KRS 304.38-042: Requirements for provider -sponsored integrated health networks to

convert to health maintenance organization.

(1) As used in this section, "provider-sponsored integrated health delivery network" has

the same meaning as in KRS 304.17A-005.

(2) A provider-sponsored integrated health delivery network may elect to convert to a

health maintenance organization under KRS 304.38 -070(5) by filing an election to

convert with the commissioner that contains a notification of the network's effective

date of conversion.

(3) Within thirty (30) days of the date of an election filing under subsection (2) of this

section, the commissioner shall issue a certificate of authority as a health

maintenance organization under KRS 304.38 -070(5) to the provider -sponsored

integrated health delivery network unless the commissioner:

(a) Finds that, at the time of the election, the provider-sponsored integrated health

delivery network fails to meet the net worth requirements of KRS 304.38 -

070(5)(b); and

(b) Provides the pr ovider-sponsored integrated health delivery network with a

written notice of the determination that contains a notice of the network's

rights under KRS 304.2-310.