{"data":{"id":"us-ky/krs-304.38a-090","jurisdiction":"us-ky","citation":"KRS 304.38A-090","heading":"Suspension or revocation of certificate of authority -- Notification --","body":"Winding up affairs -- Applicable provisions.\n(1) The commissioner may suspend or revoke the certificate of authority issued to a\nlimited health service organization pursuant t o this subtitle upon determining that\nany of the following conditions exist:\n(a) The limited health service organization is operating significantly in\ncontravention of its basic organizational document or in a manner contrary to\nthat described in and reaso nably inferred from any other information\nsubmitted pursuant to KRS 304.38A -030, unless amendments to the\nsubmissions have been filed with and approved by the commissioner;\n(b) The limited health service organization issues an evidence of coverage or\nschedule of charges for limited health services which does not comply with\nthe requirements of Subtitle 17C of this chapter;\n(c) The limited health service organization is unable to fulfill its obligations to\nfurnish limited health services;\n(d) The limited health service organization is not financially responsible and may\nreasonably be expected to be unable to meet its obligations to enrollees or\nprospective enrollees;\n(e) The net worth of the limited health service organization is less than that\nrequired by KR S 304.38A-080 or the limited health service organization has\nfailed to correct any deficiency in its net worth as required by the\ncommissioner;\n(f) The continued operation of the limited health service organization would be\nhazardous to its enrollees; or\n(g) The limited health service organization has otherwise failed to comply with\nthis subtitle.\n(2) If the commissioner has cause to believe that grounds for the suspension or\nrevocation of a certificate of authority exist, he or she shall notify the limited  health\nservice organization in writing specifically stating the grounds for suspension or\nrevocation and fixing a time not more than sixty (60) days thereafter for a hearing\non the matter in accordance with KRS Chapter 13B.\n(3) When the certificate of authority of a limited health service organization is revoked,\nthe organization shall proceed immediately following the effective date of the order\nof revocation to wind up its affairs, and shall conduct no further business except as\nmay be essential to the o rderly conclusion of the affairs of the organization. It shall\nengage in no further advertising or solicitation whatsoever. The commissioner may,\nby written order, permit such further operation of the organization as he or she may\nfind to be in the best in terest of enrollees, to the end that enrollees will be afforded\nthe greatest practical opportunity to obtain continuing limited health services.\n(4) A limited health service organization shall be subject to the provisions of KRS\n304.2-210 to 304.2 -300 and to the provisions of Subtitle 2 of this chapter for\ndetermining financial condition, market conduct, and business practices.","path":[],"source_url":"https://apps.legislature.ky.gov/law/statutes/statute.aspx?id=30021","current_through":"Includes enactments through the 2026 Regular Session","vintage":"09/05/2026","retrieved_at":"2026-09-05T20:57:57Z","sha256":"5ce7454018ab8d18cfec811291d84e390e2c297251e3b89726b3c00be320c8df","source_id":"us-ky","stale":false,"prev":"us-ky/krs-304.38a-080","next":"us-ky/krs-304.38a-100"},"notice":"GroundRules: Original legal text. Not legal advice."}