Kentucky Statutes 304.38-180 – Prohibited practices
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(1) No health maintenance organization, or representative thereof, may cause or knowingly permit the use of advertising or solicitation which is untrue or misleading, or any form of evidence of coverage which is deceptive.
(2) No health maintenance organization shall cancel an enrollee‘s coverage, except for the failure to pay the charge for such coverage, or for such other reasons as may be promulgated in regulations issued by the commissioner.
(3) Subtitle 12 of this chapter shall be construed to apply to health maintenance organizations and evidences of coverage, except to the extent that the commissioner determines that the nature of health maintenance organizations and evidence of coverage under such sections is clearly inappropriate.
Effective: July 15, 2010
History: Amended 2010 Ky. Acts ch. 24, sec. 1512, effective July 15, 2010. — Created
1974 Ky. Acts ch. 357, subtit. 38, sec. 18, effective June 21, 1974.
(2) No health maintenance organization shall cancel an enrollee‘s coverage, except for the failure to pay the charge for such coverage, or for such other reasons as may be promulgated in regulations issued by the commissioner.
Terms Used In Kentucky Statutes 304.38-180
- Commissioner: means the commissioner of the Department of Insurance. See Kentucky Statutes 304.38-030
- Enrollee: means a person who has been enrolled in a health maintenance organization. See Kentucky Statutes 304.38-030
- Evidence: Information presented in testimony or in documents that is used to persuade the fact finder (judge or jury) to decide the case for one side or the other.
- Health maintenance organization: means any person who undertakes to provide, directly or through arrangements with others, health care services to individuals enrolled with such an organization on a per capita or a predetermined, fixed prepayment basis. See Kentucky Statutes 304.38-030
(3) Subtitle 12 of this chapter shall be construed to apply to health maintenance organizations and evidences of coverage, except to the extent that the commissioner determines that the nature of health maintenance organizations and evidence of coverage under such sections is clearly inappropriate.
Effective: July 15, 2010
History: Amended 2010 Ky. Acts ch. 24, sec. 1512, effective July 15, 2010. — Created
1974 Ky. Acts ch. 357, subtit. 38, sec. 18, effective June 21, 1974.