§ 304.17B-001 Definitions for subtitle
§ 304.17B-003 Establishment of Kentucky Health Care Improvement Authority — Members and meetings — Programs and expenditure of funds — Public hearings — Annual report to the Governor and the General Assembly — Liabilities
§ 304.17B-005 Creation of Kentucky Access — Appointment of division director — Purpose — Liabilities
§ 304.17B-007 Duties of the Office of Health Data and Analytics in operation and administration of Kentucky Access
§ 304.17B-009 Powers of the Office of Health Data and Analytics in operation and administration of Kentucky Access
§ 304.17B-011 Third-party administrator to administer Kentucky Access — Selection and duties — Reimbursement for expenses
§ 304.17B-013 Premium rates for health benefit plans under Kentucky Access
§ 304.17B-015 Eligibility for coverage under Kentucky Access
§ 304.17B-017 Responsibility of the Office of Health Data and Analytics for evaluation and revision of rates and plans offered to Kentucky Access enrollees
§ 304.17B-019 Types of health benefit plans to be issued under Kentucky Access
§ 304.17B-021 Assessment of insurers — Kentucky Access fund — Reimbursement of GAP losses — Examination of insurers and stop-loss carriers to determine accuracy of information provided
§ 304.17B-023 Duties of GAP participating insurer and department to report and to provide information — Payment of GAP losses — Examination of insurers to determine accuracy of information provided
§ 304.17B-025 Enrollee’s option to renew health benefit plan — Guaranteed Acceptance Program to remain in effect with certain exceptions
§ 304.17B-027 Exemption of Kentucky Access and the Office of Health Data and Analytics from state and local taxes
§ 304.17B-029 Duties of the Office of Health Data and Analytics to report to General Assembly — State Auditor to audit Kentucky Access and report to the Legislative Research Commission and the Office of Health Data and Analytics
§ 304.17B-031 Administrative regulations to carry out KRS 304.17B-001 to 304.17B-031 — Kentucky Access subject to other laws
§ 304.17B-033 List of high-cost conditions — Recommendations and changes — Administrative regulations
§ 304.17B-035 Payment for coverage of services within scope of practice of optometrists
§ 304.17B-037 Limitation on amount of copayment or coinsurance charged for services rendered by chiropractor or optometrist

Terms Used In Kentucky Statutes > Chapter 304 > Subtitle 17B - Kentucky Access

  • Action: includes all proceedings in any court of this state. See Kentucky Statutes 446.010
  • agent: includes managing general agent unless the context requires otherwise. See Kentucky Statutes 304.9-085
  • any other state: includes any state, territory, outlying possession, the District of Columbia, and any foreign government or country. See Kentucky Statutes 446.010
  • Appeal: A request made after a trial, asking another court (usually the court of appeals) to decide whether the trial was conducted properly. To make such a request is "to appeal" or "to take an appeal." One who appeals is called the appellant.
  • Assessment process: means the process of assessing and allocating guaranteed acceptance program losses or Kentucky Access funding as provided for in KRS
    304. See Kentucky Statutes 304.17B-001
  • Attorney: means attorney-at-law. See Kentucky Statutes 446.010
  • Auditor: means the Auditor of Public Accounts. See Kentucky Statutes 43.010
  • Authority: means the Kentucky Health Care Improvement Authority. See Kentucky Statutes 304.17B-001
  • branch budget: means an enactment by the General Assembly which provides appropriations and establishes fiscal policies and conditions for the biennial financial plan for the judicial branch, the legislative branch, and the executive branch, which shall include a separate budget bill for the Transportation Cabinet. See Kentucky Statutes 446.010
  • Case management: means a process for identifying an enrollee with specific health care needs and interacting with the enrollee and their respective health care providers in order to facilitate the development and implementation of a plan that efficiently uses health care resources to achieve optimum health outcome. See Kentucky Statutes 304.17B-001
  • City: includes town. See Kentucky Statutes 446.010
  • Company: may extend and be applied to any corporation, company, person, partnership, joint stock company, or association. See Kentucky Statutes 446.010
  • Complaint: A written statement by the plaintiff stating the wrongs allegedly committed by the defendant.
  • Contract: A legal written agreement that becomes binding when signed.
  • Conviction: A judgement of guilt against a criminal defendant.
  • Corporation: A legal entity owned by the holders of shares of stock that have been issued, and that can own, receive, and transfer property, and carry on business in its own name.
  • Corporation: may extend and be applied to any corporation, company, partnership, joint stock company, or association. See Kentucky Statutes 446.010
  • Dependent: A person dependent for support upon another.
  • Earned premium: means the portion of premium paid by an insured that has been allocated to the insurer's loss experience, expenses, and profit year to date. See Kentucky Statutes 304.17B-001
  • Enrollee: means a person who is enrolled in a health benefit plan offered under
    Kentucky Access. See Kentucky Statutes 304.17B-001
  • Equitable: Pertaining to civil suits in "equity" rather than in "law." In English legal history, the courts of "law" could order the payment of damages and could afford no other remedy. See damages. A separate court of "equity" could order someone to do something or to cease to do something. See, e.g., injunction. In American jurisprudence, the federal courts have both legal and equitable power, but the distinction is still an important one. For example, a trial by jury is normally available in "law" cases but not in "equity" cases. Source: U.S. Courts
  • 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.
