | 31 | | 24Be it enacted by the Legislature of the state of Utah: |
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26 | 32 | | 25 Section 1. Section 31A-22-305 is amended to read: |
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32 | 39 | | 30children; |
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33 | 40 | | 31 (c) persons related to the named insured by blood, marriage, adoption, or guardianship, |
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34 | 41 | | 32who are residents of the named insured's household, including those who usually make their |
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35 | 42 | | 33home in the same household but temporarily live elsewhere; |
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36 | 43 | | 34 (d) any person occupying or using a motor vehicle: |
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37 | 44 | | 35 (i) referred to in the policy; or |
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38 | 45 | | 36 (ii) owned by a self-insured; and |
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39 | 46 | | 37 (e) any person who is entitled to recover damages against the owner or operator of the |
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40 | 47 | | 38uninsured or underinsured motor vehicle because of bodily injury to or death of persons under |
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41 | 48 | | 39Subsection (1)(a), (b), (c), or (d). |
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42 | 49 | | 40 (2) As used in this section, "uninsured motor vehicle" includes: |
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43 | 50 | | 41 (a) (i) a motor vehicle, the operation, maintenance, or use of which is not covered |
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44 | 51 | | 42under a liability policy at the time of an injury-causing occurrence; or |
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45 | 52 | | 43 (ii) (A) a motor vehicle covered with lower liability limits than required by Section |
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46 | 53 | | 4431A-22-304; and |
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47 | 54 | | 45 (B) the motor vehicle described in Subsection (2)(a)(ii)(A) is uninsured to the extent of |
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48 | 55 | | 46the deficiency; |
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49 | 56 | | 47 (b) an unidentified motor vehicle that left the scene of an accident proximately caused |
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50 | 57 | | 48by the motor vehicle operator; |
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51 | 58 | | 49 (c) a motor vehicle covered by a liability policy, but coverage for an accident is |
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52 | 59 | | 50disputed by the liability insurer for more than 60 days or continues to be disputed for more than |
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53 | 60 | | 5160 days; or |
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54 | 61 | | 52 (d) (i) an insured motor vehicle if, before or after the accident, the liability insurer of |
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55 | 62 | | 53the motor vehicle is declared insolvent by a court of competent jurisdiction; and |
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56 | 63 | | 54 (ii) the motor vehicle described in Subsection (2)(d)(i) is uninsured only to the extent |
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57 | 64 | | 55that the claim against the insolvent insurer is not paid by a guaranty association or fund. |
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61 | 68 | | 58operators of uninsured motor vehicles because of bodily injury, sickness, disease, or death. |
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62 | 69 | | 59 (4) (a) For new policies written on or after January 1, 2001, the limits of uninsured |
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63 | 70 | | 60motorist coverage shall be equal to the lesser of the limits of the named insured's motor vehicle |
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64 | 71 | | 61liability coverage or the maximum uninsured motorist coverage limits available by the insurer |
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65 | 72 | | 62under the named insured's motor vehicle policy, unless a named insured rejects or purchases |
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66 | 73 | | 63coverage in a lesser amount by signing an acknowledgment form that: |
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67 | 74 | | 64 (i) is filed with the department; |
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68 | 75 | | 65 (ii) is provided by the insurer; |
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69 | 76 | | 66 (iii) waives the higher coverage; |
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70 | 77 | | 67 (iv) need only state in this or similar language that uninsured motorist coverage |
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71 | 78 | | 68provides benefits or protection to you and other covered persons for bodily injury resulting |
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72 | 79 | | 69from an accident caused by the fault of another party where the other party has no liability |
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73 | 80 | | 70insurance; and |
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74 | 81 | | 71 (v) discloses the additional premiums required to purchase uninsured motorist |
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75 | 82 | | 72coverage with limits equal to the lesser of the limits of the named insured's motor vehicle |
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76 | 83 | | 73liability coverage or the maximum uninsured motorist coverage limits available by the insurer |
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77 | 84 | | 74under the named insured's motor vehicle policy. |
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78 | 85 | | 75 (b) Any selection or rejection under this Subsection (4) continues for that issuer of the |
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79 | 86 | | 76liability coverage until the insured requests, in writing, a change of uninsured motorist |
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80 | 87 | | 77coverage from that liability insurer. |
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81 | 88 | | 78 (c) (i) Subsections (4)(a) and (b) apply retroactively to any claim arising on or after |
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82 | 89 | | 79January 1, 2001, for which, as of May 14, 2013, an insured has not made a written demand for |
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83 | 90 | | 80arbitration or filed a complaint in a court of competent jurisdiction. |
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84 | 91 | | 81 (ii) The Legislature finds that the retroactive application of Subsections (4)(a) and (b) |
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85 | 92 | | 82clarifies legislative intent and does not enlarge, eliminate, or destroy vested rights. |
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86 | 93 | | 83 (d) For purposes of this Subsection (4), "new policy" means: |
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87 | 94 | | 84 (i) any policy that is issued which does not include a renewal or reinstatement of an |
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92 | 99 | | 88 (B) a change in the limits of the named insured's motor vehicle liability coverage. |
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93 | 100 | | 89 (e) (i) As used in this Subsection (4)(e), "additional motor vehicle" means a change |
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94 | 101 | | 90that increases the total number of vehicles insured by the policy, and does not include |
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95 | 102 | | 91replacement, substitute, or temporary vehicles. |
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96 | 103 | | 92 (ii) The adding of an additional motor vehicle to an existing personal lines or |
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97 | 104 | | 93commercial lines policy does not constitute a new policy for purposes of Subsection (4)(d). |
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98 | 105 | | 94 (iii) If an additional motor vehicle is added to a personal lines policy where uninsured |
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99 | 106 | | 95motorist coverage has been rejected, or where uninsured motorist limits are lower than the |
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100 | 107 | | 96named insured's motor vehicle liability limits, the insurer shall provide a notice to a named |
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101 | 108 | | 97insured within 30 days that: |
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102 | 109 | | 98 (A) in the same manner as described in Subsection (4)(a)(iv), explains the purpose of |
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103 | 110 | | 99uninsured motorist coverage; and |
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104 | 111 | | 100 (B) encourages the named insured to contact the insurance company or insurance |
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105 | 112 | | 101producer for quotes as to the additional premiums required to purchase uninsured motorist |
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106 | 113 | | 102coverage with limits equal to the lesser of the limits of the named insured's motor vehicle |
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107 | 114 | | 103liability coverage or the maximum uninsured motorist coverage limits available by the insurer |
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108 | 115 | | 104under the named insured's motor vehicle policy. |
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109 | 116 | | 105 (f) A change in policy number resulting from any policy change not identified under |
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110 | 117 | | 106Subsection (4)(d)(ii) does not constitute a new policy. |
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111 | 118 | | 107 (g) (i) Subsection (4)(d) applies retroactively to any claim arising on or after January 1, |
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112 | 119 | | 1082001, for which, as of May 1, 2012, an insured has not made a written demand for arbitration |
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113 | 120 | | 109or filed a complaint in a court of competent jurisdiction. |
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114 | 121 | | 110 (ii) The Legislature finds that the retroactive application of Subsection (4): |
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115 | 122 | | 111 (A) does not enlarge, eliminate, or destroy vested rights; and |
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116 | 123 | | 112 (B) clarifies legislative intent. |
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124 | 131 | | 119 (i) Uninsured motorist coverage may not be sold with limits that are less than the |
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125 | 132 | | 120minimum bodily injury limits for motor vehicle liability policies under Section 31A-22-304. |
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126 | 133 | | 121 (j) The acknowledgment under Subsection (4)(a) continues for that issuer of the |
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127 | 134 | | 122uninsured motorist coverage until the named insured requests, in writing, different uninsured |
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128 | 135 | | 123motorist coverage from the insurer. |
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129 | 136 | | 124 (k) (i) In conjunction with the first two renewal notices sent after January 1, 2001, for |
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130 | 137 | | 125policies existing on that date, the insurer shall disclose in the same medium as the premium |
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131 | 138 | | 126renewal notice, an explanation of: |
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132 | 139 | | 127 (A) the purpose of uninsured motorist coverage in the same manner as described in |
