Kentucky Revised Statutes (Last Updated: May 10, 2014) |
TITLE XXV. BUSINESS AND FINANCIAL INSTITUTIONS |
CHAPTER 304. INSURANCE CODE |
Subtitle 17A. Health Benefit Plans |
Miscellaneous Provisions |
17A-080. Health Insurance Advisory Council -- Powers -- Duties -- Members -- Expenses and supplies. |
17A-090. Repealed, 1998 [Repealed] |
17A-095. Insurer issuing health benefit plan must file rates and charges -- Commissioner's approval -- Policy forms -- Administrative regulations -- Hearing. |
17A-0952. Premium rate guidelines for individual, small group, and association plans. |
17A-0954. Definitions for section -- Premium rate guidelines for employer-organized association plans. |
17A-096. Basic health benefit plans permitted for individual, small group, and association markets -- Required coverage -- Exclusions from coverage. |
17A-097. Disclosure of coverage levels in basic health benefit plan. |
17A-098. Rewards or incentives to participate in voluntary wellness or health improvement program. |
17A-100. Repealed, 1998. [Repealed] |
17A-110. Repealed, 1998. [Repealed] |
17A-120. Repealed, 1998. [Repealed] |
17A-130. Repealed, 1998. [Repealed] |
17A-131. Coverage for cochlear implants. |
17A-132. Coverage for hearing aids. |
17A-133. Coverage for mammograms. |
17A-135. Coverage for treatment of breast cancer. |
17A-136. Coverage for cancer clinical trials. |
17A-137. Repealed, 2002. [Repealed] |
17A-140. Coverage applicable to children to include legally-adopted children. |
17A-141. Definitions for KRS 304.17A-141, 304.17A-142, and 304.17A-143. |
17A-142. Coverage for autism spectrum disorders -- Limitations on coverage -- Utilization review -- Reimbursement not required. |
17A-143. Coverage for treatment of autism in the individual and small group market -- Limitation -- Definitions. |
17A-145. Maternity coverage to include specified amounts of inpatient care for mothers and newly-born children -- Exemption. |
17A-146. Coverage for registered nurse first assistant. |
17A-147. Coverage for surgical first assisting or intraoperative surgical care to include services performed by certified surgical assistant. |
17A-1473. Coverage for surgical first assisting or intraoperative surgical care to include services performed by certified surgical assistant or physician assistant. |
17A-148. Coverage for diabetes. |
17A-149. Coverage for anesthesia and services in connection with dental procedures for certain patients. |
17A-150. Unfair trade practices -- Penalties. |
17A-155. Prohibition against denial of coverage to victims of domestic violence. |
17A-160. Repealed, 1998. [Repealed] |
17A-161. Definitions for KRS 304.17A-161 and 304.17A-162. |
17A-162. Contract between pharmacy benefit manager and contracted pharmacy -- Contents -- Resolution of disputes over maximum allowable cost pricing -- Duties of pharmacy benefit manager. |
17A-163. Override of restrictions on medication sequence in step therapy or fail-first protocol. |
17A-165. Prescription drug coverage to include exceptions or override policy for refills of covered drugs -- Limitations and exclusions. |
17A-170. Definitions for KRS 304.17A-170 and 304.17A-171. |
17A-171. Requirements for health benefit plans that include chiropractic benefits. |
17A-173. Payment for coverage of services within scope of practice of optometrists. |
17A-175. Limitation on amount of copayment or coinsurance charged for services rendered by chiropractor or optometrist. |
17A-177. Limitation on amount of copayment or coinsurance charged for services rendered by occupational or physical therapist -- Insurer to clearly state coverage. |
17A-210. Repealed, 2000. [Repealed] |
17A-220. Pre-existing condition exclusion in group coverage -- Definitions for section. |
17A-230. Pre-existing condition exclusion in individual market -- Prohibition against use of genetic information -- Administrative regulations. |
17A-240. Renewal or continuation -- Ground for nonrenewal, cancellation, or discontinuance. |
17A-243. Grace period for unpaid premiums. |
17A-245. Required notice of cancellation -- Procedure -- Refund of unearned premium. |
17A-250. Standard health benefit plan -- Individual or small group markets -- Writing requirement for provider participation -- Time limit for rate quote -- Notice of denial of coverage. |
17A-252. Health benefit plan not required to include state-mandated benefits enacted after issuance. |
17A-254. Duties of insurer offering health benefit plan. |
17A-256. Options for dependent coverage under group health benefit plans -- Disclaimer. |
17A-257. Coverage under health benefit plan for colorectal cancer examinations and laboratory tests. |
17A-258. Coverage under health benefit plan for therapeutic food, formulas, supplements, and low-protein modified food products. |
17A-260. Repealed, 2002. [Repealed] |
17A-270. Nondiscrimination against provider in geographic coverage area. |
17A-275. Health benefit plan not to discriminate against physician on basis of degree in medicine or osteopathy. |
17A-280. Repealed, 2000. [Repealed] |
17A-290. Prohibition against renewal of nonstate employees and small groups under KRS 18A.2251 or 18A.2281. |
17A-300. Provider-sponsored integrated health delivery network -- Qualifications -- Fees -- Network subject to provisions of other subtitles. |
17A-310. Financial solvency requirements for network. |
17A-320. Certificate of filing for employer-organized association -- Effect -- Revocation. |
17A-330. Self-insurance reporting requirements -- Exemption. |
17A-340. Restrictions on use of Kentucky Children's Health Insurance Program allocated funds. |
17A-350. Repealed, 2002. [Repealed] |