§ 304.38A-010 Definitions for subtitle
§ 304.38A-020 Certificate of authority
§ 304.38A-030 Application for certificate of authority
§ 304.38A-040 Issuance of certificate of authority — Notification of deficiencies in application and of reasons for denial
§ 304.38A-050 Conditions for maintaining eligibility for certificate of authority
§ 304.38A-060 Addition of limited health services — Notification of disapproval — Hearing
§ 304.38A-070 Application of provisions of chapter
§ 304.38A-080 Net worth — Deposit — Risk-based capital requirements
§ 304.38A-090 Suspension or revocation of certificate of authority — Notification — Winding up affairs — Applicable provisions
§ 304.38A-100 Transfer of risk — Plan for evaluating provider — Additional reserves
§ 304.38A-110 Conversion of single service organization — Net worth and capital requirements
§ 304.38A-115 Coverage for orchiectomy or orchidectomy. (Effective January 1, 2025)
§ 304.38A-120 Compliance with KRS 304.17A-265

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Terms Used In Kentucky Statutes > Chapter 304 > Subtitle 38A - Limited Health Service Organizations

  • Action: includes all proceedings in any court of this state. See Kentucky Statutes 446.010
  • any other state: includes any state, territory, outlying possession, the District of Columbia, and any foreign government or country. See Kentucky Statutes 446.010
  • Attorney: means attorney-at-law. See Kentucky Statutes 446.010
  • Biennium: means the two (2) year period commencing on July 1 in each even- numbered year and ending on June 30 in the ensuing even-numbered year. See Kentucky Statutes 446.010
  • branch budget: means an enactment by the General Assembly which provides appropriations and establishes fiscal policies and conditions for the biennial financial plan for the judicial branch, the legislative branch, and the executive branch, which shall include a separate budget bill for the Transportation Cabinet. See Kentucky Statutes 446.010
  • Building: includes any structure or improvement upon real estate of a permanent nature and additionally includes any sites, structures, equipment, machinery, or devices for the purpose of establishing, developing, or furthering television or related services in aid of education or in aid of any other proper public functions, whether or not the same would otherwise be legally defined as buildings. See Kentucky Statutes 56.440
  • Cabinet: means the Finance and Administration Cabinet. See Kentucky Statutes 56.440
  • Commission: means the State Property and Buildings Commission. See Kentucky Statutes 56.440
  • Company: may extend and be applied to any corporation, company, person, partnership, joint stock company, or association. See Kentucky Statutes 446.010
  • Continuance: Putting off of a hearing ot trial until a later time.
  • Contract: A legal written agreement that becomes binding when signed.
  • Conviction: A judgement of guilt against a criminal defendant.
  • Corporation: A legal entity owned by the holders of shares of stock that have been issued, and that can own, receive, and transfer property, and carry on business in its own name.
  • Corporation: may extend and be applied to any corporation, company, partnership, joint stock company, or association. See Kentucky Statutes 446.010
  • Directors: when applied to corporations, includes managers or trustees. See Kentucky Statutes 446.010
  • Enrollee: means an individual who is enrolled in a limited health services benefit plan. See Kentucky Statutes 304.38A-010
  • Escrow: Money given to a third party to be held for payment until certain conditions are met.
  • Evidence: Information presented in testimony or in documents that is used to persuade the fact finder (judge or jury) to decide the case for one side or the other.
  • Federal: refers to the United States. See Kentucky Statutes 446.010
  • Fraud: Intentional deception resulting in injury to another.
  • Lease: A contract transferring the use of property or occupancy of land, space, structures, or equipment in consideration of a payment (e.g., rent). Source: OCC
  • Liabilities: The aggregate of all debts and other legal obligations of a particular person or legal entity.
  • Limited health service: means dental care services, vision care services, mental health services, substance abuse services, chiropractic services, pharmaceutical services, podiatric care services, and such other services as may be determined by the commissioner to be limited health services. See Kentucky Statutes 304.38A-010
  • Limited health service organization: means a corporation, partnership, limited liability company, or other entity that undertakes to provide or arrange limited health service or services to enrollees. See Kentucky Statutes 304.38A-010
  • Partnership: includes both general and limited partnerships. See Kentucky Statutes 446.010
  • Partnership: A voluntary contract between two or more persons to pool some or all of their assets into a business, with the agreement that there will be a proportional sharing of profits and losses.
  • Plea: In a criminal case, the defendant's statement pleading "guilty" or "not guilty" in answer to the charges, a declaration made in open court.
  • Provider: means the same as defined in KRS §. See Kentucky Statutes 304.38A-010
  • Real property: Land, and all immovable fixtures erected on, growing on, or affixed to the land.
  • State: when applied to a part of the United States, includes territories, outlying possessions, and the District of Columbia. See Kentucky Statutes 446.010
  • Statute: A law passed by a legislature.
  • Trustee: A person or institution holding and administering property in trust.
  • Year: means calendar year. See Kentucky Statutes 446.010