7 | 11 | | 6 |
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8 | 12 | | 7LONG TITLE |
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9 | 13 | | 8General Description: |
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10 | 14 | | 9 This bill addresses limitations on actions. |
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11 | 15 | | 10Highlighted Provisions: |
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12 | 16 | | 11 This bill: |
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13 | 17 | | 12 <addresses limitations of actions involving insurance, including for personal injury |
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14 | 18 | | 13coverage; |
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15 | 19 | | 14 <modifies the statute of limitations involving personal injury from a motor vehicle |
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16 | 20 | | 15accident or property damage to a motor vehicle; and |
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17 | 21 | | 16 <makes technical changes. |
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18 | 22 | | 17Money Appropriated in this Bill: |
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19 | 23 | | 18 None |
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20 | 24 | | 19Other Special Clauses: |
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21 | 25 | | 20 None |
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22 | 26 | | 21Utah Code Sections Affected: |
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23 | 27 | | 22AMENDS: |
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24 | 28 | | 23 31A-21-313, as last amended by Laws of Utah 2020, Chapter 32 |
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25 | 29 | | 24 31A-22-305, as last amended by Laws of Utah 2022, Chapter 163 |
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26 | 30 | | 25 31A-22-307, as last amended by Laws of Utah 2020, Chapter 130 |
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27 | 31 | | 26 78B-2-305, as last amended by Laws of Utah 2010, Chapter 143 |
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28 | 32 | | 27 78B-2-307, as last amended by Laws of Utah 2017, Chapter 204 |
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32 | 37 | | 30 Section 1. Section 31A-21-313 is amended to read: |
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33 | 38 | | 31 31A-21-313. Limitation of actions. |
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34 | 39 | | 32 (1) (a) [An] A person shall commence an action on a written policy or contract of first |
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35 | 40 | | 33party insurance [shall be commenced] within three years after the inception of the loss except |
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36 | 41 | | 34as provided in: |
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37 | 42 | | 35 (i) Subsection 31A-22-305(11); and |
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38 | 43 | | 36 (ii) Subsection 31A-22-307(7). |
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39 | 44 | | 37 (b) The inception of the loss on a fidelity bond is the date the insurer first denies all or |
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40 | 45 | | 38part of a claim made under the fidelity bond. |
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41 | 46 | | 39 (2) Except as provided in Subsection (1) or elsewhere in this title, an action on a |
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42 | 47 | | 40written policy or contract for insurance is subject to the law applicable to limitation of actions |
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43 | 48 | | 41in Title 78B, Chapter 2, Statutes of Limitations[, applies to actions on insurance policies]. |
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44 | 49 | | 42 (3) An insurance policy may not: |
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45 | 50 | | 43 (a) limit the time for beginning an action on the policy to a time less than that |
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46 | 51 | | 44authorized by statute; |
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47 | 52 | | 45 (b) prescribe in what court an action may be brought on the policy; or |
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48 | 53 | | 46 (c) provide that no action may be brought, subject to permissible arbitration provisions |
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49 | 54 | | 47in contracts. |
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50 | 55 | | 48 (4) (a) Unless by verified complaint it is alleged that prejudice to the complainant will |
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51 | 56 | | 49arise from a delay in bringing suit against an insurer, which prejudice is other than the delay |
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52 | 57 | | 50itself, [no] an action may not be brought against an insurer on an insurance policy to compel |
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53 | 58 | | 51payment under the insurance policy until the earlier of: |
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54 | 59 | | 52 (i) 60 days after proof of loss has been furnished as required under the policy; |
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55 | 60 | | 53 (ii) waiver by the insurer of proof of loss; or |
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56 | 61 | | 54 (iii) (A) the insurer's denial of full payment; or |
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57 | 62 | | 55 (B) for an accident and health insurance policy, the insurer's denial of payment. |
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58 | 63 | | 56 (b) Under an accident and health insurance policy, an insurer may not require the |
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62 | 67 | | 59 (5) The period of limitation is tolled during the period in which the parties conduct an |
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63 | 68 | | 60appraisal or arbitration procedure prescribed by the insurance policy, by law, or as agreed to by |
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64 | 69 | | 61the parties. |
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65 | 70 | | 62 Section 2. Section 31A-22-305 is amended to read: |
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66 | 71 | | 63 31A-22-305. Uninsured motorist coverage. |
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67 | 72 | | 64 (1) As used in this section, "covered persons" includes: |
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68 | 73 | | 65 (a) the named insured; |
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69 | 74 | | 66 (b) for a claim arising on or after May 13, 2014, the named insured's dependent minor |
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70 | 75 | | 67children; |
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71 | 76 | | 68 (c) persons related to the named insured by blood, marriage, adoption, or guardianship, |
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72 | 77 | | 69who are residents of the named insured's household, including those who usually make their |
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73 | 78 | | 70home in the same household but temporarily live elsewhere; |
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74 | 79 | | 71 (d) any person occupying or using a motor vehicle: |
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75 | 80 | | 72 (i) referred to in the policy; or |
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76 | 81 | | 73 (ii) owned by a self-insured; and |
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77 | 82 | | 74 (e) any person who is entitled to recover damages against the owner or operator of the |
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78 | 83 | | 75uninsured or underinsured motor vehicle because of bodily injury to or death of persons under |
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79 | 84 | | 76Subsection (1)(a), (b), (c), or (d). |
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80 | 85 | | 77 (2) As used in this section, "uninsured motor vehicle" includes: |
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81 | 86 | | 78 (a) (i) a motor vehicle, the operation, maintenance, or use of which is not covered |
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82 | 87 | | 79under a liability policy at the time of an injury-causing occurrence; or |
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83 | 88 | | 80 (ii) (A) a motor vehicle covered with lower liability limits than required by Section |
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84 | 89 | | 8131A-22-304; and |
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85 | 90 | | 82 (B) the motor vehicle described in Subsection (2)(a)(ii)(A) is uninsured to the extent of |
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86 | 91 | | 83the deficiency; |
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87 | 92 | | 84 (b) an unidentified motor vehicle that left the scene of an accident proximately caused |
