KRS 304.17B-013: Premium rates for health benefit plans under Kentucky Access.

(1) The schedule of rates, premium rates charged to enrollees, deductible amounts,

copayment amounts, coinsurance amounts, and other cost -sharing amounts shall be

established by the Office of Health Data and Analytics. Premium rates charged to

enrollees are not intended to fully cover the cost of providing health care coverage

to Kentucky Access enrollees, and any claims in excess of premium rates shall be

covered by the Kentucky Access fund.

(2) Premium rates for health benefit plans provided under Kentucky Access shall bear a

reasonable relationship to each other. Premium rates shall be varied based on age

and gender. The initial premium rates for plan coverage shall not exceed one

hundred fifty percent (150%) of the applicable individual standard risk rates, as

established by the department. In no event shall premium rates exceed one hundred

seventy-five percent (175%) of the rates applicable to individual standard risks.

(3) Premium rates for coverage issued by Kentucky Access shall be established

annually by the office, using reasonable actuarial principles, and shall reflect

anticipated experience and expenses for risks under Kentucky Access.