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304.17A-768 Voucher -- Redemption -- Payment of premium amount -- Fee to
process voucher -- Administrative regulations.
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A voucher issued by an employer shall only be redeemable at an insurance
purchasing outlet. A voucher shall be nonassignable and nontransferable.
An insurance purchasing outlet shall redeem the value of the voucher with the
employer. If an employer fails to redeem the value of the voucher, the
insurance purchasing outlet shall notify the eligible person. An eligible person
may pay the premium amount directly to the insurance purchasing outlet if the
employer fails to redeem the value of the voucher.
An insurance purchasing outlet shall pay an insurer the appropriate premium
amount on or before the premium due date. If an insurance purchasing outlet
fails to pay the premium amount on or before the due date the following shall
occur:
(a) An insurer shall issue the insurance purchasing outlet a notice of
termination if the premium amount is not paid pursuant to KRS
304.17A-245;
(b) Upon receipt of a notice of termination from the insurer, the insurance
purchasing outlet shall issue the eligible member a notice of termination;
and
(c) The insurer shall notify the eligible person of his or her conversion rights
under KRS 304.18-110.
An insurer may allow for a thirty-one (31) day grace period for the premium
amount to be paid by the insurance purchasing outlet.
The department shall prescribe the items to be included on a voucher.
An insurance purchasing outlet shall be required to accept a voucher as
payment for a health benefit plan, or as partial payment if the value of the
voucher is insufficient to cover the full premium of the health benefit plan.
An insurance purchasing outlet may charge a reasonable administrative fee to
cover the cost of processing the voucher.
The commissioner shall promulgate administrative regulations to implement
the provisions of this section.
Effective:July 15, 2010
History: Amended 2010 Ky. Acts ch. 24, sec. 1256, effective July 15, 2010. -Created 2002 Ky. Acts ch. 207, sec. 10, effective July 15, 2002.
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