Last Updated July 23, 2012
Enactments through the 2012 Extraordinary Session
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Terms & Conditions
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KRS Chapter 304.18
Terms & Conditions
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.010 Scope of subtitle -- Short title.
.020 "Group health insurance" defined -- Eligible groups and benefits.
.023 Repealed, 1996.
.025 Repealed, 2000.
.030 Required provisions in group policies.
.032 Coverage for newly born children from moment of birth.
.033 Optional nursery care coverage for a well newly born child.
.034 Medicare supplement insurance for persons not eligible for Medicare by reason of age.
.035 Ambulatory surgical centers, coverage.
.036 Coverage for treatment for mental illness.
.0363 Coverage for services of licensed psychologist or licensed clinical social worker.
.0365 Coverage for treatment of temporomandibular joint disorders and craniomandibular jaw disorders.
.037 Group or blanket health insurers to offer home health care coverage to master policyholder -- Conditions.
.038 Repealed, 1992.
.040 Direct payment of hospital, medical services.
.045 Requirements for insurer that issues policy or administers program providing for utilization review of benefits.
.050 Readjustment of premiums -- Dividends.
.055 Repealed, 2000.
.060 "Blanket health insurance" defined.
.070 Filing and required provisions in blanket policies.
.080 Application and certificates.
.085 Commissioner to prescribe guidelines for coordination of benefits by group health insurance policies.
.090 Payment of benefits under blanket policy.
.095 Indemnity payable for services performed by optometrists, osteopaths, physicians, chiropractors, or podiatrists.
.097 Policy covering services performed by dentist deemed to cover such services performed by physician.
.098 Coverage for mammograms.
.0983 Coverage for medical and surgical benefits with respect to mastectomy, diagnosis and treatment of endometrioses and endometritis, and bone density testing -- Duties of insurer.
.0985 Coverage for treatment of breast cancer.
.100 Legal liability of policyholders for death, injury to member insured under blanket policy.
.110 Continuation of group coverage after termination of membership in group -- Notice of eligibility.
.114 Conversion health insurance policy for member terminated under group policy -- Terms -- Situations in which conversion coverage need not be granted.
.115 Repealed, 1994.
.120 Minimum benefits under converted policy.
.124 "Group policy" defined.
.125 Liability for claims incurred during grace periods.
.126 Policies to provide reasonable extension of benefits during disability -- Extensions to be described in group policies and certificates.
.127 Transfer of liability when policy replaced by that of succeeding insurer.
Treatment of Alcoholism
.130 Policies to cover treatment for alcoholism -- Exclusions.
.140 Treatment of alcoholism -- Required provisions -- Minimum benefits.
.150 Treatment of alcoholism, minimum benefits may be exceeded.
.160 Alcoholism to be considered a disease.
.170 Alcoholism, definitions, requirements for treatment.
.180 Commissioner may adopt rules and regulations.