§ 40-2201 Accident and sickness policy; definition
§ 40-2202 Same; form of policy; policies issued to nonresidents
§ 40-2203 Uniform policy provisions; rules and regulations for filing or submission of policies
§ 40-2204 Conforming to statute; construction of policies in conflict
§ 40-2205 Statements made in application for policy; effect
§ 40-2206 Notice acknowledged by insurer not waiver of rights
§ 40-2207 Age; limit; misstatement by insured
§ 40-2208 Nonapplication to certain policies
§ 40-2209 Group sickness and accident insurance; eligibility for coverage; open enrollment; late enrollment; special enrollment; preexisting conditions; exclusions; renewal or continuation of benefits, exceptions; factors for eligibility; participation requireme
§ 40-2209a Applicability of 1978 amendments to K.S.A. 40-1805, 40-1905 and 40-2209
§ 40-2209b Small employer healthcare plans; citation; purpose of act
§ 40-2209c Same; application of act; construction of K.S.A. 40-2209
§ 40-2209d Same; definitions
§ 40-2209e Same; plans subject to act; certain laws inapplicable to plans; individual policies not subject to act
§ 40-2209f Same; preexisting conditions exclusion, waiver; late enrollee exclusion; underwriting and rating; waiting periods; uniform employer coverage eligibility requirements; minimum participation and contribution requirements
§ 40-2209g Same; establishment of business classes by carrier; limitation
§ 40-2209h Same; rating; transfer of small employer from one business class to another, limitations; suspension of business class and rate limitations
§ 40-2209i Same; carrier sales solicitations, disclosures required
§ 40-2209j Same; actuarial certification of underwriting and rating compliance
§ 40-2209m Same; marketing of coverage; prohibited activities; agents and brokers; written denial of coverage; third-party administrators; treatment of affiliated carriers
§ 40-2209n Same; rules and regulations
§ 40-2209o Same; violations, penalties
§ 40-2209p Same; required coverage for all applying small employers; medical service enrollment, limitations; denial of coverage, when; definitions
§ 40-2210 Blanket sickness and accident insurance; payments, when blanket disability income policy is integrated with social security benefits
§ 40-2211 Workmen’s compensation; insolvency of insured
§ 40-2212 Same; notice of injury or death; jurisdiction; lien of employee; payment to employee, agent or dependents
§ 40-2213 Prior policy, rider or endorsement
§ 40-2215 Forms and premium rates, filing, duties of commissioner; procedure; rules and regulations, violations, penalties
§ 40-2216 Purpose of act
§ 40-2217 Definitions
§ 40-2218 Establishment of benefit standards for accident and sickness policies or subscriber contracts; delivery or issuance of policy or contract not meeting standards prohibited, exceptions; identification of policies and contracts
§ 40-2219 Outline of coverage to accompany policy at issuance or to be delivered at time of application; format and contents of outline
§ 40-2220 Coverage of loss from pre-existing conditions required, when
§ 40-2221 Medicare supplement policies; rules and regulations to establish standards; denial of coverage prohibited, when
§ 40-2221a Same; notice required prior to termination; reinstatement
§ 40-2221b Same; when provisions of K.S.A. 40-2221a not applicable
§ 40-2222 Health coverage; jurisdiction of commissioner; exceptions
§ 40-2222a Same; associations not subject to jurisdiction of commissioner to provide applicants with written notice of nature of coverage
§ 40-2222b Healthcare coverage; premium tax, rate, computation, return and payment; exemptions
§ 40-2223 Same; examination; subject to insurance laws
§ 40-2224 Same; disclosure to purchaser required
§ 40-2225 Long-term care insurance; name and citation of act
§ 40-2226 Same; application and construction of act
§ 40-2227 Same; definitions
§ 40-2228 Same; rules and regulations; prohibitions; preexisting condition provisions; delivery of outline of coverage upon application required
§ 40-2228a Long-term care policies and certificates; reinstatement of lapsed policies or certificates due to cognitive impairment or loss of functional capacity
§ 40-2228b Same; notice of lapse or termination; designation of person in addition to applicant to receive notice, waiver; change of designation
§ 40-2228c Same; payment of premiums through payroll or pension deduction plan; requirements under K.S.A. 40-2228b; application or enrollment form
§ 40-2228d Same; lapse or termination of policy or certificate; requirements; notice
§ 40-2228e Same; reinstatement, conditions
§ 40-2228f Long-term care insurance prompt payment act; effective date
§ 40-2228g Same; definitions
§ 40-2228h Same; claims; procedures; rules and regulations
§ 40-2229 Mammogram and pap smear coverage; policies to which mandated coverage applicable
§ 40-2230 Same; when reimbursement or indemnification required; deductibles, coinsurance and other limitations permissible
§ 40-2231 Continuing care contracts; definitions
§ 40-2232 Same; provider’s annual disclosure statement; contents; requirement to furnish
§ 40-2233 Same; annual disclosure statement, contract and annual audit; filing with commissioner
§ 40-2234 Same; providing form to commissioner; contents and attachments
§ 40-2235 Same; certificate of registration, application, fee, renewal
§ 40-2237 Same; change of ownership or management of provider or home
§ 40-2238 Same; rules and regulations
§ 40-2239 Small employer health benefit plans; definitions
§ 40-2240 Same; establishment; assistance by commissioner
§ 40-2241 Same; contracts with carriers; coverage options; application of K.S.A. 40-2209 and 40-2215
§ 40-2242 Same; qualification for employer participation