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133 | 140 | | 128Subsection (4)(a)(iv); and |
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134 | 141 | | 129 (B) a disclosure of the additional premiums required to purchase uninsured motorist |
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135 | 142 | | 130coverage with limits equal to the lesser of the limits of the named insured's motor vehicle |
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136 | 143 | | 131liability coverage or the maximum uninsured motorist coverage limits available by the insurer |
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137 | 144 | | 132under the named insured's motor vehicle policy. |
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138 | 145 | | 133 (ii) The disclosure required under Subsection (4)(k)(i) shall be sent to all named |
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139 | 146 | | 134insureds that carry uninsured motorist coverage limits in an amount less than the named |
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140 | 147 | | 135insured's motor vehicle liability policy limits or the maximum uninsured motorist coverage |
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141 | 148 | | 136limits available by the insurer under the named insured's motor vehicle policy. |
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142 | 149 | | 137 (l) For purposes of this Subsection (4), a notice or disclosure sent to a named insured in |
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143 | 150 | | 138a household constitutes notice or disclosure to all insureds within the household. |
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144 | 151 | | 139 (5) (a) (i) Except as provided in Subsection (5)(b), the named insured may reject |
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145 | 152 | | 140uninsured motorist coverage by an express writing to the insurer that provides liability |
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148 | 154 | | 142 (ii) This rejection shall be on a form provided by the insurer that includes a reasonable |
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149 | 155 | | 143explanation of the purpose of uninsured motorist coverage. |
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150 | 156 | | 144 (iii) This rejection continues for that issuer of the liability coverage until the insured in |
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151 | 157 | | 145writing requests uninsured motorist coverage from that liability insurer. |
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152 | 158 | | 146 (b) (i) All persons, including governmental entities, that are engaged in the business of, |
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153 | 159 | | 147or that accept payment for, transporting natural persons by motor vehicle, and all school |
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154 | 160 | | 148districts that provide transportation services for their students, shall provide coverage for all |
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156 | 163 | | 150uninsured motorist coverage of at least $25,000 per person and $500,000 per accident. |
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157 | 164 | | 151 (ii) This coverage is secondary to any other insurance covering an injured covered |
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158 | 165 | | 152person. |
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159 | 166 | | 153 (c) Uninsured motorist coverage: |
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160 | 167 | | 154 (i) does not cover any benefit paid or payable under Title 34A, Chapter 2, Workers' |
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161 | 168 | | 155Compensation Act, except that the covered person is credited an amount described in |
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162 | 169 | | 156Subsection 34A-2-106(5); |
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163 | 170 | | 157 (ii) may not be subrogated by the workers' compensation insurance carrier, workers' |
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164 | 171 | | 158compensation insurance, uninsured employer, the Uninsured Employers Fund created in |
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165 | 172 | | 159Section 34A-2-704, or the Employers' Reinsurance Fund created in Section 34A-2-702; |
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166 | 173 | | 160 (iii) may not be reduced by any benefits provided by workers' compensation insurance, |
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167 | 174 | | 161uninsured employer, the Uninsured Employers Fund created in Section 34A-2-704, or the |
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168 | 175 | | 162Employers' Reinsurance Fund created in Section 34A-2-702; |
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177 | 184 | | 170 (vi) notwithstanding Subsection (5)(c)(v), may be recovered: |
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178 | 185 | | 171 (A) for a person under 18 years old who is injured within the scope of Subsection |
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179 | 186 | | 172(5)(c)(v) but limited to medical and funeral expenses; or |
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180 | 187 | | 173 (B) by a law enforcement officer as defined in Section 53-13-103, who is injured |
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181 | 188 | | 174within the course and scope of the law enforcement officer's duties. |
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182 | 189 | | 175 (d) As used in this Subsection (5), "motor vehicle" has the same meaning as under |
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183 | 190 | | 176Section 41-1a-102. |
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184 | 191 | | 177 (6) When a covered person alleges that an uninsured motor vehicle under Subsection |
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185 | 192 | | 178(2)(b) proximately caused an accident without touching the covered person or the motor |
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186 | 193 | | 179vehicle occupied by the covered person, the covered person shall show the existence of the |
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188 | 196 | | 181person's testimony. |
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189 | 197 | | 182 (7) (a) The limit of liability for uninsured motorist coverage for two or more motor |
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190 | 198 | | 183vehicles may not be added together, combined, or stacked to determine the limit of insurance |
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191 | 199 | | 184coverage available to an injured person for any one accident. |
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192 | 200 | | 185 (b) (i) Subsection (7)(a) applies to all persons except a covered person as defined under |
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193 | 201 | | 186Subsection (8)(b). |
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194 | 202 | | 187 (ii) A covered person as defined under Subsection (8)(b)(ii) is entitled to the highest |
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195 | 203 | | 188limits of uninsured motorist coverage afforded for any one motor vehicle that the covered |
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196 | 204 | | 189person is the named insured or an insured family member. |
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197 | 205 | | 190 (iii) This coverage shall be in addition to the coverage on the motor vehicle the covered |
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198 | 206 | | 191person is occupying. |
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199 | 207 | | 192 (iv) Neither the primary nor the secondary coverage may be set off against the other. |
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200 | 208 | | 193 (c) Coverage on a motor vehicle occupied at the time of an accident shall be primary |
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201 | 209 | | 194coverage, and the coverage elected by a person described under Subsections (1)(a)[, (b), and] |
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202 | 210 | | 195through (c) shall be secondary coverage. |
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203 | 211 | | 196 (8) (a) Uninsured motorist coverage under this section applies to bodily injury, |
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206 | 213 | | 198the motor vehicle is described in the policy under which a claim is made, or if the motor |
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207 | 214 | | 199vehicle is a newly acquired or replacement motor vehicle covered under the terms of the policy. |
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208 | 215 | | 200Except as provided in Subsection (7) or this Subsection (8), a covered person injured in a |
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209 | 216 | | 201motor vehicle described in a policy that includes uninsured motorist benefits may not elect to |
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210 | 217 | | 202collect uninsured motorist coverage benefits from any other motor vehicle insurance policy |
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211 | 218 | | 203under which the person is a covered person. |
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212 | 219 | | 204 (b) Each of the following persons may also recover uninsured motorist benefits under |
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213 | 220 | | 205any one other policy in which they are described as a "covered person" as defined in Subsection |
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214 | 221 | | 206(1): |
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215 | 222 | | 207 (i) a covered person injured as a pedestrian by an uninsured motor vehicle; and |
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216 | 223 | | 208 (ii) except as provided in Subsection (8)(c), a covered person injured while occupying |
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217 | 224 | | 209or using a motor vehicle that is not owned, leased, or furnished: |
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218 | 225 | | 210 (A) to the covered person; |
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220 | 228 | | 212 (C) to the covered person's resident parent or resident sibling. |
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221 | 229 | | 213 (c) (i) A covered person may recover benefits from no more than two additional |
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222 | 230 | | 214policies, one additional policy from each parent's household if the covered person is: |
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223 | 231 | | 215 (A) a dependent minor of parents who reside in separate households; and |
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224 | 232 | | 216 (B) injured while occupying or using a motor vehicle that is not owned, leased, or |
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225 | 233 | | 217furnished: |
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226 | 234 | | 218 (I) to the covered person; |
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227 | 235 | | 219 (II) to the covered person's resident parent; or |
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228 | 236 | | 220 (III) to the covered person's resident sibling. |
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229 | 237 | | 221 (ii) Each parent's policy under this Subsection (8)(c) is liable only for the percentage of |
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230 | 238 | | 222the damages that the limit of liability of each parent's policy of uninsured motorist coverage |
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231 | 239 | | 223bears to the total of both parents' uninsured coverage applicable to the accident. |
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232 | 240 | | 224 (d) A covered person's recovery under any available policies may not exceed the full |
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235 | 242 | | 226 (e) A covered person in Subsection (8)(b) is not barred against making subsequent |