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94 | 99 | | 90the motor vehicle is declared insolvent by a court of competent jurisdiction; and |
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95 | 100 | | 91 (ii) the motor vehicle described in Subsection (2)(d)(i) is uninsured only to the extent |
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96 | 101 | | 92that the claim against the insolvent insurer is not paid by a guaranty association or fund. |
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97 | 102 | | 93 (3) Uninsured motorist coverage under Subsection 31A-22-302(1)(b) provides |
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98 | 103 | | 94coverage for covered persons who are legally entitled to recover damages from owners or |
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99 | 104 | | 95operators of uninsured motor vehicles because of bodily injury, sickness, disease, or death. |
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100 | 105 | | 96 (4) (a) For new policies written on or after January 1, 2001, the limits of uninsured |
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101 | 106 | | 97motorist coverage shall be equal to the lesser of the limits of the named insured's motor vehicle |
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102 | 107 | | 98liability coverage or the maximum uninsured motorist coverage limits available by the insurer |
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103 | 108 | | 99under the named insured's motor vehicle policy, unless a named insured rejects or purchases |
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104 | 109 | | 100coverage in a lesser amount by signing an acknowledgment form that: |
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105 | 110 | | 101 (i) is filed with the department; |
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106 | 111 | | 102 (ii) is provided by the insurer; |
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107 | 112 | | 103 (iii) waives the higher coverage; |
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108 | 113 | | 104 (iv) need only state in this or similar language that uninsured motorist coverage |
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109 | 114 | | 105provides benefits or protection to you and other covered persons for bodily injury resulting |
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110 | 115 | | 106from an accident caused by the fault of another party where the other party has no liability |
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111 | 116 | | 107insurance; and |
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112 | 117 | | 108 (v) discloses the additional premiums required to purchase uninsured motorist |
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113 | 118 | | 109coverage with limits equal to the lesser of the limits of the named insured's motor vehicle |
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114 | 119 | | 110liability coverage or the maximum uninsured motorist coverage limits available by the insurer |
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115 | 120 | | 111under the named insured's motor vehicle policy. |
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116 | 121 | | 112 (b) Any selection or rejection under this Subsection (4) continues for that issuer of the |
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119 | 123 | | 114coverage from that liability insurer. |
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120 | 124 | | 115 (c) (i) Subsections (4)(a) and (b) apply retroactively to any claim arising on or after |
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121 | 125 | | 116January 1, 2001, for which, as of May 14, 2013, an insured has not made a written demand for |
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122 | 126 | | 117arbitration or filed a complaint in a court of competent jurisdiction. |
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123 | 127 | | 118 (ii) The Legislature finds that the retroactive application of Subsections (4)(a) and (b) |
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124 | 128 | | 119clarifies legislative intent and does not enlarge, eliminate, or destroy vested rights. |
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126 | 131 | | 121 (i) any policy that is issued which does not include a renewal or reinstatement of an |
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127 | 132 | | 122existing policy; or |
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128 | 133 | | 123 (ii) a change to an existing policy that results in: |
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129 | 134 | | 124 (A) a named insured being added to or deleted from the policy; or |
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130 | 135 | | 125 (B) a change in the limits of the named insured's motor vehicle liability coverage. |
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131 | 136 | | 126 (e) (i) As used in this Subsection (4)(e), "additional motor vehicle" means a change |
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132 | 137 | | 127that increases the total number of vehicles insured by the policy, and does not include |
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133 | 138 | | 128replacement, substitute, or temporary vehicles. |
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134 | 139 | | 129 (ii) The adding of an additional motor vehicle to an existing personal lines or |
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135 | 140 | | 130commercial lines policy does not constitute a new policy for purposes of Subsection (4)(d). |
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136 | 141 | | 131 (iii) If an additional motor vehicle is added to a personal lines policy where uninsured |
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137 | 142 | | 132motorist coverage has been rejected, or where uninsured motorist limits are lower than the |
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138 | 143 | | 133named insured's motor vehicle liability limits, the insurer shall provide a notice to a named |
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139 | 144 | | 134insured within 30 days that: |
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140 | 145 | | 135 (A) in the same manner as described in Subsection (4)(a)(iv), explains the purpose of |
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141 | 146 | | 136uninsured motorist coverage; and |
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142 | 147 | | 137 (B) encourages the named insured to contact the insurance company or insurance |
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143 | 148 | | 138producer for quotes as to the additional premiums required to purchase uninsured motorist |
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144 | 149 | | 139coverage with limits equal to the lesser of the limits of the named insured's motor vehicle |
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145 | 150 | | 140liability coverage or the maximum uninsured motorist coverage limits available by the insurer |
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148 | 152 | | 142 (f) A change in policy number resulting from any policy change not identified under |
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149 | 153 | | 143Subsection (4)(d)(ii) does not constitute a new policy. |
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150 | 154 | | 144 (g) (i) Subsection (4)(d) applies retroactively to any claim arising on or after January 1, |
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151 | 155 | | 1452001, for which, as of May 1, 2012, an insured has not made a written demand for arbitration |
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152 | 156 | | 146or filed a complaint in a court of competent jurisdiction. |
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153 | 157 | | 147 (ii) The Legislature finds that the retroactive application of Subsection (4): |
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154 | 158 | | 148 (A) does not enlarge, eliminate, or destroy vested rights; and |
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155 | 159 | | 149 (B) clarifies legislative intent. |
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156 | 160 | | 150 (h) A self-insured, including a governmental entity, may elect to provide uninsured |
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158 | 163 | | 152Subsections (4)(a) and (5)(a) by issuing a declaratory memorandum or policy statement from |
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159 | 164 | | 153the chief financial officer or chief risk officer that declares the: |
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160 | 165 | | 154 (i) self-insured entity's coverage level; and |
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161 | 166 | | 155 (ii) process for filing an uninsured motorist claim. |
