2009 Kentucky Revised Statutes Subtitle 17A. Health Benefit Plans 304.17A.762 Outlet to act as policyholder for member -- Certificate of coverage for each member -- Disclosure to members.
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304.17A-762 Outlet to act as policyholder for member -- Certificate of coverage for
each member -- Disclosure to members.
(1) For administrative purposes, an insurance purchasing outlet shall be the
policyholder or contract holder of the health benefit plan on behalf of an insurance <br>purchasing outlet member.
(2) The participating insurer shall issue a certificate of coverage to each insurance
purchasing outlet member.
(3) The insurance purchasing outlet shall provide the following disclosures to an
insurance purchasing outlet member at the time of enrollment: <br>(a) The insurance purchasing outlet is not an insurer and does not pay benefits or
claims. It collects and distributes premiums on behalf of insurance purchasing <br>outlet members;
(b) The insurance purchasing outlet is registered with the Kentucky Department
of Insurance to provide specific administrative services and may not assume <br>any risk for claim and benefit payments; and
(c) Other disclosures as the commissioner shall require by administrative
regulation.
Effective: July 15, 2010 <br>History: Amended 2010 Ky. Acts ch. 24, sec. 1255, effective July 15, 2010. -- Created
2002 Ky. Acts ch. 207, sec. 7, effective July 15, 2002.
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