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236 | 243 | | 227elections if recovery is unavailable under previous elections. |
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237 | 244 | | 228 (f) (i) As used in this section, "interpolicy stacking" means recovering benefits for a |
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238 | 245 | | 229single incident of loss under more than one insurance policy. |
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239 | 246 | | 230 (ii) Except to the extent permitted by Subsection (7) and this Subsection (8), |
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240 | 247 | | 231interpolicy stacking is prohibited for uninsured motorist coverage. |
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241 | 248 | | 232 (9) (a) When a claim is brought by a named insured or a person described in |
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242 | 249 | | 233Subsection (1) and is asserted against the covered person's uninsured motorist carrier, the |
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243 | 250 | | 234claimant may elect to resolve the claim: |
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244 | 251 | | 235 (i) by submitting the claim to binding arbitration; or |
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245 | 252 | | 236 (ii) through litigation. |
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246 | 253 | | 237 (b) Unless otherwise provided in the policy under which uninsured benefits are |
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247 | 254 | | 238claimed, the election provided in Subsection (9)(a) is available to the claimant only, except that |
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248 | 255 | | 239if the policy under which insured benefits are claimed provides that either an insured or the |
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249 | 256 | | 240insurer may elect arbitration, the insured or the insurer may elect arbitration and that election to |
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250 | 257 | | 241arbitrate shall stay the litigation of the claim under Subsection (9)(a)(ii). |
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252 | 260 | | 243the claimant may not elect to resolve the claim through binding arbitration under this section |
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253 | 261 | | 244without the written consent of the uninsured motorist carrier. |
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254 | 262 | | 245 (d) For purposes of the statute of limitations applicable to a claim described in |
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255 | 263 | | 246Subsection (9)(a), if the claimant does not elect to resolve the claim through litigation, the |
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256 | 264 | | 247claim is considered filed when the claimant submits the claim to binding arbitration in |
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257 | 265 | | 248accordance with this Subsection (9). |
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258 | 266 | | 249 (e) (i) Unless otherwise agreed to in writing by the parties, a claim that is submitted to |
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259 | 267 | | 250binding arbitration under Subsection (9)(a)(i) shall be resolved by a single arbitrator. |
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260 | 268 | | 251 (ii) All parties shall agree on the single arbitrator selected under Subsection (9)(e)(i). |
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261 | 269 | | 252 (iii) If the parties are unable to agree on a single arbitrator as required under Subsection |
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264 | 271 | | 254 (f) If the parties select a panel of three arbitrators under Subsection (9)(e)(iii): |
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265 | 272 | | 255 (i) each side shall select one arbitrator; and |
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266 | 273 | | 256 (ii) the arbitrators appointed under Subsection (9)(f)(i) shall select one additional |
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267 | 274 | | 257arbitrator to be included in the panel. |
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268 | 275 | | 258 (g) Unless otherwise agreed to in writing: |
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269 | 276 | | 259 (i) each party shall pay an equal share of the fees and costs of the arbitrator selected |
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270 | 277 | | 260under Subsection (9)(e)(i); or |
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271 | 278 | | 261 (ii) if an arbitration panel is selected under Subsection (9)(e)(iii): |
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272 | 279 | | 262 (A) each party shall pay the fees and costs of the arbitrator selected by that party; and |
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273 | 280 | | 263 (B) each party shall pay an equal share of the fees and costs of the arbitrator selected |
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274 | 281 | | 264under Subsection (9)(f)(ii). |
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275 | 282 | | 265 (h) Except as otherwise provided in this section or unless otherwise agreed to in |
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276 | 283 | | 266writing by the parties, an arbitration proceeding conducted under this section shall be governed |
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277 | 284 | | 267by Title 78B, Chapter 11, Utah Uniform Arbitration Act. |
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278 | 285 | | 268 (i) (i) The arbitration shall be conducted in accordance with Rules 26(a)(4) through (f), |
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279 | 286 | | 26927 through 37, 54, and 68 of the Utah Rules of Civil Procedure, once the requirements of |
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280 | 287 | | 270Subsections (10)(a) through (c) are satisfied. |
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281 | 288 | | 271 (ii) The specified tier as defined by Rule 26(c)(3) of the Utah Rules of Civil Procedure |
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282 | 289 | | 272shall be determined based on the claimant's specific monetary amount in the written demand |
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284 | 292 | | 274 (iii) Rules 26.1 and 26.2 of the Utah Rules of Civil Procedure do not apply to |
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285 | 293 | | 275arbitration claims under this part. |
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286 | 294 | | 276 (j) All issues of discovery shall be resolved by the arbitrator or the arbitration panel. |
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287 | 295 | | 277 (k) A written decision by a single arbitrator or by a majority of the arbitration panel |
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288 | 296 | | 278shall constitute a final decision. |
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289 | 297 | | 279 (l) (i) Except as provided in Subsection (10), the amount of an arbitration award may |
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290 | 298 | | 280not exceed the uninsured motorist policy limits of all applicable uninsured motorist policies, |
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293 | 300 | | 282 (ii) If the initial arbitration award exceeds the uninsured motorist policy limits of all |
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294 | 301 | | 283applicable uninsured motorist policies, the arbitration award shall be reduced to an amount |
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295 | 302 | | 284equal to the combined uninsured motorist policy limits of all applicable uninsured motorist |
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296 | 303 | | 285policies. |
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297 | 304 | | 286 (m) The arbitrator or arbitration panel may not decide the issues of coverage or |
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298 | 305 | | 287extra-contractual damages, including: |
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299 | 306 | | 288 (i) whether the claimant is a covered person; |
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300 | 307 | | 289 (ii) whether the policy extends coverage to the loss; or |
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301 | 308 | | 290 (iii) any allegations or claims asserting consequential damages or bad faith liability. |
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302 | 309 | | 291 (n) The arbitrator or arbitration panel may not conduct arbitration on a class-wide or |
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303 | 310 | | 292class-representative basis. |
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304 | 311 | | 293 (o) If the arbitrator or arbitration panel finds that the action was not brought, pursued, |
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305 | 312 | | 294or defended in good faith, the arbitrator or arbitration panel may award reasonable attorney fees |
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306 | 313 | | 295and costs against the party that failed to bring, pursue, or defend the claim in good faith. |
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307 | 314 | | 296 (p) An arbitration award issued under this section shall be the final resolution of all |
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308 | 315 | | 297claims not excluded by Subsection (9)(m) between the parties unless: |
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309 | 316 | | 298 (i) the award was procured by corruption, fraud, or other undue means; |
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310 | 317 | | 299 (ii) either party, within 20 days after service of the arbitration award: |
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311 | 318 | | 300 (A) files a complaint requesting a trial de novo in the district court; and |
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312 | 319 | | 301 (B) serves the nonmoving party with a copy of the complaint requesting a trial de novo |
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313 | 320 | | 302under Subsection (9)(p)(ii)(A). |
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314 | 321 | | 303 (q) (i) Upon filing a complaint for a trial de novo under Subsection (9)(p), the claim |
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322 | 329 | | 310arbitration award, the claimant is responsible for all of the nonmoving party's costs. |
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323 | 330 | | 311 (ii) If the uninsured motorist carrier, as the moving party in a trial de novo requested |
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324 | 331 | | 312under Subsection (9)(p), does not obtain a verdict that is at least 20% less than the arbitration |
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325 | 332 | | 313award, the uninsured motorist carrier is responsible for all of the nonmoving party's costs. |
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326 | 333 | | 314 (iii) Except as provided in Subsection (9)(r)(iv), the costs under this Subsection (9)(r) |
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327 | 334 | | 315shall include: |
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328 | 335 | | 316 (A) any costs set forth in Rule 54(d), Utah Rules of Civil Procedure; and |
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329 | 336 | | 317 (B) the costs of expert witnesses and depositions. |
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330 | 337 | | 318 (iv) An award of costs under this Subsection (9)(r) may not exceed $2,500 unless |
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331 | 338 | | 319Subsection (10)(h)(iii) applies. |
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332 | 339 | | 320 (s) For purposes of determining whether a party's verdict is greater or less than the |
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333 | 340 | | 321arbitration award under Subsection (9)(r), a court may not consider any recovery or other relief |
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334 | 341 | | 322granted on a claim for damages if the claim for damages: |
