Utah Code Title 31A. Insurance Code § 31A-22-648. Vision insurance--Contract provisions

(a) “Covered individual” means an individual who has insurance coverage under a vision plan.

(b) “Covered service” means a vision service that:

(c) “Optometrist” means an individual licensed under Title 58, Chapter 16a, Utah Optometry Practice Act.

(d) “Vendor” means a person who provides ophthalmic goods to a vision service provider.

(e) “Vision plan” means a health insurance policy or contract that provides vision coverage.

(f) “Vision service” means:

(g) “Vision service provider” means:

(2)(a) This section applies to:

(b) This section does not apply to a self-insured vision plan that is regulated by federal law.

(a) except as provided in Subsection (4), require that a vision service provider provide a vision service to a covered individual at a fee set by, or a fee subject to the approval of, the vision plan unless the vision service is a covered service;

(b) prohibit a vision service provider from offering or providing a vision service that is not a covered service to a covered individual at a fee determined by:

(c) require a vision service provider to use one or more specific vendors to replenish the vision service provider's inventory of spectacle lenses after the vision service provider dispenses the vision service provider's inventory to eligible members of the vision plan as a covered vision service.

(4)(a) In accordance with Subsections (4)(b) and (c), a vision service provider may, in a contract with a vision plan, agree to participate in a discount program sponsored by the vision plan.

(b) A contract between a vision service provider and a vision plan to provide a covered service may not be contingent on whether the vision service provider agrees to participate in a discount program sponsored by the vision plan.

(c) Regardless of whether a vision service provider participates in a discount program sponsored by the vision plan, a vision plan shall offer equal treatment to a vision service provider under contract with the vision plan to provide a covered service, regarding: