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2021 Kentucky Revised Statutes
Chapter 304 - Insurance code
Subtitle 304.38 - Health Maintenance Organizations
304.38-194 Pooling of claims experience required.

Universal Citation: KY Rev Stat § 304.38-194 (2021)
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304.38-194 Pooling of claims experience required. Pooling of claims experience for groups with fewer than fifty (50) insureds shall be required. No more than twenty-five percent (25%) of the premium for these groups shall be based on their own claims experience. This provision shall not permit competing health insurers or health maintenance organizations to jointly pool health insurance claims experience, health maintenance organization claims experience, or both, or to jointly develop rates. Effective: July 15, 1988 History: Created 1988 Ky. Acts ch. 354, sec. 6, effective July 15, 1988.
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