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335 | 342 | | 323 (i) was not fully disclosed in writing prior to the arbitration proceeding; or |
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336 | 343 | | 324 (ii) was not disclosed in response to discovery contrary to the Utah Rules of Civil |
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337 | 344 | | 325Procedure. |
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338 | 345 | | 326 (t) If a district court determines, upon a motion of the nonmoving party, that the |
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339 | 346 | | 327moving party's use of the trial de novo process was filed in bad faith in accordance with |
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340 | 347 | | 328Section 78B-5-825, the district court may award reasonable attorney fees to the nonmoving |
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341 | 348 | | 329party. |
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342 | 349 | | 330 (u) Nothing in this section is intended to limit any claim under any other portion of an |
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343 | 350 | | 331applicable insurance policy. |
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344 | 351 | | 332 (v) If there are multiple uninsured motorist policies, as set forth in Subsection (8), the |
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345 | 352 | | 333claimant may elect to arbitrate in one hearing the claims against all the uninsured motorist |
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346 | 353 | | 334carriers. |
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351 | 358 | | 338 (i) a written demand for payment of uninsured motorist coverage benefits, setting forth: |
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352 | 359 | | 339 (A) subject to Subsection [(10)(m),] (10)(l), the specific monetary amount of the |
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353 | 360 | | 340demand, including a computation of the covered person's claimed past medical expenses, |
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354 | 361 | | 341claimed past lost wages, and the other claimed past economic damages; and |
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355 | 362 | | 342 (B) the factual and legal basis and any supporting documentation for the demand; |
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356 | 363 | | 343 (ii) a written statement under oath disclosing: |
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357 | 364 | | 344 (A) (I) the names and last known addresses of all health care providers who have |
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358 | 365 | | 345rendered health care services to the covered person that are material to the claims for which |
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359 | 366 | | 346uninsured motorist benefits are sought for a period of five years preceding the date of the event |
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360 | 367 | | 347giving rise to the claim for uninsured motorist benefits up to the time the election for |
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361 | 368 | | 348arbitration or litigation has been exercised; and |
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362 | 369 | | 349 (II) the names and last known addresses of the health care providers who have rendered |
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363 | 370 | | 350health care services to the covered person, which the covered person claims are immaterial to |
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364 | 371 | | 351the claims for which uninsured motorist benefits are sought, for a period of five years |
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365 | 372 | | 352preceding the date of the event giving rise to the claim for uninsured motorist benefits up to the |
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366 | 373 | | 353time the election for arbitration or litigation has been exercised that have not been disclosed |
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367 | 374 | | 354under Subsection (10)(a)(ii)(A)(I); |
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368 | 375 | | 355 (B) (I) the names and last known addresses of all health insurers or other entities to |
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369 | 376 | | 356whom the covered person has submitted claims for health care services or benefits material to |
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370 | 377 | | 357the claims for which uninsured motorist benefits are sought, for a period of five years |
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371 | 378 | | 358preceding the date of the event giving rise to the claim for uninsured motorist benefits up to the |
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372 | 379 | | 359time the election for arbitration or litigation has been exercised; and |
---|
373 | 380 | | 360 (II) the names and last known addresses of the health insurers or other entities to whom |
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374 | 381 | | 361the covered person has submitted claims for health care services or benefits, which the covered |
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375 | 382 | | 362person claims are immaterial to the claims for which uninsured motorist benefits are sought, |
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376 | 383 | | 363for a period of five years preceding the date of the event giving rise to the claim for uninsured |
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377 | 384 | | 364motorist benefits up to the time the election for arbitration or litigation have not been disclosed; |
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381 | 388 | | 367giving rise to the claim for uninsured motorist benefits up to the time the election for |
---|
382 | 389 | | 368arbitration or litigation has been exercised; |
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383 | 390 | | 369 (D) other documents to reasonably support the claims being asserted; and |
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384 | 391 | | 370 (E) all state and federal statutory lienholders including a statement as to whether the |
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385 | 392 | | 371covered person is a recipient of Medicare or Medicaid benefits or Utah Children's Health |
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386 | 393 | | 372Insurance Program benefits under Title 26, Chapter 40, Utah Children's Health Insurance Act, |
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387 | 394 | | 373or if the claim is subject to any other state or federal statutory liens; and |
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388 | 395 | | 374 (iii) signed authorizations to allow the uninsured motorist carrier to only obtain records |
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389 | 396 | | 375and billings from the individuals or entities disclosed under Subsections (10)(a)(ii)(A)(I), |
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390 | 397 | | 376(B)(I), and (C). |
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391 | 398 | | 377 (b) (i) If the uninsured motorist carrier determines that the disclosure of undisclosed |
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392 | 399 | | 378health care providers or health care insurers under Subsection (10)(a)(ii) is reasonably |
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393 | 400 | | 379necessary, the uninsured motorist carrier may: |
---|
394 | 401 | | 380 (A) make a request for the disclosure of the identity of the health care providers or |
---|
395 | 402 | | 381health care insurers; and |
---|
396 | 403 | | 382 (B) make a request for authorizations to allow the uninsured motorist carrier to only |
---|
397 | 404 | | 383obtain records and billings from the individuals or entities not disclosed. |
---|
398 | 405 | | 384 (ii) If the covered person does not provide the requested information within 10 days: |
---|
399 | 406 | | 385 (A) the covered person shall disclose, in writing, the legal or factual basis for the |
---|
400 | 407 | | 386failure to disclose the health care providers or health care insurers; and |
---|
401 | 408 | | 387 (B) either the covered person or the uninsured motorist carrier may request the |
---|
402 | 409 | | 388arbitrator or arbitration panel to resolve the issue of whether the identities or records are to be |
---|
403 | 410 | | 389provided if the covered person has elected arbitration. |
---|
404 | 411 | | 390 (iii) The time periods imposed by Subsection (10)(c)(i) are tolled pending resolution of |
---|
405 | 412 | | 391the dispute concerning the disclosure and production of records of the health care providers or |
---|
406 | 413 | | 392health care insurers. |
---|
413 | 420 | | 398Subsection (10)(a)(i); |
---|
414 | 421 | | 399 (B) except as provided in Subsection (10)(c)(i)(C), tender the amount, if any, of the |
---|
415 | 422 | | 400uninsured motorist carrier's determination of the amount owed to the covered person; and |
---|
416 | 423 | | 401 (C) if the covered person is a recipient of Medicare or Medicaid benefits or Utah |
---|
417 | 424 | | 402Children's Health Insurance Program benefits under Title 26, Chapter 40, Utah Children's |
---|
418 | 425 | | 403Health Insurance Act, or if the claim is subject to any other state or federal statutory liens, |
---|
419 | 426 | | 404tender the amount, if any, of the uninsured motorist carrier's determination of the amount owed |
---|
420 | 427 | | 405to the covered person less: |
---|
421 | 428 | | 406 (I) if the amount of the state or federal statutory lien is established, the amount of the |
---|
422 | 429 | | 407lien; or |
---|
423 | 430 | | 408 (II) if the amount of the state or federal statutory lien is not established, two times the |
---|
424 | 431 | | 409amount of the medical expenses subject to the state or federal statutory lien until such time as |
---|
425 | 432 | | 410the amount of the state or federal statutory lien is established. |
---|
426 | 433 | | 411 (ii) If the amount tendered by the uninsured motorist carrier under Subsection (10)(c)(i) |
---|
427 | 434 | | 412is the total amount of the uninsured motorist policy limits, the tendered amount shall be |
---|
428 | 435 | | 413accepted by the covered person. |
---|
429 | 436 | | 414 (d) A covered person who receives a written response from an uninsured motorist |
---|
430 | 437 | | 415carrier as provided for in Subsection (10)(c)(i), may: |
---|
431 | 438 | | 416 (i) elect to accept the amount tendered in Subsection (10)(c)(i) as payment in full of all |
---|
432 | 439 | | 417uninsured motorist claims; or |
---|
433 | 440 | | 418 (ii) elect to: |
---|
434 | 441 | | 419 (A) accept the amount tendered in Subsection (10)(c)(i) as partial payment of all |
---|
435 | 442 | | 420uninsured motorist claims; and |
---|
438 | 444 | | 422made under Subsections [(9)(a), (b), and] (9)(a) through (c). |
---|
439 | 445 | | 423 (e) If a covered person elects to accept the amount tendered under Subsection (10)(c)(i) |
---|
440 | 446 | | 424as partial payment of all uninsured motorist claims, the final award obtained through |
---|
441 | 447 | | 425arbitration, litigation, or later settlement shall be reduced by any payment made by the |
---|
442 | 448 | | 426uninsured motorist carrier under Subsection (10)(c)(i). |
---|
443 | 449 | | 427 (f) In an arbitration proceeding on the remaining uninsured claims: |
---|
445 | 452 | | 429under Subsection (10)(c)(i) until after the arbitration award has been rendered; and |
---|
446 | 453 | | 430 (ii) the parties may not disclose the amount of the limits of uninsured motorist benefits |
---|
447 | 454 | | 431provided by the policy. |
---|
448 | 455 | | 432 (g) If the final award obtained through arbitration or litigation is greater than the |
---|
449 | 456 | | 433average of the covered person's initial written demand for payment provided for in Subsection |
---|
450 | 457 | | 434(10)(a)(i) and the uninsured motorist carrier's initial written response provided for in |
---|
451 | 458 | | 435Subsection (10)(c)(i), the uninsured motorist carrier shall pay: |
---|
452 | 459 | | 436 (i) the final award obtained through arbitration or litigation, except that if the award |
---|