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162 | 167 | | 156 (i) Uninsured motorist coverage may not be sold with limits that are less than the |
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163 | 168 | | 157minimum bodily injury limits for motor vehicle liability policies under Section 31A-22-304. |
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164 | 169 | | 158 (j) The acknowledgment under Subsection (4)(a) continues for that issuer of the |
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165 | 170 | | 159uninsured motorist coverage until the named insured requests, in writing, different uninsured |
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166 | 171 | | 160motorist coverage from the insurer. |
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167 | 172 | | 161 (k) (i) In conjunction with the first two renewal notices sent after January 1, 2001, for |
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168 | 173 | | 162policies existing on that date, the insurer shall disclose in the same medium as the premium |
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169 | 174 | | 163renewal notice, an explanation of: |
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170 | 175 | | 164 (A) the purpose of uninsured motorist coverage in the same manner as described in |
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171 | 176 | | 165Subsection (4)(a)(iv); and |
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172 | 177 | | 166 (B) a disclosure of the additional premiums required to purchase uninsured motorist |
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173 | 178 | | 167coverage with limits equal to the lesser of the limits of the named insured's motor vehicle |
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174 | 179 | | 168liability coverage or the maximum uninsured motorist coverage limits available by the insurer |
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177 | 181 | | 170 (ii) The disclosure required under Subsection (4)(k)(i) shall be sent to all named |
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178 | 182 | | 171insureds that carry uninsured motorist coverage limits in an amount less than the named |
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179 | 183 | | 172insured's motor vehicle liability policy limits or the maximum uninsured motorist coverage |
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180 | 184 | | 173limits available by the insurer under the named insured's motor vehicle policy. |
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181 | 185 | | 174 (l) For purposes of this Subsection (4), a notice or disclosure sent to a named insured in |
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182 | 186 | | 175a household constitutes notice or disclosure to all insureds within the household. |
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183 | 187 | | 176 (5) (a) (i) Except as provided in Subsection (5)(b), the named insured may reject |
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184 | 188 | | 177uninsured motorist coverage by an express writing to the insurer that provides liability |
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185 | 189 | | 178coverage under Subsection 31A-22-302(1)(a). |
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186 | 190 | | 179 (ii) This rejection shall be on a form provided by the insurer that includes a reasonable |
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187 | 191 | | 180explanation of the purpose of uninsured motorist coverage. |
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188 | 192 | | 181 (iii) This rejection continues for that issuer of the liability coverage until the insured in |
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190 | 195 | | 183 (b) (i) All persons, including governmental entities, that are engaged in the business of, |
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191 | 196 | | 184or that accept payment for, transporting natural persons by motor vehicle, and all school |
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192 | 197 | | 185districts that provide transportation services for their students, shall provide coverage for all |
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193 | 198 | | 186motor vehicles used for that purpose, by purchase of a policy of insurance or by self-insurance, |
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194 | 199 | | 187uninsured motorist coverage of at least $25,000 per person and $500,000 per accident. |
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195 | 200 | | 188 (ii) This coverage is secondary to any other insurance covering an injured covered |
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196 | 201 | | 189person. |
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197 | 202 | | 190 (c) Uninsured motorist coverage: |
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198 | 203 | | 191 (i) does not cover any benefit paid or payable under Title 34A, Chapter 2, Workers' |
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199 | 204 | | 192Compensation Act, except that the covered person is credited an amount described in |
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200 | 205 | | 193Subsection 34A-2-106(5); |
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201 | 206 | | 194 (ii) may not be subrogated by the workers' compensation insurance carrier, workers' |
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202 | 207 | | 195compensation insurance, uninsured employer, the Uninsured Employers Fund created in |
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203 | 208 | | 196Section 34A-2-704, or the Employers' Reinsurance Fund created in Section 34A-2-702; |
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206 | 210 | | 198uninsured employer, the Uninsured Employers Fund created in Section 34A-2-704, or the |
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207 | 211 | | 199Employers' Reinsurance Fund created in Section 34A-2-702; |
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208 | 212 | | 200 (iv) may be reduced by health insurance subrogation only after the covered person has |
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209 | 213 | | 201been made whole; |
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210 | 214 | | 202 (v) may not be collected for bodily injury or death sustained by a person: |
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211 | 215 | | 203 (A) while committing a violation of Section 41-1a-1314; |
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212 | 216 | | 204 (B) who, as a passenger in a vehicle, has knowledge that the vehicle is being operated |
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213 | 217 | | 205in violation of Section 41-1a-1314; or |
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214 | 218 | | 206 (C) while committing a felony; and |
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215 | 219 | | 207 (vi) notwithstanding Subsection (5)(c)(v), may be recovered: |
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216 | 220 | | 208 (A) for a person under 18 years old who is injured within the scope of Subsection |
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217 | 221 | | 209(5)(c)(v) but limited to medical and funeral expenses; or |
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218 | 222 | | 210 (B) by a law enforcement officer as defined in Section 53-13-103, who is injured |
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219 | 223 | | 211within the course and scope of the law enforcement officer's duties. |
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220 | 224 | | 212 (d) As used in this Subsection (5), "motor vehicle" has the same meaning as under |
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222 | 227 | | 214 (6) When a covered person alleges that an uninsured motor vehicle under Subsection |
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223 | 228 | | 215(2)(b) proximately caused an accident without touching the covered person or the motor |
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224 | 229 | | 216vehicle occupied by the covered person, the covered person shall show the existence of the |
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225 | 230 | | 217uninsured motor vehicle by clear and convincing evidence consisting of more than the covered |
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226 | 231 | | 218person's testimony. |
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227 | 232 | | 219 (7) (a) The limit of liability for uninsured motorist coverage for two or more motor |
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228 | 233 | | 220vehicles may not be added together, combined, or stacked to determine the limit of insurance |
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229 | 234 | | 221coverage available to an injured person for any one accident. |
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230 | 235 | | 222 (b) (i) Subsection (7)(a) applies to all persons except a covered person as defined under |