§ 40-2243 Same; employee and employer contributions; employee’s enrollment in multiple options; enrollment not required, when; payroll deductions
§ 40-2246 Same; employer income tax credit for corporations, computation of amount, reduction of deductions, election to claim, refunds; no inclusion of employer expenses in employee income; application date
§ 40-2247 Same; exemption from insurance premium tax
§ 40-2248 Mandated health benefits; impact report to be submitted prior to legislative consideration
§ 40-2249 Same; contents
§ 40-2249a Same; state employee group pilot project for new mandated health benefits
§ 40-2250 Insurance coverage to include reimbursement for services performed by advanced practice registered nurses
§ 40-2251 Statistical plan for recording and reporting premiums and loss and expense experience by accident and health insurers; compilation and dissemination; department of health and environment to serve as statistical agent; assessments; penalties for failure
§ 40-2252 Same; rules and regulations
§ 40-2253 Universal accident and sickness insurance claim forms, design and use; acceptance of claims by insurer; uniform electronic data interchange formats and standards
§ 40-2254 Group accident and sickness insurance; extension of payment of benefits
§ 40-2255 Accident and sickness insurance; closing block of business, when
§ 40-2256 Health benefit plan
§ 40-2257 Individual policies; renewal or continuation of coverage; exceptions; discontinuance of policy; definitions
§ 40-2258 Group policies; mental illness, alcoholism, drug abuse or substance use disorder; limitations; exceptions; definitions
§ 40-2259 Genetic screening or testing; prohibiting the use of; exceptions; restrictions
§ 40-2260 Group health benefit plan option to establish premium only cafeteria plan
§ 40-2261 Employer providing certain health insurance coverage may offer cafeteria plan; employer not restricted in providing such benefits or coverage; definitions
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Terms Used In Kansas Statutes > Chapter 40 > Article 22 - Uniform Policy Provisions

  • Amendment: A proposal to alter the text of a pending bill or other measure by striking out some of it, by inserting new language, or both. Before an amendment becomes part of the measure, thelegislature must agree to it.
  • Annuity: A periodic (usually annual) payment of a fixed sum of money for either the life of the recipient or for a fixed number of years. A series of payments under a contract from an insurance company, a trust company, or an individual. Annuity payments are made at regular intervals over a period of more than one full year.
  • Applicant: means :

    (1) In the case of an individual long-term care insurance policy, the person who seeks to contract for such benefits; and

    (2) in the case of a group long-term care insurance policy, the proposed certificateholder. See Kansas Statutes 40-2227

  • Assets: (1) The property comprising the estate of a deceased person, or (2) the property in a trust account.
  • Attachment: A procedure by which a person's property is seized to pay judgments levied by the court.
  • Bankruptcy: Refers to statutes and judicial proceedings involving persons or businesses that cannot pay their debts and seek the assistance of the court in getting a fresh start. Under the protection of the bankruptcy court, debtors may discharge their debts, perhaps by paying a portion of each debt. Bankruptcy judges preside over these proceedings.
  • Beneficiary: A person who is entitled to receive the benefits or proceeds of a will, trust, insurance policy, retirement plan, annuity, or other contract. Source: OCC
  • Block of business: means a particular individual policy form or contract providing hospital, medical or surgical expense, long-term care or medicare supplement coverage issued by a carrier to one or more individuals which includes distinct benefits, services and terms. See Kansas Statutes 40-2255
  • Carrier: means an insurance company, medical or hospital service corporation, medical and hospital service corporation or health maintenance organization which holds a valid certificate of authority from the insurance commissioner. See Kansas Statutes 40-2239
  • Certificate: means any certificate issued under a group long-term care insurance policy that has been delivered or issued for delivery in this state. See Kansas Statutes 40-2227
  • Closed block of business: means a block of business which a carrier ceases to actively offer or sell to new applicants. See Kansas Statutes 40-2255
  • Commissioner: means the commissioner of insurance. See Kansas Statutes 40-2227
  • Conservator: means an individual or corporation appointed by the court to act on behalf of a conservatee and possessed of some or all of the powers and duties set out in Kan. See Kansas Statutes 77-201
  • Continuance: Putting off of a hearing ot trial until a later time.
  • Continuing care contract: means an agreement pursuant to which a provider undertakes to furnish to a person, not related by consanguinity or affinity to the provider, shelter and medical or nursing services or other health-related benefits which require a present or deferred transfer of assets or an entrance fee in the amount of $5,000 or equivalent value or such greater amount as set by the commissioner in rules and regulations in addition to or in lieu of periodic charges. See Kansas Statutes 40-2231
  • continuing care provider: means the person, corporation, partnership, association or other legal entity which agrees to provide continuing care to residents in a home. See Kansas Statutes 40-2231
  • Contract: A legal written agreement that becomes binding when signed.