453 | 460 | | 437exceeds the policy limits of the subject uninsured motorist policy by more than $15,000, the |
---|
454 | 461 | | 438amount shall be reduced to an amount equal to the policy limits plus $15,000; and |
---|
455 | 462 | | 439 (ii) any of the following applicable costs: |
---|
456 | 463 | | 440 (A) any costs as set forth in Rule 54(d), Utah Rules of Civil Procedure; |
---|
457 | 464 | | 441 (B) the arbitrator or arbitration panel's fee; and |
---|
458 | 465 | | 442 (C) the reasonable costs of expert witnesses and depositions used in the presentation of |
---|
459 | 466 | | 443evidence during arbitration or litigation. |
---|
460 | 467 | | 444 (h) (i) The covered person shall provide an affidavit of costs within five days of an |
---|
461 | 468 | | 445arbitration award. |
---|
462 | 469 | | 446 (ii) (A) Objection to the affidavit of costs shall specify with particularity the costs to |
---|
463 | 470 | | 447which the uninsured motorist carrier objects. |
---|
464 | 471 | | 448 (B) The objection shall be resolved by the arbitrator or arbitration panel. |
---|
467 | 473 | | 450(10)(g)(ii) may not exceed $5,000. |
---|
468 | 474 | | 451 (i) (i) A covered person shall disclose all material information, other than rebuttal |
---|
469 | 475 | | 452evidence, within 30 days after a covered person elects to submit a claim for uninsured motorist |
---|
470 | 476 | | 453coverage benefits to binding arbitration or files litigation as specified in Subsection (10)(a). |
---|
471 | 477 | | 454 (ii) If the information under Subsection (10)(i)(i) is not disclosed, the covered person |
---|
472 | 478 | | 455may not recover costs or any amounts in excess of the policy under Subsection (10)(g). |
---|
473 | 479 | | 456 (j) This Subsection (10) does not limit any other cause of action that arose or may arise |
---|
474 | 480 | | 457against the uninsured motorist carrier from the same dispute. |
---|
475 | 481 | | 458 (k) The provisions of this Subsection (10) only apply to motor vehicle accidents that |
---|
477 | 484 | | 460 (l) (i) (A) The written demand requirement in Subsection (10)(a)(i)(A) does not affect |
---|
478 | 485 | | 461the covered person's requirement to provide a computation of any other economic damages |
---|
479 | 486 | | 462claimed, and the one or more respondents shall have a reasonable time after the receipt of the |
---|
480 | 487 | | 463computation of any other economic damages claimed to conduct fact and expert discovery as to |
---|
481 | 488 | | 464any additional damages claimed. |
---|
482 | 489 | | 465 (B) The changes made by Laws of Utah 2014, Chapter 290, Section 10, and Chapter |
---|
483 | 490 | | 466300, Section 10, to this Subsection (10)(l) and Subsection (10)(a)(i)(A) apply to a claim |
---|
484 | 491 | | 467submitted to binding arbitration or through litigation on or after May 13, 2014. |
---|
485 | 492 | | 468 (ii) The changes made by Laws of Utah 2014, Chapter 290, Section 10, and Chapter |
---|
486 | 493 | | 469300, Section 10, to Subsections (10)(a)(ii)(A)(II) and (B)(II) apply to any claim submitted to |
---|
487 | 494 | | 470binding arbitration or through litigation on or after May 13, 2014. |
---|
488 | 495 | | 471 (11) (a) Notwithstanding Section 31A-21-313, an action on a written policy or contract |
---|
489 | 496 | | 472for uninsured motorist coverage shall be commenced within four years after the inception of |
---|
490 | 497 | | 473loss. |
---|
491 | 498 | | 474 (b) Subsection (11)(a) shall apply to all claims that have not been time barred by |
---|
492 | 499 | | 475Subsection 31A-21-313(1)(a) as of May 14, 2019. |
---|
493 | 500 | | 476 Section 2. Section 31A-22-305.3 is amended to read: |
---|
496 | 502 | | 478 (1) As used in this section: |
---|
497 | 503 | | 479 (a) "Covered person" has the same meaning as defined in Section 31A-22-305. |
---|
498 | 504 | | 480 (b) (i) "Underinsured motor vehicle" includes a motor vehicle, the operation, |
---|
499 | 505 | | 481maintenance, or use of which is covered under a liability policy at the time of an injury-causing |
---|
500 | 506 | | 482occurrence, but which has insufficient liability coverage to compensate fully the injured party |
---|
501 | 507 | | 483for all special and general damages. |
---|
502 | 508 | | 484 (ii) The term "underinsured motor vehicle" does not include: |
---|
503 | 509 | | 485 (A) a motor vehicle that is covered under the liability coverage of the same policy that |
---|
504 | 510 | | 486also contains the underinsured motorist coverage; |
---|
505 | 511 | | 487 (B) an uninsured motor vehicle as defined in Subsection 31A-22-305(2); or |
---|
506 | 512 | | 488 (C) a motor vehicle owned or leased by: |
---|
507 | 513 | | 489 (I) a named insured; |
---|
509 | 516 | | 491 (III) a dependent of a named insured. |
---|
510 | 517 | | 492 (2) (a) Underinsured motorist coverage under Subsection 31A-22-302(1)(c) provides |
---|
511 | 518 | | 493coverage for a covered person who is legally entitled to recover damages from an owner or |
---|
512 | 519 | | 494operator of an underinsured motor vehicle because of bodily injury, sickness, disease, or death. |
---|
513 | 520 | | 495 (b) A covered person occupying or using a motor vehicle owned, leased, or furnished |
---|
514 | 521 | | 496to the covered person, the covered person's spouse, or covered person's resident relative may |
---|
515 | 522 | | 497recover underinsured benefits only if the motor vehicle is: |
---|
516 | 523 | | 498 (i) described in the policy under which a claim is made; or |
---|
517 | 524 | | 499 (ii) a newly acquired or replacement motor vehicle covered under the terms of the |
---|
518 | 525 | | 500policy. |
---|
519 | 526 | | 501 (3) (a) For purposes of this Subsection (3), "new policy" means: |
---|
520 | 527 | | 502 (i) any policy that is issued that does not include a renewal or reinstatement of an |
---|
521 | 528 | | 503existing policy; or |
---|
522 | 529 | | 504 (ii) a change to an existing policy that results in: |
---|
525 | 531 | | 506 (B) a change in the limits of the named insured's motor vehicle liability coverage. |
---|
526 | 532 | | 507 (b) For new policies written on or after January 1, 2001, the limits of underinsured |
---|
527 | 533 | | 508motorist coverage shall be equal to the lesser of the limits of the named insured's motor vehicle |
---|
528 | 534 | | 509liability coverage or the maximum underinsured motorist coverage limits available by the |
---|
529 | 535 | | 510insurer under the named insured's motor vehicle policy, unless a named insured rejects or |
---|
530 | 536 | | 511purchases coverage in a lesser amount by signing an acknowledgment form that: |
---|
531 | 537 | | 512 (i) is filed with the department; |
---|
532 | 538 | | 513 (ii) is provided by the insurer; |
---|
533 | 539 | | 514 (iii) waives the higher coverage; |
---|
534 | 540 | | 515 (iv) need only state in this or similar language that "underinsured motorist coverage |
---|
535 | 541 | | 516provides benefits or protection to you and other covered persons for bodily injury resulting |
---|
536 | 542 | | 517from an accident caused by the fault of another party where the other party has insufficient |
---|
537 | 543 | | 518liability insurance"; and |
---|
538 | 544 | | 519 (v) discloses the additional premiums required to purchase underinsured motorist |
---|
539 | 545 | | 520coverage with limits equal to the lesser of the limits of the named insured's motor vehicle |
---|
541 | 548 | | 522insurer under the named insured's motor vehicle policy. |
---|
542 | 549 | | 523 (c) Any selection or rejection under Subsection (3)(b) continues for that issuer of the |
---|
543 | 550 | | 524liability coverage until the insured requests, in writing, a change of underinsured motorist |
---|
544 | 551 | | 525coverage from that liability insurer. |
---|
545 | 552 | | 526 (d) (i) Subsections (3)(b) and (c) apply retroactively to any claim arising on or after |
---|
546 | 553 | | 527January 1, 2001, for which, as of May 14, 2013, an insured has not made a written demand for |
---|
547 | 554 | | 528arbitration or filed a complaint in a court of competent jurisdiction. |
---|
548 | 555 | | 529 (ii) The Legislature finds that the retroactive application of Subsections (3)(b) and (c) |
---|
549 | 556 | | 530clarifies legislative intent and does not enlarge, eliminate, or destroy vested rights. |
---|
550 | 557 | | 531 (e) (i) As used in this Subsection (3)(e), "additional motor vehicle" means a change |
---|
551 | 558 | | 532that increases the total number of vehicles insured by the policy, and does not include |
---|
554 | 560 | | 534 (ii) The adding of an additional motor vehicle to an existing personal lines or |
---|
555 | 561 | | 535commercial lines policy does not constitute a new policy for purposes of Subsection (3)(a). |
---|
556 | 562 | | 536 (iii) If an additional motor vehicle is added to a personal lines policy where |
---|
557 | 563 | | 537underinsured motorist coverage has been rejected, or where underinsured motorist limits are |
---|
558 | 564 | | 538lower than the named insured's motor vehicle liability limits, the insurer shall provide a notice |
---|
559 | 565 | | 539to a named insured within 30 days that: |
---|
560 | 566 | | 540 (A) in the same manner described in Subsection (3)(b)(iv), explains the purpose of |
---|
561 | 567 | | 541underinsured motorist coverage; and |
---|
562 | 568 | | 542 (B) encourages the named insured to contact the insurance company or insurance |
---|
563 | 569 | | 543producer for quotes as to the additional premiums required to purchase underinsured motorist |
---|
564 | 570 | | 544coverage with limits equal to the lesser of the limits of the named insured's motor vehicle |
---|
565 | 571 | | 545liability coverage or the maximum underinsured motorist coverage limits available by the |
---|
566 | 572 | | 546insurer under the named insured's motor vehicle policy. |
---|
567 | 573 | | 547 (f) A change in policy number resulting from any policy change not identified under |
---|
568 | 574 | | 548Subsection (3)(a)(ii) does not constitute a new policy. |
---|
569 | 575 | | 549 (g) (i) Subsection (3)(a) applies retroactively to any claim arising on or after January 1, |
---|
570 | 576 | | 5502001 for which, as of May 1, 2012, an insured has not made a written demand for arbitration or |
---|
571 | 577 | | 551filed a complaint in a court of competent jurisdiction. |
---|
573 | 580 | | 553 (A) does not enlarge, eliminate, or destroy vested rights; and |
---|
574 | 581 | | 554 (B) clarifies legislative intent. |
---|
575 | 582 | | 555 (h) A self-insured, including a governmental entity, may elect to provide underinsured |
---|
576 | 583 | | 556motorist coverage in an amount that is less than its maximum self-insured retention under |
---|
577 | 584 | | 557Subsections (3)(b) and (l) by issuing a declaratory memorandum or policy statement from the |
---|
578 | 585 | | 558chief financial officer or chief risk officer that declares the: |
---|
579 | 586 | | 559 (i) self-insured entity's coverage level; and |
---|
580 | 587 | | 560 (ii) process for filing an underinsured motorist claim. |
---|
583 | 589 | | 562 (i) $10,000 for one person in any one accident; and |
---|
584 | 590 | | 563 (ii) at least $20,000 for two or more persons in any one accident. |
---|
585 | 591 | | 564 (j) An acknowledgment under Subsection (3)(b) continues for that issuer of the |
---|
586 | 592 | | 565underinsured motorist coverage until the named insured, in writing, requests different |
---|
587 | 593 | | 566underinsured motorist coverage from the insurer. |
---|
588 | 594 | | 567 (k) (i) The named insured's underinsured motorist coverage, as described in Subsection |
---|
589 | 595 | | 568(2), is secondary to the liability coverage of an owner or operator of an underinsured motor |
---|
590 | 596 | | 569vehicle, as described in Subsection (1). |
---|
591 | 597 | | 570 (ii) Underinsured motorist coverage may not be set off against the liability coverage of |
---|
592 | 598 | | 571the owner or operator of an underinsured motor vehicle, but shall be added to, combined with, |
---|
593 | 599 | | 572or stacked upon the liability coverage of the owner or operator of the underinsured motor |
---|
594 | 600 | | 573vehicle to determine the limit of coverage available to the injured person. |
---|
595 | 601 | | 574 (l) (i) In conjunction with the first two renewal notices sent after January 1, 2001, for |
---|
596 | 602 | | 575policies existing on that date, the insurer shall disclose in the same medium as the premium |