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231 | 236 | | 223Subsection (8)(b). |
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232 | 237 | | 224 (ii) A covered person as defined under Subsection (8)(b)(ii) is entitled to the highest |
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235 | 239 | | 226person is the named insured or an insured family member. |
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236 | 240 | | 227 (iii) This coverage shall be in addition to the coverage on the motor vehicle the covered |
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237 | 241 | | 228person is occupying. |
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238 | 242 | | 229 (iv) Neither the primary nor the secondary coverage may be set off against the other. |
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239 | 243 | | 230 (c) Coverage on a motor vehicle occupied at the time of an accident shall be primary |
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240 | 244 | | 231coverage, and the coverage elected by a person described under Subsections (1)(a), (b), and (c) |
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241 | 245 | | 232shall be secondary coverage. |
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242 | 246 | | 233 (8) (a) Uninsured motorist coverage under this section applies to bodily injury, |
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243 | 247 | | 234sickness, disease, or death of covered persons while occupying or using a motor vehicle only if |
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244 | 248 | | 235the motor vehicle is described in the policy under which a claim is made, or if the motor |
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245 | 249 | | 236vehicle is a newly acquired or replacement motor vehicle covered under the terms of the policy. |
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246 | 250 | | 237Except as provided in Subsection (7) or this Subsection (8), a covered person injured in a |
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247 | 251 | | 238motor vehicle described in a policy that includes uninsured motorist benefits may not elect to |
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248 | 252 | | 239collect uninsured motorist coverage benefits from any other motor vehicle insurance policy |
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249 | 253 | | 240under which the person is a covered person. |
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250 | 254 | | 241 (b) Each of the following persons may also recover uninsured motorist benefits under |
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251 | 255 | | 242any one other policy in which they are described as a "covered person" as defined in Subsection |
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252 | 256 | | 243(1): |
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254 | 259 | | 245 (ii) except as provided in Subsection (8)(c), a covered person injured while occupying |
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255 | 260 | | 246or using a motor vehicle that is not owned, leased, or furnished: |
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256 | 261 | | 247 (A) to the covered person; |
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257 | 262 | | 248 (B) to the covered person's spouse; or |
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258 | 263 | | 249 (C) to the covered person's resident parent or resident sibling. |
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259 | 264 | | 250 (c) (i) A covered person may recover benefits from no more than two additional |
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260 | 265 | | 251policies, one additional policy from each parent's household if the covered person is: |
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261 | 266 | | 252 (A) a dependent minor of parents who reside in separate households; and |
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264 | 268 | | 254furnished: |
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265 | 269 | | 255 (I) to the covered person; |
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266 | 270 | | 256 (II) to the covered person's resident parent; or |
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267 | 271 | | 257 (III) to the covered person's resident sibling. |
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268 | 272 | | 258 (ii) Each parent's policy under this Subsection (8)(c) is liable only for the percentage of |
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269 | 273 | | 259the damages that the limit of liability of each parent's policy of uninsured motorist coverage |
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270 | 274 | | 260bears to the total of both parents' uninsured coverage applicable to the accident. |
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271 | 275 | | 261 (d) A covered person's recovery under any available policies may not exceed the full |
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272 | 276 | | 262amount of damages. |
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273 | 277 | | 263 (e) A covered person in Subsection (8)(b) is not barred against making subsequent |
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274 | 278 | | 264elections if recovery is unavailable under previous elections. |
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275 | 279 | | 265 (f) (i) As used in this section, "interpolicy stacking" means recovering benefits for a |
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276 | 280 | | 266single incident of loss under more than one insurance policy. |
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277 | 281 | | 267 (ii) Except to the extent permitted by Subsection (7) and this Subsection (8), |
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278 | 282 | | 268interpolicy stacking is prohibited for uninsured motorist coverage. |
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279 | 283 | | 269 (9) (a) When a claim is brought by a named insured or a person described in |
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280 | 284 | | 270Subsection (1) and is asserted against the covered person's uninsured motorist carrier, the |
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281 | 285 | | 271claimant may elect to resolve the claim: |
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282 | 286 | | 272 (i) by submitting the claim to binding arbitration; or |
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283 | 287 | | 273 (ii) through litigation. |
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284 | 288 | | 274 (b) Unless otherwise provided in the policy under which uninsured benefits are |
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293 | 297 | | 282 (d) For purposes of the statute of limitations applicable to a claim described in |
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294 | 298 | | 283Subsection (9)(a), if the claimant does not elect to resolve the claim through litigation, the |
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295 | 299 | | 284claim is considered filed when the claimant submits the claim to binding arbitration in |
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296 | 300 | | 285accordance with this Subsection (9). |
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297 | 301 | | 286 (e) (i) Unless otherwise agreed to in writing by the parties, a claim that is submitted to |
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298 | 302 | | 287binding arbitration under Subsection (9)(a)(i) shall be resolved by a single arbitrator. |
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299 | 303 | | 288 (ii) All parties shall agree on the single arbitrator selected under Subsection (9)(e)(i). |
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300 | 304 | | 289 (iii) If the parties are unable to agree on a single arbitrator as required under Subsection |
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301 | 305 | | 290(9)(e)(ii), the parties shall select a panel of three arbitrators. |
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302 | 306 | | 291 (f) If the parties select a panel of three arbitrators under Subsection (9)(e)(iii): |
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303 | 307 | | 292 (i) each side shall select one arbitrator; and |
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304 | 308 | | 293 (ii) the arbitrators appointed under Subsection (9)(f)(i) shall select one additional |
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305 | 309 | | 294arbitrator to be included in the panel. |
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306 | 310 | | 295 (g) Unless otherwise agreed to in writing: |
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307 | 311 | | 296 (i) each party shall pay an equal share of the fees and costs of the arbitrator selected |
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308 | 312 | | 297under Subsection (9)(e)(i); or |
