Section R590-191-3 - DefinitionsTerms used in this rule are defined in Section 31A-1-301. Additional terms are defined as follows:
(1) "Authorized agent" means an individual, corporation, association, organization, partnership, or other legal entity authorized to represent an insurer with respect to a claim.(2) "Beneficiary" means a party entitled to receive proceeds or benefits under a contract or policy.(3) "Claim file" means a record that can accurately and reliably reproduce the original material regarding a claim, its investigation, adjustment, and settlement.(4) "Claimant" means an insured or an insured's legal representative, including an immediate family member designated by the insured.(5) "Days" means calendar days.(6) "Documentation" means a physical or an electronic record related to a claim.(7) "General business practice" means a pattern of conduct in a business.(8) "Investigation" means an activity of an insurer related to the determination of liability of a claim.(9) "Notice of loss" means a claimant's notice that reasonably informs an insurer of the facts related to a claim.(10) "Proof of loss" means a claimant's reasonable documentation in support of a claim.Utah Admin. Code R590-191-3
Amended by Utah State Bulletin Number 2023-17, effective 8/22/2023