  • 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.
  • Dependent: A person dependent for support upon another.
  • Devise: To gift property by will.
  • Disabled person: includes incapacitated persons and incompetent persons as defined herein. See Kansas Statutes 77-201
  • Eligible employee: means an employee who is employed by the employer for an average of at least 30 hours per week and who elects to participate in one of the benefit plans provided under this act, and includes individuals who are sole proprietors, business partners and limited partners. See Kansas Statutes 40-2239
  • Embezzlement: In most states, embezzlement is defined as theft/larceny of assets (money or property) by a person in a position of trust or responsibility over those assets. Embezzlement typically occurs in the employment and corporate settings. Source: OCC
  • Entrance fee: means the total of any initial or deferred transfer to, or for the benefit of, a provider of a sum of money or other property made or promised to be made as full or partial consideration for acceptance of a person as a resident pursuant to a continuing care contract. See Kansas Statutes 40-2231
  • 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.
  • Family member: means an eligible employee's spouse and any unmarried dependent child or stepchild. See Kansas Statutes 40-2239
  • Fiscal year: The fiscal year is the accounting period for the government. For the federal government, this begins on October 1 and ends on September 30. The fiscal year is designated by the calendar year in which it ends; for example, fiscal year 2006 begins on October 1, 2005 and ends on September 30, 2006.
  • Fraud: Intentional deception resulting in injury to another.
  • Grace period: The number of days you'll have to pay your bill for purchases in full without triggering a finance charge. Source: Federal Reserve
  • Group long-term care insurance: means a long-term care insurance policy delivered or issued for delivery in this state and issued to a group as defined in Kan. See Kansas Statutes 40-2227
  • Health benefit plan: means a contract for group medical, surgical, hospital or any other remedial care recognized by state law and related services and supplies. See Kansas Statutes 40-2239
  • Health savings account: means a trust created or organized in the United States as a health savings account exclusively for the purpose of paying the qualified medical expenses of the account beneficiary, but only if the written governing instrument creating the trust meets the requirements specified by the medicare, prescription drug, improvement and modernization act of 2003, Pub. See Kansas Statutes 40-2239
  • Home: means the facility or facilities occupied, or planned to be occupied, by five or more residents where the provider undertakes pursuant to the continuing care contract to provide continuing care to such residents. See Kansas Statutes 40-2231
  • Indemnification: In general, a collateral contract or assurance under which one person agrees to secure another person against either anticipated financial losses or potential adverse legal consequences. Source: FDIC
  • Jurisdiction: (1) The legal authority of a court to hear and decide a case. Concurrent jurisdiction exists when two courts have simultaneous responsibility for the same case. (2) The geographic area over which the court has authority to decide cases.
  • Lien: A claim against real or personal property in satisfaction of a debt.
  • Long-term care insurance: includes group and individual policies or riders whether issued by insurers, fraternal benefit societies, nonprofit medical and hospital service corporations, prepaid health plans, health maintenance organizations, or any similar organization. See Kansas Statutes 40-2227
  • Minor: means any person defined by Kan. See Kansas Statutes 77-201
  • Month: means a calendar month, unless otherwise expressed. See Kansas Statutes 77-201
  • Mortgage: The written agreement pledging property to a creditor as collateral for a loan.
  • Obligation: An order placed, contract awarded, service received, or similar transaction during a given period that will require payments during the same or a future period.
  • 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.
  • Policy: means , except as otherwise provided in subsection (e), any individual or group policy, contract, subscriber agreement, rider or endorsement delivered or issued for delivery in this state by an insurer, fraternal benefit society, nonprofit medical and hospital service corporation, prepaid health plan, health maintenance organization or any similar organization. See Kansas Statutes 40-2227
  • Precedent: A court decision in an earlier case with facts and law similar to a dispute currently before a court. Precedent will ordinarily govern the decision of a later similar case, unless a party can show that it was wrongly decided or that it differed in some significant way.
  • Premium: means the monthly or other periodic charge for a health benefit plan. See Kansas Statutes 40-2239
  • Property: includes personal and real property. See Kansas Statutes 77-201
  • Remainder: An interest in property that takes effect in the future at a specified time or after the occurrence of some event, such as the death of a life tenant.
  • Resident: means an individual or individuals who have entered into an agreement with a provider for continuing care in a home. See Kansas Statutes 40-2231
  • Settlement: Parties to a lawsuit resolve their difference without having a trial. Settlements often involve the payment of compensation by one party in satisfaction of the other party's claims.
  • Small employer health benefit plan: means an arrangement providing a health benefit plan for the purpose described in Kan. See Kansas Statutes 40-2239
  • State: when applied to the different parts of the United States, includes the District of Columbia and the territories. See Kansas Statutes 77-201
  • Statute: A law passed by a legislature.
  • Trustee: A person or institution holding and administering property in trust.