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309 | 313 | | 298 (ii) if an arbitration panel is selected under Subsection (9)(e)(iii): |
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310 | 314 | | 299 (A) each party shall pay the fees and costs of the arbitrator selected by that party; and |
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311 | 315 | | 300 (B) each party shall pay an equal share of the fees and costs of the arbitrator selected |
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312 | 316 | | 301under Subsection (9)(f)(ii). |
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313 | 317 | | 302 (h) Except as otherwise provided in this section or unless otherwise agreed to in |
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314 | 318 | | 303writing by the parties, an arbitration proceeding conducted under this section shall be governed |
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315 | 319 | | 304by Title 78B, Chapter 11, Utah Uniform Arbitration Act. |
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316 | 320 | | 305 (i) (i) The arbitration shall be conducted in accordance with Rules 26(a)(4) through (f), |
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322 | 326 | | 310for payment of uninsured motorist coverage benefits as required in Subsection (10)(a)(i)(A). |
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323 | 327 | | 311 (iii) Rules 26.1 and 26.2 of the Utah Rules of Civil Procedure do not apply to |
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324 | 328 | | 312arbitration claims under this part. |
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325 | 329 | | 313 (j) All issues of discovery shall be resolved by the arbitrator or the arbitration panel. |
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326 | 330 | | 314 (k) A written decision by a single arbitrator or by a majority of the arbitration panel |
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327 | 331 | | 315shall constitute a final decision. |
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328 | 332 | | 316 (l) (i) Except as provided in Subsection (10), the amount of an arbitration award may |
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329 | 333 | | 317not exceed the uninsured motorist policy limits of all applicable uninsured motorist policies, |
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330 | 334 | | 318including applicable uninsured motorist umbrella policies. |
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331 | 335 | | 319 (ii) If the initial arbitration award exceeds the uninsured motorist policy limits of all |
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332 | 336 | | 320applicable uninsured motorist policies, the arbitration award shall be reduced to an amount |
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333 | 337 | | 321equal to the combined uninsured motorist policy limits of all applicable uninsured motorist |
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334 | 338 | | 322policies. |
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335 | 339 | | 323 (m) The arbitrator or arbitration panel may not decide the issues of coverage or |
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336 | 340 | | 324extra-contractual damages, including: |
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337 | 341 | | 325 (i) whether the claimant is a covered person; |
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338 | 342 | | 326 (ii) whether the policy extends coverage to the loss; or |
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339 | 343 | | 327 (iii) any allegations or claims asserting consequential damages or bad faith liability. |
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340 | 344 | | 328 (n) The arbitrator or arbitration panel may not conduct arbitration on a class-wide or |
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341 | 345 | | 329class-representative basis. |
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342 | 346 | | 330 (o) If the arbitrator or arbitration panel finds that the action was not brought, pursued, |
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343 | 347 | | 331or defended in good faith, the arbitrator or arbitration panel may award reasonable attorney fees |
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344 | 348 | | 332and costs against the party that failed to bring, pursue, or defend the claim in good faith. |
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345 | 349 | | 333 (p) An arbitration award issued under this section shall be the final resolution of all |
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346 | 350 | | 334claims not excluded by Subsection (9)(m) between the parties unless: |
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347 | 351 | | 335 (i) the award was procured by corruption, fraud, or other undue means; |
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348 | 352 | | 336 (ii) either party, within 20 days after service of the arbitration award: |
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351 | 355 | | 338 (B) serves the nonmoving party with a copy of the complaint requesting a trial de novo |
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352 | 356 | | 339under Subsection (9)(p)(ii)(A). |
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353 | 357 | | 340 (q) (i) Upon filing a complaint for a trial de novo under Subsection (9)(p), the claim |
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354 | 358 | | 341shall proceed through litigation pursuant to the Utah Rules of Civil Procedure and Utah Rules |
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355 | 359 | | 342of Evidence in the district court. |
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356 | 360 | | 343 (ii) In accordance with Rule 38, Utah Rules of Civil Procedure, either party may |
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357 | 361 | | 344request a jury trial with a complaint requesting a trial de novo under Subsection (9)(p)(ii)(A). |
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358 | 362 | | 345 (r) (i) If the claimant, as the moving party in a trial de novo requested under Subsection |
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359 | 363 | | 346(9)(p), does not obtain a verdict that is at least $5,000 and is at least 20% greater than the |
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360 | 364 | | 347arbitration award, the claimant is responsible for all of the nonmoving party's costs. |
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361 | 365 | | 348 (ii) If the uninsured motorist carrier, as the moving party in a trial de novo requested |
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362 | 366 | | 349under Subsection (9)(p), does not obtain a verdict that is at least 20% less than the arbitration |
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363 | 367 | | 350award, the uninsured motorist carrier is responsible for all of the nonmoving party's costs. |
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364 | 368 | | 351 (iii) Except as provided in Subsection (9)(r)(iv), the costs under this Subsection (9)(r) |
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365 | 369 | | 352shall include: |
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366 | 370 | | 353 (A) any costs set forth in Rule 54(d), Utah Rules of Civil Procedure; and |
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367 | 371 | | 354 (B) the costs of expert witnesses and depositions. |
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368 | 372 | | 355 (iv) An award of costs under this Subsection (9)(r) may not exceed $2,500 unless |
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369 | 373 | | 356Subsection (10)(h)(iii) applies. |
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370 | 374 | | 357 (s) For purposes of determining whether a party's verdict is greater or less than the |
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371 | 375 | | 358arbitration award under Subsection (9)(r), a court may not consider any recovery or other relief |
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372 | 376 | | 359granted on a claim for damages if the claim for damages: |
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373 | 377 | | 360 (i) was not fully disclosed in writing prior to the arbitration proceeding; or |
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374 | 378 | | 361 (ii) was not disclosed in response to discovery contrary to the Utah Rules of Civil |
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375 | 379 | | 362Procedure. |
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376 | 380 | | 363 (t) If a district court determines, upon a motion of the nonmoving party, that the |
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377 | 381 | | 364moving party's use of the trial de novo process was filed in bad faith in accordance with |
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383 | 387 | | 369 (v) If there are multiple uninsured motorist policies, as set forth in Subsection (8), the |
