Title XXV, Business and Financial Institutions

(1) Corporations subject to the provisions of this subtitle doing business in this state on June 18, 1970, or which thereafter do business in this state, shall make and file annually with the commissioner, on or before the first day of March of each year, a statement under oath u…

Corporations subject to this subtitle shall comply with KRS 304.2-205.

Corporations subject to this subtitle shall comply with KRS 304.18-124 to 304.18-127.

No corporation subject to the provisions of this subtitle shall transact any business in this state unless it shall first procure from the commissioner a certificate of authority stating that the requirements of the laws of this state have been complied with and authorizing it to…

When the annual statement of a corporation subject to the provisions of this subtitle shall have been filed and all fees due from the corporation shall have been paid, the corporation's certificate of authority to do business in this state shall automatically be extended until su…

The commissioner shall not issue or renew a certificate of authority to any corporation operating or proposing to operate a nonprofit hospital, medical-surgical, dental, or other health service plan unless: (1) The subscription or membership certificates which the corporation off…

(1) No corporation subject to provisions of this subtitle shall be permitted to do any business in this state unless, in addition to the other requirements of law, it shall have and maintain liquid reserves in an amount not less than five percent (5%) of the corporation's subscri…

Corporations doing business pursuant to this subtitle are subject to coordination of benefits guidelines prescribed pursuant to KRS 304.18-085.

administers program providing for utilization review of benefits. (1) Every nonprofit hospital, medical-surgical, dental, and health service corporation proposing to issue or deliver in this state a health insurance policy or contract or administer a health benefit program which …

The benefits or services which a corporation subject to the provisions of this subtitle may contract to make available to its members or subscribers shall include all of the services made available by hospitals, or other licensed health care institutions, doctors of medicine, ost…

coverage. Any group policy, group plan or group contract issued, delivered or renewed by a nonprofit hospital, medical-surgical, or health service corporation shall include conversion and continuation rights for certificate holders equal to that provided in KRS 304.18-110 subject…

(1) All individual or group service or indemnity type contracts and all certificates thereunder issued by a nonprofit corporation regardless of whether the contracts and certificates are issued for nonfamily or family coverage shall, provide that health insurance benefits shall b…

(1) All individual or group service or indemnity type contracts and all certificates thereunder issued by a nonprofit corporation which provide maternity benefits shall offer the master policyholder the option to purchase coverage to pay for routine nursery care for a well newly …

Corporations subject to this subtitle shall be required to honor all legitimate claims presented by their members and subscribers who have incurred claims in any private hospital with acute care in the State of Kentucky, as long as the hospital is duly licensed and certified by t…

prohibited. No corporation subject to the provisions of this subtitle shall use an itemized statement furnished pursuant to KRS 216B.250 for insurance payment purposes where benefits have been assigned.

(1) All individual or group service or indemnity type contracts and all certificates thereunder issued by a nonprofit corporation shall provide coverage for health care treatment or services rendered by ambulatory surgical centers approved by the Kentucky Health Facilities and He…

podiatrists, physicians or chiropractors. (1) When any contract, plan or policy issued in this state by any corporation subject to the provisions of this subtitle provides for reimbursement for any service which is within the lawful scope of practice of an optometrist duly licens…

Any group policy, group plan or group contract issued in this state by a nonprofit hospital, medical-surgical, or health service corporation shall offer the master policyholder the option to purchase in new contracts the minimum benefits for treatment of alcoholism as specified i…

craniomandibular jaw disorders. (1) All policies, contracts, or plans issued in this state, including subscription or membership certificates thereunder, which provide for surgical or nonsurgical treatment of skeletal disorders shall provide coverage for medically necessary proce…

services performed by physician. Any policy, contract or plan issued in this state by a nonprofit hospital, medical-surgical, dental and health service corporation which provides coverage for services which can be lawfully performed within the scope of the license of a duly licen…

requirements for covered diagnostic breast examinations or supplemental breast examinations. Nonprofit hospital, medical-surgical, dental, and health service corporation contracts in this Commonwealth shall comply with KRS 304.17-316.

mastectomy, diagnosis and treatment of endometrioses and endometritis, and bone density testing -- Duties of insurer. (1) All nonprofit hospital, medical-surgical, dental, and health service corporations issuing contracts in this Commonwealth providing hospital, medical, or surgi…

(1) All nonprofit hospital, medical-surgical, dental, and health service corporations issuing contracts in this Commonwealth which provide hospital, medical, or surgical expense benefits for treatment of breast cancer by chemotherapy shall also provide coverage for treatment of b…

(1) On or after June 18, 1970, no corporation subject to the provisions of this subtitle shall deliver or issue for delivery in this state any subscription certificate or membership certificate describing health benefits available, or any indorsement, rider, or application which …