---|
597 | 603 | | 576renewal notice, an explanation of: |
---|
598 | 604 | | 577 (A) the purpose of underinsured motorist coverage in the same manner as described in |
---|
599 | 605 | | 578Subsection (3)(b)(iv); and |
---|
600 | 606 | | 579 (B) a disclosure of the additional premiums required to purchase underinsured motorist |
---|
601 | 607 | | 580coverage with limits equal to the lesser of the limits of the named insured's motor vehicle |
---|
602 | 608 | | 581liability coverage or the maximum underinsured motorist coverage limits available by the |
---|
603 | 609 | | 582insurer under the named insured's motor vehicle policy. |
---|
612 | 618 | | 590motor vehicle described in a policy that includes underinsured motorist benefits may not elect |
---|
613 | 619 | | 591to collect underinsured motorist coverage benefits from another motor vehicle insurance policy. |
---|
614 | 620 | | 592 (ii) The limit of liability for underinsured motorist coverage for two or more motor |
---|
615 | 621 | | 593vehicles may not be added together, combined, or stacked to determine the limit of insurance |
---|
616 | 622 | | 594coverage available to an injured person for any one accident. |
---|
617 | 623 | | 595 (iii) Subsection (4)(a)(ii) applies to all persons except a covered person described |
---|
618 | 624 | | 596under Subsections (4)(b)(i) and (ii). |
---|
619 | 625 | | 597 (b) (i) A covered person injured as a pedestrian by an underinsured motor vehicle may |
---|
620 | 626 | | 598recover underinsured motorist benefits under any one other policy in which they are described |
---|
621 | 627 | | 599as a covered person. |
---|
622 | 628 | | 600 (ii) Except as provided in Subsection (4)(b)(iii), a covered person injured while |
---|
623 | 629 | | 601occupying, using, or maintaining a motor vehicle that is not owned, leased, or furnished to the |
---|
624 | 630 | | 602covered person, the covered person's spouse, or the covered person's resident parent or resident |
---|
625 | 631 | | 603sibling, may also recover benefits under any one other policy under which the covered person is |
---|
626 | 632 | | 604also a covered person. |
---|
627 | 633 | | 605 (iii) (A) A covered person may recover benefits from no more than two additional |
---|
628 | 634 | | 606policies, one additional policy from each parent's household if the covered person is: |
---|
629 | 635 | | 607 (I) a dependent minor of parents who reside in separate households; and |
---|
630 | 636 | | 608 (II) injured while occupying or using a motor vehicle that is not owned, leased, or |
---|
631 | 637 | | 609furnished to the covered person, the covered person's resident parent, or the covered person's |
---|
632 | 638 | | 610resident sibling. |
---|
633 | 639 | | 611 (B) Each parent's policy under this Subsection (4)(b)(iii) is liable only for the |
---|
634 | 640 | | 612percentage of the damages that the limit of liability of each parent's policy of underinsured |
---|
635 | 641 | | 613motorist coverage bears to the total of both parents' underinsured coverage applicable to the |
---|
641 | 647 | | 618primary coverage, and the coverage elected by a person described under Subsections |
---|
642 | 648 | | 61931A-22-305(1)(a), (b), and (c) is secondary coverage. |
---|
643 | 649 | | 620 (vi) The primary and the secondary coverage may not be set off against the other. |
---|
644 | 650 | | 621 (vii) A covered person as described under Subsection (4)(b)(i) or is entitled to the |
---|
645 | 651 | | 622highest limits of underinsured motorist coverage under only one additional policy per |
---|
646 | 652 | | 623household applicable to that covered person as a named insured, spouse, or relative. |
---|
647 | 653 | | 624 (viii) A covered injured person is not barred against making subsequent elections if |
---|
648 | 654 | | 625recovery is unavailable under previous elections. |
---|
649 | 655 | | 626 (ix) (A) As used in this section, "interpolicy stacking" means recovering benefits for a |
---|
650 | 656 | | 627single incident of loss under more than one insurance policy. |
---|
651 | 657 | | 628 (B) Except to the extent permitted by this Subsection (4), interpolicy stacking is |
---|
652 | 658 | | 629prohibited for underinsured motorist coverage. |
---|
653 | 659 | | 630 (c) Underinsured motorist coverage: |
---|
654 | 660 | | 631 (i) does not cover any benefit paid or payable under Title 34A, Chapter 2, Workers' |
---|
655 | 661 | | 632Compensation Act, except that the covered person is credited an amount described in |
---|
656 | 662 | | 633Subsection 34A-2-106(5); |
---|
657 | 663 | | 634 (ii) may not be subrogated by a workers' compensation insurance carrier, workers' |
---|
658 | 664 | | 635compensation insurance, uninsured employer, the Uninsured Employers Fund created in |
---|
659 | 665 | | 636Section 34A-2-704, or the Employers' Reinsurance Fund created in Section 34A-2-702; |
---|
660 | 666 | | 637 (iii) may not be reduced by benefits provided by workers' compensation insurance, |
---|
661 | 667 | | 638uninsured employer, the Uninsured Employers Fund created in Section 34A-2-704, or the |
---|
662 | 668 | | 639Employers' Reinsurance Fund created in Section 34A-2-702; |
---|
670 | 677 | | 646 (C) while committing a felony; and |
---|
671 | 678 | | 647 (vi) notwithstanding Subsection (4)(c)(v), may be recovered: |
---|
672 | 679 | | 648 (A) for a person younger than 18 years old who is injured within the scope of |
---|
673 | 680 | | 649Subsection (4)(c)(v), but is limited to medical and funeral expenses; or |
---|
674 | 681 | | 650 (B) by a law enforcement officer as defined in Section 53-13-103, who is injured |
---|
675 | 682 | | 651within the course and scope of the law enforcement officer's duties. |
---|
676 | 683 | | 652 (5) (a) Notwithstanding Section 31A-21-313, an action on a written policy or contract |
---|
677 | 684 | | 653for underinsured motorist coverage shall be commenced within four years after the inception of |
---|
678 | 685 | | 654loss. |
---|
679 | 686 | | 655 (b) The inception of the loss under Subsection 31A-21-313(1) for underinsured |
---|
680 | 687 | | 656motorist claims occurs upon the date of the settlement check representing the last liability |
---|
681 | 688 | | 657policy payment. |
---|
682 | 689 | | 658 (6) An underinsured motorist insurer does not have a right of reimbursement against a |
---|
683 | 690 | | 659person liable for the damages resulting from an injury-causing occurrence if the person's |
---|
684 | 691 | | 660liability insurer has tendered the policy limit and the limits have been accepted by the claimant. |
---|
685 | 692 | | 661 (7) Except as otherwise provided in this section, a covered person may seek, subject to |
---|
686 | 693 | | 662the terms and conditions of the policy, additional coverage under any policy: |
---|
687 | 694 | | 663 (a) that provides coverage for damages resulting from motor vehicle accidents; and |
---|
688 | 695 | | 664 (b) that is not required to conform to Section 31A-22-302. |
---|
689 | 696 | | 665 (8) (a) When a claim is brought by a named insured or a person described in |
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690 | 697 | | 666Subsection 31A-22-305(1) and is asserted against the covered person's underinsured motorist |
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691 | 698 | | 667carrier, the claimant may elect to resolve the claim: |
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692 | 699 | | 668 (i) by submitting the claim to binding arbitration; or |
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693 | 700 | | 669 (ii) through litigation. |
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694 | 701 | | 670 (b) Unless otherwise provided in the policy under which underinsured benefits are |
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695 | 702 | | 671claimed, the election provided in Subsection (8)(a) is available to the claimant only, except that |
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696 | 703 | | 672if the policy under which insured benefits are claimed provides that either an insured or the |
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702 | 709 | | 677without the written consent of the underinsured motorist coverage carrier. |
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703 | 710 | | 678 (d) For purposes of the statute of limitations applicable to a claim described in |
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704 | 711 | | 679Subsection (8)(a), if the claimant does not elect to resolve the claim through litigation, the |
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705 | 712 | | 680claim is considered filed when the claimant submits the claim to binding arbitration in |
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706 | 713 | | 681accordance with this Subsection (8). |
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707 | 714 | | 682 (e) (i) Unless otherwise agreed to in writing by the parties, a claim that is submitted to |
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708 | 715 | | 683binding arbitration under Subsection (8)(a)(i) shall be resolved by a single arbitrator. |
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709 | 716 | | 684 (ii) All parties shall agree on the single arbitrator selected under Subsection (8)(e)(i). |
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710 | 717 | | 685 (iii) If the parties are unable to agree on a single arbitrator as required under Subsection |
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711 | 718 | | 686(8)(e)(ii), the parties shall select a panel of three arbitrators. |
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712 | 719 | | 687 (f) If the parties select a panel of three arbitrators under Subsection (8)(e)(iii): |
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713 | 720 | | 688 (i) each side shall select one arbitrator; and |
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714 | 721 | | 689 (ii) the arbitrators appointed under Subsection (8)(f)(i) shall select one additional |
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715 | 722 | | 690arbitrator to be included in the panel. |
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716 | 723 | | 691 (g) Unless otherwise agreed to in writing: |
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717 | 724 | | 692 (i) each party shall pay an equal share of the fees and costs of the arbitrator selected |
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718 | 725 | | 693under Subsection (8)(e)(i); or |
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719 | 726 | | 694 (ii) if an arbitration panel is selected under Subsection (8)(e)(iii): |
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720 | 727 | | 695 (A) each party shall pay the fees and costs of the arbitrator selected by that party; and |
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721 | 728 | | 696 (B) each party shall pay an equal share of the fees and costs of the arbitrator selected |
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722 | 729 | | 697under Subsection (8)(f)(ii). |
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723 | 730 | | 698 (h) Except as otherwise provided in this section or unless otherwise agreed to in |
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724 | 731 | | 699writing by the parties, an arbitration proceeding conducted under this section is governed by |
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725 | 732 | | 700Title 78B, Chapter 11, Utah Uniform Arbitration Act. |
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734 | 741 | | 708arbitration claims under this part. |
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735 | 742 | | 709 (j) An issue of discovery shall be resolved by the arbitrator or the arbitration panel. |
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736 | 743 | | 710 (k) A written decision by a single arbitrator or by a majority of the arbitration panel |
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737 | 744 | | 711constitutes a final decision. |
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738 | 745 | | 712 (l) (i) Except as provided in Subsection (9), the amount of an arbitration award may not |
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739 | 746 | | 713exceed the underinsured motorist policy limits of all applicable underinsured motorist policies, |