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384 | 388 | | 370claimant may elect to arbitrate in one hearing the claims against all the uninsured motorist |
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385 | 389 | | 371carriers. |
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386 | 390 | | 372 (10) (a) Within 30 days after a covered person elects to submit a claim for uninsured |
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387 | 391 | | 373motorist benefits to binding arbitration or files litigation, the covered person shall provide to |
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388 | 392 | | 374the uninsured motorist carrier: |
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389 | 393 | | 375 (i) a written demand for payment of uninsured motorist coverage benefits, setting forth: |
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390 | 394 | | 376 (A) subject to Subsection (10)(m), the specific monetary amount of the demand, |
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391 | 395 | | 377including a computation of the covered person's claimed past medical expenses, claimed past |
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392 | 396 | | 378lost wages, and the other claimed past economic damages; and |
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393 | 397 | | 379 (B) the factual and legal basis and any supporting documentation for the demand; |
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394 | 398 | | 380 (ii) a written statement under oath disclosing: |
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395 | 399 | | 381 (A) (I) the names and last known addresses of all health care providers who have |
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396 | 400 | | 382rendered health care services to the covered person that are material to the claims for which |
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397 | 401 | | 383uninsured motorist benefits are sought for a period of five years preceding the date of the event |
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398 | 402 | | 384giving rise to the claim for uninsured motorist benefits up to the time the election for |
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399 | 403 | | 385arbitration or litigation has been exercised; and |
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400 | 404 | | 386 (II) the names and last known addresses of the health care providers who have rendered |
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401 | 405 | | 387health care services to the covered person, which the covered person claims are immaterial to |
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402 | 406 | | 388the claims for which uninsured motorist benefits are sought, for a period of five years |
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403 | 407 | | 389preceding the date of the event giving rise to the claim for uninsured motorist benefits up to the |
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404 | 408 | | 390time the election for arbitration or litigation has been exercised that have not been disclosed |
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405 | 409 | | 391under Subsection (10)(a)(ii)(A)(I); |
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406 | 410 | | 392 (B) (I) the names and last known addresses of all health insurers or other entities to |
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415 | 419 | | 400for a period of five years preceding the date of the event giving rise to the claim for uninsured |
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416 | 420 | | 401motorist benefits up to the time the election for arbitration or litigation have not been disclosed; |
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417 | 421 | | 402 (C) if lost wages, diminished earning capacity, or similar damages are claimed, all |
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418 | 422 | | 403employers of the covered person for a period of five years preceding the date of the event |
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419 | 423 | | 404giving rise to the claim for uninsured motorist benefits up to the time the election for |
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420 | 424 | | 405arbitration or litigation has been exercised; |
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421 | 425 | | 406 (D) other documents to reasonably support the claims being asserted; and |
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422 | 426 | | 407 (E) all state and federal statutory lienholders including a statement as to whether the |
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423 | 427 | | 408covered person is a recipient of Medicare or Medicaid benefits or Utah Children's Health |
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424 | 428 | | 409Insurance Program benefits under Title 26, Chapter 40, Utah Children's Health Insurance Act, |
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425 | 429 | | 410or if the claim is subject to any other state or federal statutory liens; and |
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426 | 430 | | 411 (iii) signed authorizations to allow the uninsured motorist carrier to only obtain records |
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427 | 431 | | 412and billings from the individuals or entities disclosed under Subsections (10)(a)(ii)(A)(I), |
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428 | 432 | | 413(B)(I), and (C). |
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429 | 433 | | 414 (b) (i) If the uninsured motorist carrier determines that the disclosure of undisclosed |
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430 | 434 | | 415health care providers or health care insurers under Subsection (10)(a)(ii) is reasonably |
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431 | 435 | | 416necessary, the uninsured motorist carrier may: |
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432 | 436 | | 417 (A) make a request for the disclosure of the identity of the health care providers or |
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433 | 437 | | 418health care insurers; and |
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434 | 438 | | 419 (B) make a request for authorizations to allow the uninsured motorist carrier to only |
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435 | 439 | | 420obtain records and billings from the individuals or entities not disclosed. |
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438 | 441 | | 422 (A) the covered person shall disclose, in writing, the legal or factual basis for the |
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439 | 442 | | 423failure to disclose the health care providers or health care insurers; and |
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440 | 443 | | 424 (B) either the covered person or the uninsured motorist carrier may request the |
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441 | 444 | | 425arbitrator or arbitration panel to resolve the issue of whether the identities or records are to be |
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442 | 445 | | 426provided if the covered person has elected arbitration. |
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443 | 446 | | 427 (iii) The time periods imposed by Subsection (10)(c)(i) are tolled pending resolution of |
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444 | 447 | | 428the dispute concerning the disclosure and production of records of the health care providers or |
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445 | 448 | | 429health care insurers. |
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447 | 451 | | 431of filing litigation and the demand for payment of uninsured motorist benefits under Subsection |
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448 | 452 | | 432(10)(a)(i) shall have a reasonable time, not to exceed 60 days from the date of the demand and |
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449 | 453 | | 433receipt of the items specified in Subsections (10)(a)(i) through (iii), to: |
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450 | 454 | | 434 (A) provide a written response to the written demand for payment provided for in |
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451 | 455 | | 435Subsection (10)(a)(i); |
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452 | 456 | | 436 (B) except as provided in Subsection (10)(c)(i)(C), tender the amount, if any, of the |
---|
453 | 457 | | 437uninsured motorist carrier's determination of the amount owed to the covered person; and |
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454 | 458 | | 438 (C) if the covered person is a recipient of Medicare or Medicaid benefits or Utah |
---|
455 | 459 | | 439Children's Health Insurance Program benefits under Title 26, Chapter 40, Utah Children's |
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456 | 460 | | 440Health Insurance Act, or if the claim is subject to any other state or federal statutory liens, |
