(1) All insurers authorized to write health insurance in this state and employer- organized associations that self-insure shall transmit at least annually by July 31 to the commissioner the following information, in a format prescribed by the commissioner, on their insurance experience in this state for the preceding calendar year:
(a) Total premium by product type and market segment; (b) Total enrollment by product type and market segment;
(c) Total cost of medical claims filed by product type and market segment;
(d) Total amount of medical claims paid by the insurer and insured by product type and market segment;
(e) Total policies canceled by type and the aggregate reasons therefor; and
(f) List of total health and medical services paid for, grouped by types of services and costs:
1. Total cost per health and medical service per insured group:
a. Cost paid by insurer;
b. Cost paid by insured; and
2. Number of insureds who received each service.
(2) With the approval of the commissioner, the department may exempt insurers, employer-organized associations that self-insure, and health purchasing outlets from the data reporting requirements of this section if the total number of insureds is less than five hundred (500).
Effective: July 15, 2010
History: Amended 2010 Ky. Acts ch. 24, sec. 1225, effective July 15, 2010. — Amended 2004 Ky. Acts ch. 59, sec. 5, effective July 13, 2004. — Amended 2000
Ky. Acts ch. 521, sec. 3, effective July 14, 2000. — Created 1998 Ky. Acts ch. 496, sec. 41, effective April 10, 1998.