Kentucky Statutes 304.17A-762 – Outlet to act as policyholder for member — Certificate of coverage for each member — Disclosure to members
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(1) For administrative purposes, an insurance purchasing outlet shall be the policyholder or contract holder of the health benefit plan on behalf of an insurance purchasing outlet member.
(2) The participating insurer shall issue a certificate of coverage to each insurance purchasing outlet member.
(3) The insurance purchasing outlet shall provide the following disclosures to an insurance purchasing outlet member at the time of enrollment:
(a) The insurance purchasing outlet is not an insurer and does not pay benefits or claims. It collects and distributes premiums on behalf of insurance purchasing outlet members;
(b) The insurance purchasing outlet is registered with the Kentucky Department of Insurance to provide specific administrative services and may not assume any risk for claim and benefit payments; and
(c) Other disclosures as the commissioner shall require by administrative regulation.
Effective: July 15, 2010
History: Amended 2010 Ky. Acts ch. 24, sec. 1255, effective July 15, 2010. — Created
2002 Ky. Acts ch. 207, sec. 7, effective July 15, 2002.
(2) The participating insurer shall issue a certificate of coverage to each insurance purchasing outlet member.
Terms Used In Kentucky Statutes 304.17A-762
- At the time of enrollment: means :
(a) At the time of application for an individual, an association that actively markets to individual members, and an employer-organized association that actively markets to individual members. See Kentucky Statutes 304.17A-005 - Contract: A legal written agreement that becomes binding when signed.
- Insurer: means any insurance company. See Kentucky Statutes 304.17A-005
(3) The insurance purchasing outlet shall provide the following disclosures to an insurance purchasing outlet member at the time of enrollment:
(a) The insurance purchasing outlet is not an insurer and does not pay benefits or claims. It collects and distributes premiums on behalf of insurance purchasing outlet members;
(b) The insurance purchasing outlet is registered with the Kentucky Department of Insurance to provide specific administrative services and may not assume any risk for claim and benefit payments; and
(c) Other disclosures as the commissioner shall require by administrative regulation.
Effective: July 15, 2010
History: Amended 2010 Ky. Acts ch. 24, sec. 1255, effective July 15, 2010. — Created
2002 Ky. Acts ch. 207, sec. 7, effective July 15, 2002.