Utah Claims Compliance
Key regulatory requirements, correspondence deadlines, and mandated forms for Utah (UT).
Quick Reference
Key Deadlines
Requirements
- Mandated Forms
- Catastrophe Rules
- Separate P&C / Life & Health
- Fraud Warning
- Depreciation Notice
- E-Delivery (with_consent)
Regulatory Authority
Utah Insurance Department
Phone: (801) 957-9200 or toll-free (800) 439-3805; Address: 4315 S. 2700 W., Suite 2300, Taylorsville, UT 84129; Website: https://insurance.utah.gov/complaint
Bad Faith: Utah Code Ann. § 31A-26-303
Lines of Business
Key Statutes
- Utah Code Ann. § 31A-26-301 et seq.
- Utah Admin. Code R590-190-1 et seq.
Utah handles claims correspondence according to specific state regulations. Requirements vary depending on the line of business and specific claim circumstances.
Acknowledgment
Every claim must be acknowledged within 15 calendar days of receipt. The acknowledgment should identify the insurance policy and coverage at issue.
Denial
A written denial must be issued within 30 calendar days. The denial must reference the specific policy provisions, conditions, or exclusions relied upon.
Statutory Language
No specific statutory language mandated beyond standard disclosures.
LOB-Specific Requirements
Regulatory requirements for Utah, grouped by line of business. Select a chip to filter.
- SOL Notice In Denial Required
- Yes
- Unfair Claims Practices Act RefStatutory
- Utah Code Ann. § 31A-26-303
- Prompt Payment Statute RefStatutory
- Utah Code Ann. § 31A-26-301
- HO Specific RequirementsStatutory
- Utah Admin. Code R590-190-13 (Standards for Prompt, Fair, and Equitable Settlement for Fire and Extended Coverage Type Policies with Replacement Cost Coverage)
- Depreciation Notice Required
- Yes
- Proof Of Loss RequirementsStatutory
- Failure to give notice or file proof of loss within specified time does not invalidate claim if insured shows it was not reasonably possible and filed as soon as reasonably possible (Utah Code Ann. § 31A-21-312(1)(b))
- Suit Limitation PeriodStatutory
- 3 years after inception of loss; tolled during appraisal or arbitration; action may not be brought until earlier of 60 days after proof of loss, waiver, or denial of full payment (Utah Code Ann. § 31A-21-313)
Utah Case Law
Published decisions that shape claim-handling and correspondence practice in Utah. Pair these with the statutory deadlines above.
- Case Law
Prince v. Bear River Mutual Insurance Co
56 P.3d 524 (2002)
Bad FaithHomeownersit states that if an insured's claim is "fairly debatable," the insurer has the legal right to debate it. An insurer cannot be found to have breached the implied duty of good faith if it denies a fairly debatable claim, even if a judge or jury later determines that coverage actually existed .
- Case Law
Campbell v. State Farm Mut. Auto. Ins. Co
65 P.3d 1134 (2001)
Bad FaithAuto. https://law.justia.com/cases/utah/supreme-court/2001/campbell.html
- Case Law
San Diego Navy Federal Credit Union v. Cumis Ins. Soc., Inc
162 Cal. App. 3d 358 (1984)
Duty to DefendProfessional Liabilityestablished that when an insurer issues an ROR creating a conflict of interest, the insured has the right to select independent counsel paid for by the insurer .
- Case LawBad FaithProfessional Liability
clarified that while the fairly debatable defense is often resolved on summary judgment, cases involving complex, conflicting evidence regarding the adequacy of the insurer's investigation may present questions of fact for a jury .
- Case Law
Saltz v. UMIA
2022
Bad FaithProfessional Liabilitya plastic surgeon was sued by a patient. The medical malpractice insurer defended under a reservation of rights but filed a declaratory judgment action to deny coverage .
- Case LawReservation of RightsCommercial Auto
which held that an insurer's entry of an appearance for an insured without a reservation of rights does not automatically constitute a waiver of available defenses, but can result in estoppel if the insured is prejudiced .
Show 1 more case
- Case Law
UMIA v. Saltz
2022
Duty to DefendGeneral Liabilitydecision is the definitive Utah authority on this consequence. In Saltz, UMIA defended the doctor for eight years without questioning or reserving its right to deny coverage . The Utah Supreme Court affirmed a jury verdict finding that UMIA was estopped from denying coverage and was required to reimburse the insured for a $500,000 settlement he had to personally fund .
Historical court cases are for reference only and may be superseded, distinguished, or abrogated.
Applicable Letter Templates
No letter templates currently found for this jurisdiction.