Subtitle 38. Health Maintenance Organizations  


38-010. Title.
38-020. Purpose.
38-030. Definitions for subtitle.
38-035. Certificate required for health maintenance organization.
38-040. Establishment of health maintenance organizations.
38-050. Evidence of coverages and charges for health care service -- Exception.
38-060. Issuance of certificate of authority.
38-065. Repealed, 2002. [Repealed]
38-070. Requirements for protection against insolvency -- Risk-based capital requirements.
38-073. Deposit of cash or securities for performance of obligations to enrollees.
38-075. Requirements for transfer of risk to provider -- Additional reserves may be required.
38-077. Repealed, 2002. [Repealed]
38-080. Information to enrollees.
38-090. Annual report.
38-095. Application of KRS 304.2-205.
38-098. Compliance with KRS 304.18-124 to 304.18-127.
38-100. Investments.
38-110. Agent of health maintenance organization -- Licensing -- Continuing education -- Appointment.
38-120. Financial condition, market conduct, and business practices subject to examination.
38-130. Revocation or suspension of certificate of authority.
38-140. Rehabilitation, liquidation, or conservation of health maintenance organization.
38-150. Rules and regulations.
38-160. Repealed, 1982. [Repealed]
38-170. Public documents -- Statutory construction.
38-180. Prohibited practices.
38-185. Coordination of benefits.
38-190. Powers of insurers.
38-191. Conversion and continuation rights upon termination of group coverage.
38-192. Repealed, 1986. [Repealed]
38-193. Coverage for treatment for mental illness.
38-1933. Coverage for services of licensed psychologist or licensed clinical social worker.
38-1934. Coverage for medical and surgical benefits with respect to mastectomy, diagnosis and treatment of endometrioses and endometritis, and bone density testing -- Duties of health maintenance organization.
38-1935. Coverage for mammograms.
38-1936. Coverage for treatment of breast cancer.
38-1937. Coverage for treatment of temporomandibular joint disorders and craniomandibular jaw disorders.
38-194. Pooling of claims experience required.
38-195. Policy covering services performed by dentist deemed to cover such services performed by physician.
38-1955. Construction of provisions for services by licensed optometrist or licensed ophthalmic dispenser to include same services from licensed physician.
38-196. Indemnity payable for services performed by chiropractors, physicians, osteopaths, or podiatrists.
38-197. Coverage for treatment of alcoholism.
38-198. Optional nursery care coverage for a well newly born child.
38-199. Coverage for newly-born child.
38-200. Application of other subtitles.
38-205. Medicare supplement coverage for persons not eligible for Medicare by reason of age.
38-210. Health maintenance organizations as insurers to offer home health care coverage -- Conditions.
38-220. Long-term health care benefits.
38-225. Requirements for health maintenance organization that provides hospital benefits coverage and requires utilization review of benefits.
38-230. Funding of benefits by employer or group contract holder.
Health Discount Plans
38-500. Repealed, 2002. [Repealed]
38-505. Repealed, 2002. [Repealed]
38-510. Repealed, 2002. [Repealed]