Kentucky Administrative Regulations
Title 806 - PUBLIC PROTECTION CABINET - DEPARTMENT OF INSURANCE
Chapter 18 - Group and Blanket Health Insurance
Section 806 KAR 18:020 - Preferred and exclusive provider arrangements
Current through Register Vol. 50, No. 9, March 1, 2024
RELATES TO: KRS 304.12-010, 304.18-040, 304.32-080
NECESSITY, FUNCTION, AND CONFORMITY: KRS 304.2-110 and KRS 304.32-250 provide that the commissioner may make reasonable administrative regulations necessary for or as an aid to the effectuation of any provision of the Kentucky Insurance Code. This administrative regulation establishes guidelines for the use of preferred provider arrangements for group health insurers.
Section 1. Definitions.
Section 2. Contract Guidelines. Insurers shall not:
Section 3. Exception. Section 2 of this administrative regulation shall not apply to health maintenance organizations, limited health service organizations, and non-profit hospital, medical-surgical, dental, and health service corporations.
STATUTORY AUTHORITY: KRS 304.2-110, 304.32-250, 304.14-130