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Kentucky Revised Statutes Title XXV. Business and Financial Institutions § 304.17A-330.Health insurance reporting requirements; exemption

Current as of January 01, 2025 | Updated by Findlaw Staff

(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).

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Cite this article: FindLaw.com - Kentucky Revised Statutes Title XXV. Business and Financial Institutions § 304.17A-330.Health insurance reporting requirements; exemption - last updated January 01, 2025 | https://codes.findlaw.com/ky/title-xxv-business-and-financial-institutions/ky-rev-st-sect-304-17a-330/

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