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KRS 304.17A-330

Health insurance reporting requirements -- Exemption

Effective: July 15, 2010 History: Amended 2010 Ky

Self-insurance reporting requirements -- Exemption.

(1) All insurers authorized to write health insurance in this state and employer- organized associations that self-insure shall transmit at least annually by July 31 to the commissioner the following information, in a format prescribed by the commissioner, on their insurance experience in this state for the preceding calendar year:

(a) Total premium by product type and market segment;

(b) Total enrollment by product type and market segment;

(c) Total cost of medical claims filed by product type and market segment;

(d) Total amount of medical claims paid by the insurer and insured by product type and market segment;

(e) Total policies canceled by type and the aggregate reasons therefor; and (f) List of total health and medical services paid for, grouped by types of services and costs:

1. Total cost per health and medical service per insured group:

a. Cost paid by insurer;

b. Cost paid by insured; and 2. Number of insureds who received each service.

(2) With the approval of the commissioner, the department may exempt insurers, employer-organized associations that self-insure, and health purchasing outlets from the data reporting requirements of this section if the total number of insureds is less than five hundred (500).

Official source: Kentucky General Assembly. Reproduced from public-domain Kentucky statutes; confirm against the official source for the current text. Not legal advice.