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304.17B-013 Premium rates for health benefit plans under Kentucky Access.
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The schedule of rates, premium rates charged to enrollees, deductible amounts,
copayment amounts, coinsurance amounts, and other cost-sharing amounts shall be
established by the department. Premium rates charged to enrollees are not intended
to fully cover the cost of providing health care coverage to Kentucky Access
enrollees, and any claims in excess of premium rates shall be covered by the
Kentucky Access fund.
Premium rates for health benefit plans provided under Kentucky Access shall bear a
reasonable relationship to each other. Premium rates shall be varied based on age
and gender. The initial premium rates for plan coverage shall not exceed one
hundred fifty percent (150%) of the applicable individual standard risk rates, as
established by the department. In no event shall premium rates exceed one hundred
seventy-five percent (175%) of the rates applicable to individual standard risks.
Premium rates for coverage issued by Kentucky Access shall be established
annually by the department, using reasonable actuarial principles, and shall reflect
anticipated experience and expenses for risks under Kentucky Access.
Effective: July 15, 2010
History: Amended 2010 Ky. Acts ch. 24, sec. 1279, effective July 15, 2010. -- Created
2000 Ky. Acts ch. 476, sec. 7, effective July 14, 2000.
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