Kentucky Statutes 304.17A-838 – Members to receive evidences of coverage — Contents
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(1) Every member of a self-insured employer-organized association group shall receive written evidence of coverage by the group.
(2) All evidences of coverage issued pursuant to this section shall contain coverage terms, conditions, and exclusions.
(3) All evidences of coverage issued pursuant to this section shall contain the following disclosure in prominent, contrasting type: THIS COVERAGE HAS BEEN PLACED WITH A SELF-INSURED EMPLOYER-ORGANIZED ASSOCIATION GROUP WHICH HAS RECEIVED A CERTIFICATE OF FILING FROM THE COMMONWEALTH OF KENTUCKY. HEALTH CLAIMS AGAINST GROUP MEMBERS ARE NOT COVERED BY THE KENTUCKY INSURANCE GUARANTY ASSOCIATION.
Effective: June 24, 2003
History: Created 2003 Ky. Acts ch. 78, sec. 20, effective June 24, 2003.
(2) All evidences of coverage issued pursuant to this section shall contain coverage terms, conditions, and exclusions.
Terms Used In Kentucky Statutes 304.17A-838
- Association: means an entity, other than an employer-organized association, that has been organized and is maintained in good faith for purposes other than that of obtaining insurance for its members and that has a constitution and bylaws. See Kentucky Statutes 304.17A-005
- Employer-organized association: means any of the following:
(a) Any entity that was qualified by the commissioner as an eligible association prior to April 10, 1998, and that has actively marketed a health insurance program to its members since September 8, 1996, and which is not insurer- controlled. See Kentucky Statutes 304.17A-005 - 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.
(3) All evidences of coverage issued pursuant to this section shall contain the following disclosure in prominent, contrasting type: THIS COVERAGE HAS BEEN PLACED WITH A SELF-INSURED EMPLOYER-ORGANIZED ASSOCIATION GROUP WHICH HAS RECEIVED A CERTIFICATE OF FILING FROM THE COMMONWEALTH OF KENTUCKY. HEALTH CLAIMS AGAINST GROUP MEMBERS ARE NOT COVERED BY THE KENTUCKY INSURANCE GUARANTY ASSOCIATION.
Effective: June 24, 2003
History: Created 2003 Ky. Acts ch. 78, sec. 20, effective June 24, 2003.