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304.17A-760 Duties and powers of insurance purchasing outlet.

KY Rev Stat § 304.17A-760 (2019) (N/A)
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304.17A-760 Duties and powers of insurance purchasing outlet. (1) An insurance purchasing outlet shall: (a) Set and collect fees to finance necessary costs incurred in marketing, selling, servicing, and administering its services; (b) Offer health benefit plans to eligible persons; (c) Provide premium and voucher collection services for participating insurers; (d) Establish and adhere to appropriate administrative and accounting procedures for operating the health purchasing outlet; (e) Establish and adhere to rules, conditions, and procedures for insurance purchasing outlet members and participating insurers; (f) Establish and adhere to enrollment and participation requirements for insurance purchasing outlet members; (g) Receive, review, and conduct appeals for persons who have been denied enrollment to an insurance purchasing outlet; (h) Demonstrate and maintain at all times proof of financial responsibility and solvency; (i) Prepare an annual report on the operations of the insurance purchasing outlet the regulations promulgated by in accordance with administrative commissioner; (j) Establish procedures for billing and collection of premiums from insurance purchasing outlet members; (k) Establish procedures for collecting and redeeming vouchers; and (l) Maintain an administrator license in accordance with Subtitle 9 of Chapter 304. (2) An insurance purchasing outlet may: (a) Contract with qualified third parties for any services necessary to carry out the powers and duties authorized or required by this chapter; (b) Employ necessary staff; (c) Sue or be sued; (d) Contract with independent licensed administrators to adjust or settle claims, since the insurance purchasing outlet is prohibited from these activities in accordance with KRS 304.17A-758; and (e) Employ, contract, or otherwise use licensed insurance agents to market and service coverage. Effective: July 15, 2010 History: Amended 2010 Ky. Acts ch. 24, sec. 1254, effective July 15, 2010. -- Created 2002 Ky. Acts ch. 207, sec. 6, effective July 15, 2002.

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304.17A-760 Duties and powers of insurance purchasing outlet.