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457 | 461 | | 441tender the amount, if any, of the uninsured motorist carrier's determination of the amount owed |
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458 | 462 | | 442to the covered person less: |
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459 | 463 | | 443 (I) if the amount of the state or federal statutory lien is established, the amount of the |
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460 | 464 | | 444lien; or |
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461 | 465 | | 445 (II) if the amount of the state or federal statutory lien is not established, two times the |
---|
462 | 466 | | 446amount of the medical expenses subject to the state or federal statutory lien until such time as |
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463 | 467 | | 447the amount of the state or federal statutory lien is established. |
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464 | 468 | | 448 (ii) If the amount tendered by the uninsured motorist carrier under Subsection (10)(c)(i) |
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467 | 470 | | 450accepted by the covered person. |
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468 | 471 | | 451 (d) A covered person who receives a written response from an uninsured motorist |
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469 | 472 | | 452carrier as provided for in Subsection (10)(c)(i), may: |
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470 | 473 | | 453 (i) elect to accept the amount tendered in Subsection (10)(c)(i) as payment in full of all |
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471 | 474 | | 454uninsured motorist claims; or |
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472 | 475 | | 455 (ii) elect to: |
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473 | 476 | | 456 (A) accept the amount tendered in Subsection (10)(c)(i) as partial payment of all |
---|
474 | 477 | | 457uninsured motorist claims; and |
---|
475 | 478 | | 458 (B) continue to litigate or arbitrate the remaining claim in accordance with the election |
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476 | 479 | | 459made under Subsections (9)(a), (b), and (c). |
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477 | 480 | | 460 (e) If a covered person elects to accept the amount tendered under Subsection (10)(c)(i) |
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479 | 483 | | 462arbitration, litigation, or later settlement shall be reduced by any payment made by the |
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480 | 484 | | 463uninsured motorist carrier under Subsection (10)(c)(i). |
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481 | 485 | | 464 (f) In an arbitration proceeding on the remaining uninsured claims: |
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482 | 486 | | 465 (i) the parties may not disclose to the arbitrator or arbitration panel the amount paid |
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483 | 487 | | 466under Subsection (10)(c)(i) until after the arbitration award has been rendered; and |
---|
484 | 488 | | 467 (ii) the parties may not disclose the amount of the limits of uninsured motorist benefits |
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485 | 489 | | 468provided by the policy. |
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486 | 490 | | 469 (g) If the final award obtained through arbitration or litigation is greater than the |
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487 | 491 | | 470average of the covered person's initial written demand for payment provided for in Subsection |
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488 | 492 | | 471(10)(a)(i) and the uninsured motorist carrier's initial written response provided for in |
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489 | 493 | | 472Subsection (10)(c)(i), the uninsured motorist carrier shall pay: |
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490 | 494 | | 473 (i) the final award obtained through arbitration or litigation, except that if the award |
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491 | 495 | | 474exceeds the policy limits of the subject uninsured motorist policy by more than $15,000, the |
---|
492 | 496 | | 475amount shall be reduced to an amount equal to the policy limits plus $15,000; and |
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493 | 497 | | 476 (ii) any of the following applicable costs: |
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496 | 499 | | 478 (B) the arbitrator or arbitration panel's fee; and |
---|
497 | 500 | | 479 (C) the reasonable costs of expert witnesses and depositions used in the presentation of |
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498 | 501 | | 480evidence during arbitration or litigation. |
---|
499 | 502 | | 481 (h) (i) The covered person shall provide an affidavit of costs within five days of an |
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500 | 503 | | 482arbitration award. |
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501 | 504 | | 483 (ii) (A) Objection to the affidavit of costs shall specify with particularity the costs to |
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502 | 505 | | 484which the uninsured motorist carrier objects. |
---|
503 | 506 | | 485 (B) The objection shall be resolved by the arbitrator or arbitration panel. |
---|
504 | 507 | | 486 (iii) The award of costs by the arbitrator or arbitration panel under Subsection |
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505 | 508 | | 487(10)(g)(ii) may not exceed $5,000. |
---|
506 | 509 | | 488 (i) (i) A covered person shall disclose all material information, other than rebuttal |
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507 | 510 | | 489evidence, within 30 days after a covered person elects to submit a claim for uninsured motorist |
---|
508 | 511 | | 490coverage benefits to binding arbitration or files litigation as specified in Subsection (10)(a). |
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509 | 512 | | 491 (ii) If the information under Subsection (10)(i)(i) is not disclosed, the covered person |
---|
511 | 515 | | 493 (j) This Subsection (10) does not limit any other cause of action that arose or may arise |
---|
512 | 516 | | 494against the uninsured motorist carrier from the same dispute. |
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513 | 517 | | 495 (k) The provisions of this Subsection (10) only apply to motor vehicle accidents that |
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514 | 518 | | 496occur on or after March 30, 2010. |
---|
515 | 519 | | 497 (l) (i) The written demand requirement in Subsection (10)(a)(i)(A) does not affect the |
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516 | 520 | | 498covered person's requirement to provide a computation of any other economic damages |
---|
517 | 521 | | 499claimed, and the one or more respondents shall have a reasonable time after the receipt of the |
---|
518 | 522 | | 500computation of any other economic damages claimed to conduct fact and expert discovery as to |
---|
519 | 523 | | 501any additional damages claimed. The changes made by Laws of Utah 2014, Chapter 290, |
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520 | 524 | | 502Section 10, and Chapter 300, Section 10, to this Subsection (10)(l) and Subsection |
---|
521 | 525 | | 503(10)(a)(i)(A) apply to a claim submitted to binding arbitration or through litigation on or after |
---|
522 | 526 | | 504May 13, 2014. |
---|
525 | 528 | | 506300, Section 10, to Subsections (10)(a)(ii)(A)(II) and (B)(II) apply to any claim submitted to |
---|
526 | 529 | | 507binding arbitration or through litigation on or after May 13, 2014. |
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527 | 530 | | 508 (11) (a) [Notwithstanding Section 31A-21-313, an] A person shall commence an action |
---|
528 | 531 | | 509on a written policy or contract for uninsured motorist coverage [shall be commenced] within |
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529 | 532 | | 510four years after the inception of loss. |
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530 | 533 | | 511 (b) Subsection (11)(a) shall apply to all claims that have not been time barred by |
---|
531 | 534 | | 512Subsection 31A-21-313(1)(a) as of May 14, 2019. |
---|
532 | 535 | | 513 Section 3. Section 31A-22-307 is amended to read: |
---|
533 | 536 | | 514 31A-22-307. Personal injury protection coverages and benefits. |
---|
534 | 537 | | 515 (1) Personal injury protection coverages and benefits include: |
---|
535 | 538 | | 516 (a) up to the minimum amount required coverage of not less than $3,000 per person, |
---|
536 | 539 | | 517the reasonable value of all expenses for necessary: |
---|
537 | 540 | | 518 (i) medical services; |
---|
538 | 541 | | 519 (ii) surgical services; |
---|
539 | 542 | | 520 (iii) X-ray services; |
---|
540 | 543 | | 521 (iv) dental services; |
---|
541 | 544 | | 522 (v) rehabilitation services, including prosthetic devices; |