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740 | 747 | | 714including applicable underinsured motorist umbrella policies. |
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741 | 748 | | 715 (ii) If the initial arbitration award exceeds the underinsured motorist policy limits of all |
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742 | 749 | | 716applicable underinsured motorist policies, the arbitration award shall be reduced to an amount |
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743 | 750 | | 717equal to the combined underinsured motorist policy limits of all applicable underinsured |
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744 | 751 | | 718motorist policies. |
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745 | 752 | | 719 (m) The arbitrator or arbitration panel may not decide an issue of coverage or |
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746 | 753 | | 720extra-contractual damages, including: |
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747 | 754 | | 721 (i) whether the claimant is a covered person; |
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748 | 755 | | 722 (ii) whether the policy extends coverage to the loss; or |
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749 | 756 | | 723 (iii) an allegation or claim asserting consequential damages or bad faith liability. |
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750 | 757 | | 724 (n) The arbitrator or arbitration panel may not conduct arbitration on a class-wide or |
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751 | 758 | | 725class-representative basis. |
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752 | 759 | | 726 (o) If the arbitrator or arbitration panel finds that the arbitration is not brought, pursued, |
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753 | 760 | | 727or defended in good faith, the arbitrator or arbitration panel may award reasonable attorney fees |
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754 | 761 | | 728and costs against the party that failed to bring, pursue, or defend the arbitration in good faith. |
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757 | 763 | | 730claims not excluded by Subsection (8)(m) between the parties unless: |
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758 | 764 | | 731 (i) the award is procured by corruption, fraud, or other undue means; or |
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759 | 765 | | 732 (ii) either party, within 20 days after service of the arbitration award: |
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760 | 766 | | 733 (A) files a complaint requesting a trial de novo in the district court; and |
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761 | 767 | | 734 (B) serves the nonmoving party with a copy of the complaint requesting a trial de novo |
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762 | 768 | | 735under Subsection (8)(p)(ii)(A). |
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763 | 769 | | 736 (q) (i) Upon filing a complaint for a trial de novo under Subsection (8)(p), a claim shall |
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764 | 770 | | 737proceed through litigation pursuant to the Utah Rules of Civil Procedure and Utah Rules of |
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766 | 773 | | 739 (ii) In accordance with Rule 38, Utah Rules of Civil Procedure, either party may |
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767 | 774 | | 740request a jury trial with a complaint requesting a trial de novo under Subsection (8)(p)(ii)(A). |
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768 | 775 | | 741 (r) (i) If the claimant, as the moving party in a trial de novo requested under Subsection |
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769 | 776 | | 742(8)(p), does not obtain a verdict that is at least $5,000 and is at least 20% greater than the |
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770 | 777 | | 743arbitration award, the claimant is responsible for all of the nonmoving party's costs. |
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771 | 778 | | 744 (ii) If the underinsured motorist carrier, as the moving party in a trial de novo requested |
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772 | 779 | | 745under Subsection (8)(p), does not obtain a verdict that is at least 20% less than the arbitration |
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773 | 780 | | 746award, the underinsured motorist carrier is responsible for all of the nonmoving party's costs. |
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774 | 781 | | 747 (iii) Except as provided in Subsection (8)(r)(iv), the costs under this Subsection (8)(r) |
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775 | 782 | | 748shall include: |
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776 | 783 | | 749 (A) any costs set forth in Rule 54(d), Utah Rules of Civil Procedure; and |
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777 | 784 | | 750 (B) the costs of expert witnesses and depositions. |
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778 | 785 | | 751 (iv) An award of costs under this Subsection (8)(r) may not exceed $2,500 unless |
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779 | 786 | | 752Subsection (9)(h)(iii) applies. |
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780 | 787 | | 753 (s) For purposes of determining whether a party's verdict is greater or less than the |
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781 | 788 | | 754arbitration award under Subsection (8)(r), a court may not consider any recovery or other relief |
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782 | 789 | | 755granted on a claim for damages if the claim for damages: |
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783 | 790 | | 756 (i) was not fully disclosed in writing prior to the arbitration proceeding; or |
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786 | 792 | | 758Procedure. |
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787 | 793 | | 759 (t) If a district court determines, upon a motion of the nonmoving party, that a moving |
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788 | 794 | | 760party's use of the trial de novo process is filed in bad faith in accordance with Section |
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789 | 795 | | 76178B-5-825, the district court may award reasonable attorney fees to the nonmoving party. |
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790 | 796 | | 762 (u) Nothing in this section is intended to limit a claim under another portion of an |
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791 | 797 | | 763applicable insurance policy. |
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792 | 798 | | 764 (v) If there are multiple underinsured motorist policies, as set forth in Subsection (4), |
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793 | 799 | | 765the claimant may elect to arbitrate in one hearing the claims against all the underinsured |
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794 | 800 | | 766motorist carriers. |
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795 | 801 | | 767 (9) (a) Within 30 days after a covered person elects to submit a claim for underinsured |
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796 | 802 | | 768motorist benefits to binding arbitration or files litigation, the covered person shall provide to |
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798 | 805 | | 770 (i) a written demand for payment of underinsured motorist coverage benefits, setting |
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799 | 806 | | 771forth: |
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800 | 807 | | 772 (A) subject to Subsection (9)(l), the specific monetary amount of the demand, |
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801 | 808 | | 773including a computation of the covered person's claimed past medical expenses, claimed past |
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802 | 809 | | 774lost wages, and all other claimed past economic damages; and |
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803 | 810 | | 775 (B) the factual and legal basis and any supporting documentation for the demand; |
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804 | 811 | | 776 (ii) a written statement under oath disclosing: |
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805 | 812 | | 777 (A) (I) the names and last known addresses of all health care providers who have |
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806 | 813 | | 778rendered health care services to the covered person that are material to the claims for which the |
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807 | 814 | | 779underinsured motorist benefits are sought for a period of five years preceding the date of the |
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808 | 815 | | 780event giving rise to the claim for underinsured motorist benefits up to the time the election for |
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809 | 816 | | 781arbitration or litigation has been exercised; and |
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810 | 817 | | 782 (II) the names and last known addresses of the health care providers who have rendered |
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811 | 818 | | 783health care services to the covered person, which the covered person claims are immaterial to |
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812 | 819 | | 784the claims for which underinsured motorist benefits are sought, for a period of five years |
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815 | 821 | | 786the time the election for arbitration or litigation has been exercised that have not been disclosed |
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816 | 822 | | 787under Subsection (9)(a)(ii)(A)(I); |
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817 | 823 | | 788 (B) (I) the names and last known addresses of all health insurers or other entities to |
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818 | 824 | | 789whom the covered person has submitted claims for health care services or benefits material to |
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819 | 825 | | 790the claims for which underinsured motorist benefits are sought, for a period of five years |
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820 | 826 | | 791preceding the date of the event giving rise to the claim for underinsured motorist benefits up to |
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821 | 827 | | 792the time the election for arbitration or litigation has been exercised; and |
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822 | 828 | | 793 (II) the names and last known addresses of the health insurers or other entities to whom |
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823 | 829 | | 794the covered person has submitted claims for health care services or benefits, which the covered |
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824 | 830 | | 795person claims are immaterial to the claims for which underinsured motorist benefits are sought, |
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825 | 831 | | 796for a period of five years preceding the date of the event giving rise to the claim for |
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826 | 832 | | 797underinsured motorist benefits up to the time the election for arbitration or litigation have not |
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827 | 833 | | 798been disclosed; |
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828 | 834 | | 799 (C) if lost wages, diminished earning capacity, or similar damages are claimed, all |
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830 | 837 | | 801giving rise to the claim for underinsured motorist benefits up to the time the election for |
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831 | 838 | | 802arbitration or litigation has been exercised; |
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832 | 839 | | 803 (D) other documents to reasonably support the claims being asserted; and |
