{"data":{"id":"us-ky/krs-18a.2251","jurisdiction":"us-ky","citation":"KRS 18A.2251","heading":"State employee health care plan buy-in.  (Expired July 14, 1995)","body":"(1) Any citizen of the United States, who has been a Kentucky resident for at least one\n(1) year prior to purchasing coverage under this section, shall be permitted to\npurchase health insurance coverage provided to state employees pursuant to KRS\n18A.225 and 1 8A.2281, under the same terms and conditions as state employees\nuntil the Kentucky Health Purchasing Alliance created pursuant to KRS 304.17A -\n020 becomes operational. The premium charged for coverage for high risk\nindividuals as defined by the Kentucky Hea lth Policy Board shall not exceed two\nhundred percent (200%) of the premium paid by the Commonwealth for state\nemployees. Policies issued under this section shall be valid for a period of one (1)\nyear, and at the time of the policy's expiration the insured  shall be eligible for\nparticipation in the Kentucky Health Purchasing Alliance created pursuant to KRS\n304.17A-020.\n(2) The secretary of the Finance and Administration Cabinet and the secretary of the\nCabinet for Human Resources shall provide for a system  to enroll any citizen who\nelects to purchase health insurance coverage under subsection (1) of this section\nusing the county offices of the Cabinet for Human Resources. Citizens desiring to\npurchase coverage shall do so through the office of the Cabinet f or Human\nResources in the county of the citizen's residence. Payment for premiums shall be\nmade in advance on a quarterly or annual basis, in a manner to be determined by\nadministrative regulations of the Finance and Administration Cabinet promulgated\npursuant to KRS Chapter 13A.\n(3) Following the close of each calendar year, the Kentucky Health Policy Board shall\ndetermine for each of the insurance plans providing coverage to state employees and\npersons electing to purchase coverage pursuant to this sectio n, the net premium,\nbeing premiums less administrative expense allowances, the plan expenses, and\nclaim expenses losses for the year, taking into account investment income and other\nappropriate gains and losses.\n(4) Each health insurer's proportion of part icipation in the state employee health plan\nshall be determined annually by the Kentucky Health Policy Board based on annual\nstatements and other reports deemed necessary by the board and filed by the insurer\nwith the board. The proportion of participation  shall be determined by multiplying\nthe total cost of each state health insurance plan coverage operation by a fraction,\nthe numerator of which equals that insurer's premium and subscriber contract\ncharges for health insurance written in the state during t he preceding calendar year\nand the denominator of which equals the total of all premiums and subscriber\ncontract charges written in the state. The amount of the assessment shall also be\nadjusted to ensure that the Commonwealth's cost of providing coverage to state\nemployees does not increase more than the average rate of premium growth for state\nemployees during the five (5) years preceding July 15, 1994.\n(5) Any deficit incurred by the state employee health insurance plan shall be recouped\nby assessments on all health insurers doing business in the Commonwealth pursuant\nto the assessment formula set forth by the Kentucky Health Policy Board. The\ninsurers may recover these amounts in the normal course of their respective\nbusinesses without time limitation.\n(6) The Kentucky Health Policy Board may abate or defer, in whole or in part, the\nassessment of an insurer if, in the opinion of the board, payment of the assessment\nwould endanger the ability of the insurer to fulfill its contractual obligations. If an\nassessment against an insurer is abated or deferred in whole or in part, the amount\nby which the assessment is abated or deferred may be assessed against the other\ninsurers in a manner consistent with the basis for assessments set forth in this\nsection. The i nsurer receiving an abatement or deferment shall remain liable to the\nCommonwealth for the deficiency for four (4) years.\n(7) If assessments exceed actual losses and administrative expenses of the plan, the\nexcess shall be held at interest and used by the Commonwealth to offset future\nlosses or to reduce premiums. As used in this subsection, \"future losses\" includes\nreserves for incurred but not reported claims.\n(8) After July 14, 1995, this section shall become null and void.","path":["KRS Chapter 18A"],"source_url":"https://apps.legislature.ky.gov/law/statutes/statute.aspx?id=1400","current_through":"Includes enactments through the 2026 Regular Session","vintage":"09/05/2026","retrieved_at":"2026-09-05T20:48:40Z","sha256":"dd5567aac4658e7cbbdd5af906afea1a2677c82dfe478c00d450c85766ddf0d4","source_id":"us-ky","stale":false,"prev":"us-ky/krs-18a.225","next":"us-ky/krs-18a.2253"},"notice":"GroundRules: Original legal text. Not legal advice."}