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304.17-030 Scope and format of policy.
No policy of health insurance shall be delivered or issued for delivery to any person
in this state unless it otherwise complies with this title, and complies with the
following:
(1) The entire money and other considerations therefor shall be expressed therein;
(2) The time when the insurance takes effect and terminates shall be expressed
therein;
(3) It shall purport to insure only one (1) person, except that a policy may insure,
originally or by subsequent amendment, upon the application of an adult
member of a family, who shall be deemed the policyholder, any two (2) or more
eligible members of that family, including husband, wife, unmarried dependent
children to age nineteen (19), unmarried children from nineteen (19) to
twenty-five (25) years of age who are full-time students enrolled in and
attending an accredited educational institution and who are primarily
dependent on the policyholder for maintenance and support, and any other
person dependent upon the policyholder as provided pursuant to KRS
304.17-310;
(4) The style, arrangement, and overall appearance of the policy shall give no
undue prominence to any portion of the text, and every printed portion of the
text of the policy and of any indorsements or attached papers shall be plainly
printed in light-faced type of a style in general use, the size of which shall be
uniform and not less than ten (10) point with a lower case unspaced alphabet
length not less than one hundred and twenty (120) point (the "text" shall include
all printed matter except the name and address of the insurer, name on title of
the policy, the brief description, if any, and captions and subcaptions);
(5) The exceptions and reductions of indemnity shall be set forth in the policy and
other than those contained in KRS 304.17-050 to 304.17-290, inclusive, shall
be printed, at the insurer's option, either included with the benefit provision to
which they apply, or under an appropriate caption such as "Exceptions," or
"Exceptions and Reductions," except that if an exception or reduction
specifically applies only to a particular benefit of the policy, a statement of the
exception or reduction shall be included with the benefit provision to which it
applies;
(6) Each form, including riders and indorsements, shall be identified by a form
number in the lower left-hand corner of the first page thereof; and
(7) The policy shall contain no provision purporting to make any portion of the
charter, rules, constitution, or bylaws of the insurer a part of the policy unless
the portion is set forth in full in the policy, except in the case of the
incorporation of, or reference to, a statement of rates or classification of risks,
or short-rate table filed with the commissioner.
Effective:July 15, 2010
History: Amended 2010 Ky. Acts ch. 24, sec. 1201, effective July 15, 2010. -Amended 1998 Ky. Acts ch. 483, sec. 18, effective July 15, 1998. -- Created
1970 Ky. Acts ch. 301, subtit. 17, sec. 3, effective June 18, 1970.
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