(1) For purposes of this section, "mental illness" means psychosis, neurosis or an emotional disorder. (2) Any offer to sell a policy or contract of general health insurance to be issued, delivered, issued for delivery, amended or renewed by a nonprofit hospital, medical- surgica…

worker. Every policy, contract, or plan issued, delivered, or renewed in this state by a nonprofit hospital, medical-surgical, dental, or health service corporation which provides coverage for services performed by a licensed psychologist pursuant to KRS Chapter 319, or a license…

Any corporation subject to the provisions of this subtitle may contract with any agency, instrumentality, or political subdivision of the United States, or of this state for making available hospital, medical-surgical, dental and other health care services, and in aid or furthera…

Appointment. (1) An agent of the corporation shall be licensed as an agent with a health line of authority in accordance with the provisions of Subtitle 9 of this chapter regulating all aspects of agent licenses. (2) Subsection (1) of this section includes the requirement that th…

and health service corporations. (1) Nonprofit hospital, medical-surgical, dental, and health service corporations shall be subject to the provisions of KRS 304.2-210, 304.2-220, 304.2-230, 304.2-240, 304.2-250, 304.2-260, 304.2-270, 304.2-280, 304.2-290, 304.2-300, and Subtitle …

(1) If the certificate of authority of a corporation is suspended, the corporation shall not, during the period of suspension, enroll any additional subscribers or members except newborn children or other newly acquired dependents of existing subscribers or members, and shall not…

Any individual subscriber or member of a corporation subject to the provisions of this subtitle who believes himself or herself to be aggrieved by any act or omission of a corporation or its officers, trustees, directors, agents, or representatives, may file a statement in writin…

The commissioner may promulgate reasonable rules and regulations not inconsistent with the provisions of this subtitle that the commissioner deems necessary for the proper administration of this subtitle.

Nothing contained in this subtitle shall be construed to affect or apply to hospitals, or other licensed health care institutions, nor to any individuals, partnerships, associations, or corporations which are the direct purveyors of health services; nor shall it be construed to l…

Nonprofit hospital, medical-surgical, dental, and health service corporations shall be subject to the provisions of this subtitle, and to the following provisions of this code, to the extent applicable and not in conflict with the express provisions of this subtitle: (1) Subtitle…

reason of age. Nonprofit hospital, medical-surgical, dental, and health service corporations delivering or issuing for delivery Medicare supplement contracts as defined in KRS 304.14-500 to 304.14-550, or renewing such contracts, shall make available upon request Medicare supplem…

corporations as insurers to offer home health care coverage -- Conditions. (1) All nonprofit hospital, medical-surgical, dental and health service corporations issuing policies in the Commonwealth which provide hospital, medical, or surgical expense benefits shall make available …

All nonprofit, medical-surgical, dental, and health service corporations issuing long-term care coverage shall comply with KRS 304.14-600 to 304.14-625.

spouse. (1) Any private employer doing business in this state who provides for his employees on a self-insured basis, hospital or surgical benefits, other than for specific diseases or accidental injury only, shall purchase a conversion health insurance policy. Upon the terminati…

(1) A converted policy issued pursuant to the conversion privilege provided in KRS 304.32-300 providing hospital or surgical expense insurance shall provide on an expense incurred basis, the following minimum benefits: (a) Hospital room and board benefits of twenty-five dollars (…

Any private employer doing business in this state who provides for his employees, on a self-insured basis, hospital or surgical benefits shall be subject to KRS 304.14-135. Failure to accept forms prescribed by the commissioner shall be punishable pursuant to KRS 304.99-010.

Any private employer doing business in this state who provides for his or her employees on a self-insured basis hospital or surgical benefits shall notify the Department of Insurance of the existence of the program within sixty (60) days of June 17, 1978. Any employer doing busin…

and requires utilization review of benefits. (1) Every employer in this state which provides coverage of hospital benefits on a self- insured basis and requires the utilization review of such benefits by an insurer, its designee, or a private review agent shall: (a) Be a register…

(1) Short title. This subtitle may be cited as the "Insurers Rehabilitation and Liquidation Law." (2) Construction. No limitation of powers. This subtitle shall not be interpreted to limit the powers granted the commissioner by other provisions of the law. (3) Liberal constructio…

The proceedings authorized by this subtitle may be applied to: (1) All domestic insurers, whether or not they purport to do business in this state; (2) All insurers who are doing, or have done, an insurance business in this state, and against whom claims arising from that busines…

For the purposes of this subtitle: (1) "Agent" means all persons who have collected or are holding premiums or other assets of the insurer, including but not limited to brokers, intermediaries, managing general agents, underwriting managers, and reinsurance managers, and any othe…

(1) Actions by commissioner. Except as provided in subsection (2) of this section, and subsection (1) of KRS 304.33-230, no delinquency proceeding shall be commenced under this subtitle by anyone other than the commissioner and no court shall have jurisdiction to entertain, hear …