Kentucky Statutes 304.17A-097 – Disclosure of coverage levels in basic health benefit plan
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An insurer that offers a basic health benefit plan shall disclose to all individuals, small employer groups and employer-organized associations prior to the issuance of a policy that the basic health benefit plan:
(1) Provides limited coverage;
(2) Includes federally mandated benefits; and
(3) Excludes state-mandated benefits, except for diabetes as provided in KRS § 304.17A-
148, hospice as provided in KRS § 304.17A-250(6), and chiropractic benefits as provided in KRS § 304.17A-171.
Effective: June 20, 2005
History: Created 2005 Ky. Acts ch. 144, sec. 3, effective June 20, 2005.
(1) Provides limited coverage;
Terms Used In Kentucky Statutes 304.17A-097
- Basic health benefit plan: means any plan offered to an individual, a small group, or employer-organized association that limits coverage to physician, pharmacy, home health, preventive, emergency, and inpatient and outpatient hospital services in accordance with the requirements of this subtitle. See Kentucky Statutes 304.17A-005
- Insurer: means any insurance company. See Kentucky Statutes 304.17A-005
- Small employer: means , in connection with a group health plan with respect to a calendar year and a plan year, an employer who employed an average of at least two (2) but not more than fifty (50) employees on business days during the preceding calendar year and who employs at least two (2) employees on the first day of the plan year. See Kentucky Statutes 304.17A-005
(2) Includes federally mandated benefits; and
(3) Excludes state-mandated benefits, except for diabetes as provided in KRS § 304.17A-
148, hospice as provided in KRS § 304.17A-250(6), and chiropractic benefits as provided in KRS § 304.17A-171.
Effective: June 20, 2005
History: Created 2005 Ky. Acts ch. 144, sec. 3, effective June 20, 2005.