Pooling of claims experience for groups with fewer than fifty (50) insureds shall be required. No more than twenty-five percent (25%) of the premium for these groups shall be based on their own claims experience. This provision shall not permit competing health insurers or health maintenance organizations to jointly pool health insurance claims experience, health maintenance organization claims experience, or both, or to jointly develop rates.
KRS 304.38-194
Pooling of claims experience required
Known as the Health Maintenance Organization Act
The act spans §§ 304.38-010 to 304.38-510 (53 sections).
Effective: July 15, 1988 History: Created 1988 Ky
Official source: Kentucky General Assembly. Reproduced from public-domain Kentucky statutes; confirm against the official source for the current text. Not legal advice.