{"data":{"id":"us-ky/krs-304.17-182","jurisdiction":"us-ky","citation":"KRS 304.17-182","heading":"Special enrollment period for pregnancy.","body":"(1) As used in this section:\n(a) \"Health benefit plan\" has the same meaning as in KRS 304.17A -005, except\nfor purposes of this section, the term includes student health insurance offered\nby a Kentucky -licensed insurer under written contract with a university or\ncollege whose students it proposes to insure; and\n(b) \"Individual Exchange\":\n1. Means a governmental agency or nonprofit entity that makes qualified\nhealth plans, as defined in 42 U.S.C. sec. 18021, as amended, available\nto qualified individuals;\n2. Includes an exchange serving the individual market for qualified\nindividuals; and\n3. Does not include a Small Business Health Options Program serving the\nsmall group market for qualified employers.\n(2) To the extent permitted by federal law:\n(a) The following shall provide a special enrol lment period to pregnant women\nwho are eligible for coverage:\n1. Any insurer offering a health benefit plan in the individual market,\nwhich shall include student health insurance coverage as defined in 45\nC.F.R. sec. 147.145, as amended; and\n2. Any individual exchange operating in this state;\n(b) Except as provided in paragraph (c) of this subsection, the insurer or exchange\nshall allow a pregnant woman, and any individual who is eligible for coverage\nbecause of a relationship to a pregnant woman, to enroll for coverage under\nthe plan or on the exchange at any time during the pregnancy;\n(c) If the insurer or exchange is required by federal law to limit the enrollment\nperiod to a period that is less than the period provided in paragraph (b) of this\nsubsection:\n1. The enrollment period shall not be less than the maximum per iod of\ntime permitted by federal law; and\n2. The enrollment period shall begin not earlier than the date that the\npregnant woman receives confirmation of the pregnancy from a medical\nprofessional;\n(d) The coverage required under this subsection shall begin  no later than the first\nday of the first calendar month in which a medical professional determines\nthat the pregnancy began, except that a pregnant woman may direct coverage\nto begin on the first day of any month occurring after that date but during the\npregnancy; and\n(e) If a directive under paragraph (d) of this subsection falls outside of the\npregnancy period, the coverage required under this subsection shall begin no\nlater than the first day of the last month that occurred during the pregnancy.\n(3) (a) Nothing in this section shall be construed to imply that the insured is not\nresponsible for the payment of premiums for each month during which\ncoverage is provided.\n(b) For any coverage provided under this section, the original or first premium\nshall become due and owing not earlier than thirty (30) days after the date of\nenrollment.","path":[],"source_url":"https://apps.legislature.ky.gov/law/statutes/statute.aspx?id=55800","current_through":"Includes enactments through the 2026 Regular Session","vintage":"09/05/2026","retrieved_at":"2026-09-05T20:57:45Z","sha256":"6f3931d2a32eaca05167716ec04beed72e8b24f4ed57957975256adf352853cb","source_id":"us-ky","stale":false,"prev":"us-ky/krs-304.17-180","next":"us-ky/krs-304.17-185"},"notice":"GroundRules: Original legal text. Not legal advice."}