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Kentucky Revised Statutes

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Statutes Last Updated November 10, 2008

Includes Enactments through the 2008 Extraordinary Session
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KRS Chapter 304.38


  • .010   Title.

  • .020   Purpose.

  • .030   Definitions for subtitle.

  • .035   Certificate required for health maintenance organization.

  • .040   Establishment of health maintenance organizations.

  • .050   Evidence of coverages and charges for health care service -- Exception.

  • .060   Issuance of certificate of authority.

  • .065   Repealed, 2002.

  • .070   Requirements for protection against insolvency -- Risk-based capital requirements.

  • .073   Deposit of cash or securities for performance of obligations to enrollees.

  • .075   Requirements for transfer of risk to provider -- Additional reserves may be required.

  • .077   Repealed, 2002.

  • .080   Information to enrollees.

  • .090   Annual report.

  • .095   Application of KRS 304.2-205.

  • .098   Compliance with KRS 304.18-124 to 304.18-127.

  • .100   Investments.

  • .110   Agent of health maintenance organization -- Licensing -- Continuing education -- Appointment.

  • .120   Financial condition, market conduct, and business practices subject to examination.

  • .130   Revocation or suspension of certificate of authority.

  • .140   Rehabilitation, liquidation, or conservation of health maintenance organization.

  • .150   Rules and regulations.

  • .160   Repealed, 1982.

  • .170   Public documents -- Statutory construction.

  • .180   Prohibited practices.

  • .185   Coordination of benefits.

  • .190   Powers of insurers.

  • .191   Conversion and continuation rights upon termination of group coverage.

  • .192   Repealed, 1986.

  • .193   Coverage for treatment for mental illness.

  • .1933   Coverage for services of licensed psychologist or licensed clinical social worker.

  • .1934   Coverage for medical and surgical benefits with respect to mastectomy, diagnosis and treatment of endometrioses and endometritis, and bone density testing -- Duties of health maintenance organization.

  • .1935   Coverage for mammograms.

  • .1936   Coverage for treatment of breast cancer.

  • .1937   Coverage for treatment of temporomandibular joint disorders and craniomandibular jaw disorders.

  • .194   Pooling of claims experience required.

  • .195   Policy covering services performed by dentist deemed to cover such services performed by physician.

  • .1955   Construction of provisions for services by licensed optometrist or licensed ophthalmic dispenser to include same services from licensed physician.

  • .196   Indemnity payable for services performed by chiropractors, physicians, osteopaths, or podiatrists.

  • .197   Coverage for treatment of alcoholism.

  • .198   Optional nursery care coverage for a well newly born child.

  • .199   Coverage for newly-born child.

  • .200   Application of other subtitles.

  • .205   Medicare supplement coverage for persons not eligible for Medicare by reason of age.

  • .210   Health maintenance organizations as insurers to offer home health care coverage -- Conditions.

  • .220   Long-term health care benefits.

  • .225   Requirements for health maintenance organization that provides hospital benefits coverage and requires utilization review of benefits.

  • .230   Funding of benefits by employer or group contract holder.

  • Health Discount Plans

  • .500   Repealed, 2002.

  • .505   Repealed, 2002.

  • .510   Repealed, 2002.

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