2009 Kentucky Revised Statutes Subtitle 17A. Health Benefit Plans 304.17A.754 Application -- Approval and issuance of certificate -- Information to be filed -- Administrative regulations.
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304.17A-754 Application -- Approval and issuance of certificate -- Information to
be filed -- Administrative regulations.
(1) A business entity seeking to obtain a certificate of registration to act as an insurance
purchasing outlet shall complete and file with the commissioner of the Kentucky <br>Department of Insurance an application prescribed by the commissioner.
(2) An application shall not be deemed filed until all information necessary to process
the application properly has been received by the commissioner.
(3) Within one hundred eighty (180) days of receipt of an application for a certificate of
registration, the commissioner shall make a determination concerning the <br>application and provide notice to the applicant. If approved, a certificate of <br>registration, in a form prescribed by the commissioner, shall be provided to the <br>insurance purchasing outlet.
(4) The business entity seeking a certificate of registration to act as an insurance
purchasing outlet shall file the following with the commissioner: <br>(a) Organizational information, including partnership agreements, articles of
incorporation, bylaws, and other applicable documents;
(b) A business plan, including plan of operations, marketing plan, and financial
projections of not less than three (3) years;
(c) Appeal procedures for denied enrollment to a health purchasing outlet; <br>(d) Enrollment procedures; <br>(e) Payment procedures; <br>(f) Evidence of financial responsibility to operate as an insurance purchasing
outlet in the form of the following: <br>1.
A fidelity bond in an amount not less than ten percent (10%) of <br>projected annual premiums collected; and
2.
A certificate of an insurer authorized to write legal liability insurance in <br>Kentucky certifying that the insurer has and will keep in effect on behalf <br>of the insurance purchasing outlet a policy of insurance covering the <br>legal liability of the insurance purchasing outlet as a result of erroneous <br>acts or failure to act in its capacity as an insurance purchasing outlet. <br>The policy shall provide indemnification for the benefit of any aggrieved <br>party as a result of each single occurrence in the sum of not less than ten <br>thousand dollars ($10,000). The policy shall not be terminated unless at <br>least thirty (30) days prior written notice has been given to the <br>commissioner and to the insurance purchasing outlet;
(g) Biographical affidavits of owners, partners, officers, and directors of the
applicant;
(h) Identification of any contracted company which manages the insurance
purchasing outlet, or any administrator which adjusts or settles claims of the <br>insurance purchasing outlet members;
(i) Names and addresses of the principal places of business of the applicants; <br>(j) Geographic area to be serviced;
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(k) Requirements for membership and participation in the insurance purchasing
outlet;
(l) Name and address of each participating insurer, if known; <br>(m) Proposed health benefit plan to be offered, if known; and <br>(n) Any other information required by the commissioner to evaluate the
applicant's suitability as an insurance purchasing outlet.
(5) Any information filed by an insurance purchasing outlet pursuant to subsection (4)
of this section that changes shall be refiled with the commissioner for approval.
(6) The commissioner may promulgate administrative regulations to establish standards
in accordance with subsection (4) of this section.
Effective: July 15, 2010 <br>History: Amended 2010 Ky. Acts ch. 24, sec. 1252, effective July 15, 2010. -- Created
2002 Ky. Acts ch. 207, sec. 3, effective July 15, 2002.
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