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833 | 840 | | 804 (E) all state and federal statutory lienholders including a statement as to whether the |
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834 | 841 | | 805covered person is a recipient of Medicare or Medicaid benefits or Utah Children's Health |
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835 | 842 | | 806Insurance Program benefits under Title 26, Chapter 40, Utah Children's Health Insurance Act, |
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836 | 843 | | 807or if the claim is subject to any other state or federal statutory liens; and |
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837 | 844 | | 808 (iii) signed authorizations to allow the underinsured motorist carrier to only obtain |
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838 | 845 | | 809records and billings from the individuals or entities disclosed under Subsections |
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839 | 846 | | 810(9)(a)(ii)(A)(I), (B)(I), and (C). |
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840 | 847 | | 811 (b) (i) If the underinsured motorist carrier determines that the disclosure of undisclosed |
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841 | 848 | | 812health care providers or health care insurers under Subsection (9)(a)(ii) is reasonably necessary, |
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844 | 850 | | 814 (A) make a request for the disclosure of the identity of the health care providers or |
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845 | 851 | | 815health care insurers; and |
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846 | 852 | | 816 (B) make a request for authorizations to allow the underinsured motorist carrier to only |
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847 | 853 | | 817obtain records and billings from the individuals or entities not disclosed. |
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848 | 854 | | 818 (ii) If the covered person does not provide the requested information within 10 days: |
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849 | 855 | | 819 (A) the covered person shall disclose, in writing, the legal or factual basis for the |
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850 | 856 | | 820failure to disclose the health care providers or health care insurers; and |
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851 | 857 | | 821 (B) either the covered person or the underinsured motorist carrier may request the |
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852 | 858 | | 822arbitrator or arbitration panel to resolve the issue of whether the identities or records are to be |
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853 | 859 | | 823provided if the covered person has elected arbitration. |
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854 | 860 | | 824 (iii) The time periods imposed by Subsection (9)(c)(i) are tolled pending resolution of |
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855 | 861 | | 825the dispute concerning the disclosure and production of records of the health care providers or |
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856 | 862 | | 826health care insurers. |
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857 | 863 | | 827 (c) (i) An underinsured motorist carrier that receives an election for arbitration or a |
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858 | 864 | | 828notice of filing litigation and the demand for payment of underinsured motorist benefits under |
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859 | 865 | | 829Subsection (9)(a)(i) shall have a reasonable time, not to exceed 60 days from the date of the |
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860 | 866 | | 830demand and receipt of the items specified in Subsections (9)(a)(i) through (iii), to: |
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862 | 869 | | 832Subsection (9)(a)(i); |
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863 | 870 | | 833 (B) except as provided in Subsection (9)(c)(i)(C), tender the amount, if any, of the |
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864 | 871 | | 834underinsured motorist carrier's determination of the amount owed to the covered person; and |
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865 | 872 | | 835 (C) if the covered person is a recipient of Medicare or Medicaid benefits or Utah |
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866 | 873 | | 836Children's Health Insurance Program benefits under Title 26, Chapter 40, Utah Children's |
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867 | 874 | | 837Health Insurance Act, or if the claim is subject to any other state or federal statutory liens, |
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868 | 875 | | 838tender the amount, if any, of the underinsured motorist carrier's determination of the amount |
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869 | 876 | | 839owed to the covered person less: |
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870 | 877 | | 840 (I) if the amount of the state or federal statutory lien is established, the amount of the |
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873 | 879 | | 842 (II) if the amount of the state or federal statutory lien is not established, two times the |
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874 | 880 | | 843amount of the medical expenses subject to the state or federal statutory lien until such time as |
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875 | 881 | | 844the amount of the state or federal statutory lien is established. |
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876 | 882 | | 845 (ii) If the amount tendered by the underinsured motorist carrier under Subsection |
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877 | 883 | | 846(9)(c)(i) is the total amount of the underinsured motorist policy limits, the tendered amount |
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878 | 884 | | 847shall be accepted by the covered person. |
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879 | 885 | | 848 (d) A covered person who receives a written response from an underinsured motorist |
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880 | 886 | | 849carrier as provided for in Subsection (9)(c)(i), may: |
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881 | 887 | | 850 (i) elect to accept the amount tendered in Subsection (9)(c)(i) as payment in full of all |
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882 | 888 | | 851underinsured motorist claims; or |
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883 | 889 | | 852 (ii) elect to: |
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884 | 890 | | 853 (A) accept the amount tendered in Subsection (9)(c)(i) as partial payment of all |
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885 | 891 | | 854underinsured motorist claims; and |
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886 | 892 | | 855 (B) continue to litigate or arbitrate the remaining claim in accordance with the election |
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887 | 893 | | 856made under Subsections [(8)(a), (b), and] (8)(a) through (c). |
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888 | 894 | | 857 (e) If a covered person elects to accept the amount tendered under Subsection (9)(c)(i) |
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889 | 895 | | 858as partial payment of all underinsured motorist claims, the final award obtained through |
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890 | 896 | | 859arbitration, litigation, or later settlement shall be reduced by any payment made by the |
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891 | 897 | | 860underinsured motorist carrier under Subsection (9)(c)(i). |
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892 | 898 | | 861 (f) In an arbitration proceeding on the remaining underinsured claims: |
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902 | 908 | | 870 (i) the final award obtained through arbitration or litigation, except that if the award |
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903 | 909 | | 871exceeds the policy limits of the subject underinsured motorist policy by more than $15,000, the |
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904 | 910 | | 872amount shall be reduced to an amount equal to the policy limits plus $15,000; and |
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905 | 911 | | 873 (ii) any of the following applicable costs: |
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906 | 912 | | 874 (A) any costs as set forth in Rule 54(d), Utah Rules of Civil Procedure; |
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907 | 913 | | 875 (B) the arbitrator or arbitration panel's fee; and |
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908 | 914 | | 876 (C) the reasonable costs of expert witnesses and depositions used in the presentation of |
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909 | 915 | | 877evidence during arbitration or litigation. |
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910 | 916 | | 878 (h) (i) The covered person shall provide an affidavit of costs within five days of an |
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911 | 917 | | 879arbitration award. |
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912 | 918 | | 880 (ii) (A) Objection to the affidavit of costs shall specify with particularity the costs to |
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913 | 919 | | 881which the underinsured motorist carrier objects. |
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914 | 920 | | 882 (B) The objection shall be resolved by the arbitrator or arbitration panel. |
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915 | 921 | | 883 (iii) The award of costs by the arbitrator or arbitration panel under Subsection (9)(g)(ii) |
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916 | 922 | | 884may not exceed $5,000. |
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917 | 923 | | 885 (i) (i) A covered person shall disclose all material information, other than rebuttal |
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918 | 924 | | 886evidence, within 30 days after a covered person elects to submit a claim for underinsured |
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919 | 925 | | 887motorist coverage benefits to binding arbitration or files litigation as specified in Subsection |
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920 | 926 | | 888(9)(a). |
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921 | 927 | | 889 (ii) If the information under Subsection (9)(i)(i) is not disclosed, the covered person |
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922 | 928 | | 890may not recover costs or any amounts in excess of the policy under Subsection (9)(g). |
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923 | 929 | | 891 (j) This Subsection (9) does not limit any other cause of action that arose or may arise |
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924 | 930 | | 892against the underinsured motorist carrier from the same dispute. |
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931 | 937 | | 898computation of any other economic damages claimed to conduct fact and expert discovery as to |
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932 | 938 | | 899any additional damages claimed. The changes made by Laws of Utah 2014, Chapter 290, |
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933 | 939 | | 900Section 11, and Chapter 300, Section 11, to this Subsection (9)(l) and Subsection (9)(a)(i)(A) |
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934 | 940 | | 901apply to a claim submitted to binding arbitration or through litigation on or after May 13, 2014. |
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935 | 941 | | 902 (ii) The changes made by Laws of Utah 2014, Chapter 290, Section 11, and Chapter |
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936 | 942 | | 903300, Section 11, under Subsections (9)(a)(ii)(A)(II) and (B)(II) apply to a claim submitted to |
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937 | 943 | | 904binding arbitration or through litigation on or after May 13, 2014. |
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