Terms Used In Kansas Statutes 40-3808

  • Payor: means an insurer or an employer administering its employee benefit plan or the employee benefit plan of an affiliated employer under common management or control. See Kansas Statutes 40-3801
  • Settlement: Parties to a lawsuit resolve their difference without having a trial. Settlements often involve the payment of compensation by one party in satisfaction of the other party's claims.

(a) An administrator shall not enter into an agreement or understanding with a payor in which the effect is to make the amount of the administrator’s commissions, fees or charges contingent upon savings effected by the adjustment, settlement and payment of losses covered by the payor’s obligations. This provision shall not prohibit an administrator from receiving performance-based compensation for providing hospital or other auditing services, from providing managed care or related services, or from being compensated for subrogation expenses.

(b) This section shall not prevent the compensation of an administrator from being based on premiums or charges collected or the number of claims paid or processed.