Kentucky Statutes 304.38-194 – Pooling of claims experience required
Current as of: 2024 | Check for updates
|
Other versions
Pooling of claims experience for groups with fewer than fifty (50) insureds shall be required. No more than twenty-five percent (25%) of the premium for these groups shall be based on their own claims experience. This provision shall not permit competing health insurers or health maintenance organizations to jointly pool health insurance claims experience, health maintenance organization claims experience, or both, or to jointly develop rates.
Effective: July 15, 1988
History: Created 1988 Ky. Acts ch. 354, sec. 6, effective July 15, 1988.
Effective: July 15, 1988
Terms Used In Kentucky Statutes 304.38-194
- Health maintenance organization: means any person who undertakes to provide, directly or through arrangements with others, health care services to individuals enrolled with such an organization on a per capita or a predetermined, fixed prepayment basis. See Kentucky Statutes 304.38-030
History: Created 1988 Ky. Acts ch. 354, sec. 6, effective July 15, 1988.