---|
543 | 547 | | 524 (vii) hospital services; and |
---|
544 | 548 | | 525 (viii) nursing services; |
---|
545 | 549 | | 526 (b) (i) the lesser of $250 per week or 85% of any loss of gross income and loss of |
---|
546 | 550 | | 527earning capacity per person from inability to work, for a maximum of 52 consecutive weeks |
---|
547 | 551 | | 528after the loss, except that this benefit need not be paid for the first three days of disability, |
---|
548 | 552 | | 529unless the disability continues for longer than two consecutive weeks after the date of injury; |
---|
549 | 553 | | 530and |
---|
550 | 554 | | 531 (ii) a special damage allowance not exceeding $20 per day for a maximum of 365 days, |
---|
551 | 555 | | 532for services actually rendered or expenses reasonably incurred for services that, but for the |
---|
554 | 557 | | 534this benefit need not be paid for the first three days after the date of injury unless the person's |
---|
555 | 558 | | 535inability to perform these services continues for more than two consecutive weeks; |
---|
556 | 559 | | 536 (c) funeral, burial, or cremation benefits not to exceed a total of $1,500 per person; and |
---|
557 | 560 | | 537 (d) compensation on account of death of a person, payable to the person's heirs, in the |
---|
558 | 561 | | 538total of $3,000. |
---|
559 | 562 | | 539 (2) (a) (i) To determine the reasonable value of the medical expenses provided for in |
---|
560 | 563 | | 540Subsection (1) and under Subsection 31A-22-309(1)(a)(vi), the commissioner shall conduct a |
---|
561 | 564 | | 541relative value study of services and accommodations for the diagnosis, care, recovery, or |
---|
562 | 565 | | 542rehabilitation of an injured person in the most populous county in the state to assign a unit |
---|
563 | 566 | | 543value and determine the 75th percentile charge for each type of service and accommodation. |
---|
564 | 567 | | 544 (ii) The relative value study shall be updated every other year. |
---|
565 | 568 | | 545 (iii) In conducting the relative value study, the department may consult or contract with |
---|
566 | 569 | | 546appropriate public and private medical and health agencies or other technical experts. |
---|
567 | 570 | | 547 (iv) The costs and expenses incurred in conducting, maintaining, and administering the |
---|
568 | 571 | | 548relative value study shall be funded by the tax created under Section 59-9-105. |
---|
569 | 572 | | 549 (v) Upon completion of the relative value study, the department shall prepare and |
---|
570 | 573 | | 550publish a relative value study which sets forth the unit value and the 75th percentile charge |
---|
571 | 574 | | 551assigned to each type of service and accommodation. |
---|
572 | 575 | | 552 (b) (i) The reasonable value of any service or accommodation is determined by |
---|
573 | 576 | | 553applying the unit value and the 75th percentile charge assigned to the service or |
---|
583 | 586 | | 562 (d) Every insurer shall report to the commissioner any pattern of overcharging, |
---|
584 | 587 | | 563excessive treatment, or other improper actions by a health provider within 30 days after the day |
---|
585 | 588 | | 564on which the insurer has knowledge of the pattern. |
---|
586 | 589 | | 565 (e) (i) In disputed cases, a court on its own motion or on the motion of either party, |
---|
587 | 590 | | 566may designate an impartial medical panel of not more than three licensed physicians to |
---|
588 | 591 | | 567examine the claimant and testify on the issue of the reasonable value of the claimant's medical |
---|
589 | 592 | | 568services or expenses. |
---|
590 | 593 | | 569 (ii) An impartial medical panel designated under Subsection (2)(e)(i) shall consist of a |
---|
591 | 594 | | 570majority of health care professionals within the same license classification and specialty as the |
---|
592 | 595 | | 571provider of the claimant's medical services or expenses. |
---|
593 | 596 | | 572 (3) Medical expenses as provided for in Subsection (1)(a) and in Subsection |
---|
594 | 597 | | 57331A-22-309(1)(a)(vi) include expenses for any nonmedical remedial care and treatment |
---|
595 | 598 | | 574rendered in accordance with a recognized religious method of healing. |
---|
596 | 599 | | 575 (4) The insured may waive for the named insured and the named insured's spouse only |
---|
597 | 600 | | 576the loss of gross income benefits of Subsection (1)(b)(i) if the insured states in writing that: |
---|
598 | 601 | | 577 (a) within 31 days of applying for coverage, neither the insured nor the insured's spouse |
---|
599 | 602 | | 578received any earned income from regular employment; and |
---|
600 | 603 | | 579 (b) for at least 180 days from the date of the writing and during the period of insurance, |
---|
601 | 604 | | 580neither the insured nor the insured's spouse will receive earned income from regular |
---|
602 | 605 | | 581employment. |
---|
603 | 606 | | 582 (5) This section does not: |
---|
604 | 607 | | 583 (a) prohibit the issuance of a policy of insurance providing coverages greater than the |
---|
605 | 608 | | 584minimum coverage required under this chapter; or |
---|
612 | 615 | | 590protection coverage within four years after the inception of loss. |
---|
613 | 616 | | 591 (b) This Subsection (7) applies to a claim that is not time barred by Subsection |
---|
614 | 617 | | 59231A-21-313(1)(a) as of May 3, 2023. |
---|
615 | 618 | | 593 Section 4. Section 78B-2-305 is amended to read: |
---|
616 | 619 | | 594 78B-2-305. Within three years. |
---|
617 | 620 | | 595 An action may be brought within three years: |
---|
618 | 621 | | 596 (1) for waste, trespass upon, or injury to real property; except that when waste or |
---|
619 | 622 | | 597trespass is committed by means of underground works upon any mining claim, the cause of |
---|
620 | 623 | | 598action does not accrue until the discovery by the aggrieved party of the facts constituting the |
---|
621 | 624 | | 599waste or trespass; |
---|
622 | 625 | | 600 (2) for taking, detaining, or injuring personal property, including actions for specific |
---|
623 | 626 | | 601recovery[;], except that: |
---|
624 | 627 | | 602 (a) in cases where the subject of the action is a domestic animal usually included in the |
---|
625 | 628 | | 603term "livestock," which at the time of its loss has a recorded mark or brand, if the animal |
---|
626 | 629 | | 604strayed or was stolen from the true owner without the owner's fault, the cause does not accrue |
---|
627 | 630 | | 605until the owner has actual knowledge of facts that would put a reasonable person upon inquiry |
---|
628 | 631 | | 606as to the possession of the animal by the defendant; and |
---|
629 | 632 | | 607 (b) as provided in Subsection 73B-2-307(3), for a claim involving damage to personal |
---|
630 | 633 | | 608property from an accident involving a motor vehicle as defined in Section 41-6a-102, including |
---|
631 | 634 | | 609an accident involving a motor vehicle and bicycle, the action may be brought within four years; |
---|
632 | 635 | | 610 (3) for relief on the ground of fraud or mistake; except that the cause of action does not |
---|
633 | 636 | | 611accrue until the discovery by the aggrieved party of the facts constituting the fraud or mistake; |
---|
634 | 637 | | 612 (4) for a liability created by the statutes of this state, other than for a penalty or |
---|
635 | 638 | | 613forfeiture under the laws of this state, except where in special cases a different limitation is |
---|
636 | 639 | | 614prescribed by the statutes of this state; or |
---|
637 | 640 | | 615 (5) to enforce liability imposed by Section 78B-3-603, or for damages under Section |
---|
641 | 644 | | 618 Section 5. Section 78B-2-307 is amended to read: |
---|
642 | 645 | | 619 78B-2-307. Within four years. |
---|
643 | 646 | | 620 An action may be brought within four years: |
---|
644 | 647 | | 621 (1) after the last charge is made or the last payment is received: |
---|
645 | 648 | | 622 (a) upon a contract, obligation, or liability not founded upon an instrument in writing; |
---|
646 | 649 | | 623 (b) on an open store account for any goods, wares, or merchandise; or |
---|
647 | 650 | | 624 (c) on an open account for work, labor or services rendered, or materials furnished; |
---|
648 | 651 | | 625 (2) for a claim for relief or a cause of action under the following sections of Title 25, |
---|
649 | 652 | | 626Chapter 6, Uniform Voidable Transactions Act: |
---|
650 | 653 | | 627 (a) Subsection 25-6-202(1)(a), except in specific situations where the time for action is |
---|
651 | 654 | | 628limited to one year under Section 25-6-305; |
---|
652 | 655 | | 629 (b) Subsection 25-6-202(1)(b); or |
---|
653 | 656 | | 630 (c) Subsection 25-6-203(1); [and] |
---|
654 | 657 | | 631 (3) for a claim involving personal property damage to the aggrieved party's motor |
---|
655 | 658 | | 632vehicle, as defined in Section 41-6a-102, or personal property from an accident involving a |
---|
656 | 659 | | 633motor vehicle; and |
---|
657 | 660 | | 634 [(3)] (4) for relief not otherwise provided for by law. |
---|