  • Ex officio: Literally, by virtue of one's office.
  • Federal: refers to the United States. See Kentucky Statutes 446.010
  • Gift: A voluntary transfer or conveyance of property without consideration, or for less than full and adequate consideration based on fair market value.
  • Guardian: A person legally empowered and charged with the duty of taking care of and managing the property of another person who because of age, intellect, or health, is incapable of managing his (her) own affairs.
  • High-cost condition: means acquired immune deficiency syndrome (AIDS), angina pectoris, ascites, chemical dependency, cirrhosis of the liver, coronary insufficiency, coronary occlusion, cystic fibrosis, Friedreich's ataxia, hemophilia, Hodgkin's disease, Huntington's chorea, juvenile diabetes, leukemia, metastatic cancer, motor or sensory aphasia, multiple sclerosis, muscular dystrophy, myasthenia gravis, myotonia, open-heart surgery, Parkinson's disease, polycystic kidney, psychotic disorders, quadriplegia, stroke, syringomyelia, Wilson's disease, chronic renal failure, malignant neoplasm of the trachea, malignant neoplasm of the bronchus, malignant neoplasm of the lung, malignant neoplasm of the colon, short gestation period for a newborn child, and low birth weight of a newborn child. See Kentucky Statutes 304.17B-001
  • Incurred losses: means for Kentucky Access the excess of claims paid over premiums received. See Kentucky Statutes 304.17B-001
  • Indemnification: In general, a collateral contract or assurance under which one person agrees to secure another person against either anticipated financial losses or potential adverse legal consequences. Source: FDIC
  • Indictment: The formal charge issued by a grand jury stating that there is enough evidence that the defendant committed the crime to justify having a trial; it is used primarily for felonies.
  • Jurisdiction: (1) The legal authority of a court to hear and decide a case. Concurrent jurisdiction exists when two courts have simultaneous responsibility for the same case. (2) The geographic area over which the court has authority to decide cases.
  • Kentucky Health Care Improvement Fund: means the fund established for receipt of the Kentucky tobacco master settlement moneys for program initiatives listed in KRS §. See Kentucky Statutes 304.17B-001
  • Liabilities: The aggregate of all debts and other legal obligations of a particular person or legal entity.
  • Medicaid: means coverage in accordance with Title XIX of the Social Security
    Act, 42 U. See Kentucky Statutes 304.17B-001
  • Medicare: means coverage under both Parts A and B of Title XVIII of the Social
    Security Act, 42 U. See Kentucky Statutes 304.17B-001
  • Month: means calendar month. See Kentucky Statutes 446.010
  • Oath: A promise to tell the truth.
  • Office: means the Office of Health Data and Analytics in the Cabinet for Health and Family Services. See Kentucky Statutes 304.17B-001
  • Oversight: Committee review of the activities of a Federal agency or program.
  • public funds: means sums actually received in cash or negotiable instruments from all sources unless otherwise described by any state agency, state- owned corporation, university, department, cabinet, fiduciary for the benefit of any form of state organization, authority, board, bureau, interstate compact, commission, committee, conference, council, office, or any other form of organization whether or not the money has ever been paid into the Treasury and whether or not the money is still in the Treasury if the money is controlled by any form of state organization, except for those funds the management of which is to be reported to the Legislative Research Commission pursuant to KRS §. See Kentucky Statutes 446.010
  • 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.
  • State: when applied to a part of the United States, includes territories, outlying possessions, and the District of Columbia. See Kentucky Statutes 446.010
  • State agency: means any state officer, department, board, commission, institution, division, or other person or functional group that is authorized to exercise or does exercise any executive or administrative jurisdiction, powers, duties, rights or obligations of the state government conferred or imposed by law or exercised, performed, or discharged by legal authority in compliance with law. See Kentucky Statutes 43.010
  • Statute: A law passed by a legislature.
  • Stop-loss carrier: means any person providing stop-loss health insurance coverage. See Kentucky Statutes 304.17B-001
  • Sworn: includes "affirmed" in all cases in which an affirmation may be substituted for an oath. See Kentucky Statutes 446.010
  • Testify: Answer questions in court.
  • Tort: A civil wrong or breach of a duty to another person, as outlined by law. A very common tort is negligent operation of a motor vehicle that results in property damage and personal injury in an automobile accident.
  • Treatment: when used in a criminal justice context, means targeted interventions
    that focus on criminal risk factors in order to reduce the likelihood of criminal behavior. See Kentucky Statutes 446.010
  • written: means letters, words, or numbers, or their equivalent, set down by handwriting, typewriting, printing, photostating, photographing, magnetic impulse, mechanical or electronic recording, or other form of data compilation. See Kentucky Statutes 43.010
  • written: means letters, words, or numbers, or their equivalent, set down by handwriting, typewriting, printing, photostating, photographing, magnetic impulse, mechanical or electronic recording, or other form of data compilation. See Kentucky Statutes 44.001
  • Year: means calendar year. See Kentucky Statutes 446.010