KRS 304.17A-330: Self-insurance reporting requirements -- Exemption.
Where this section sits in the code
(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 o f 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 exemp t 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).
Collected 2026-09-05T20:57:47Z. Source file · JSON