Top Law and Government Legislation regarding 'Insurance, Health' in Kentucky

Create new sections of KRS Chapter 36 to establish definitions; establish right of military leave for a member of the Kentucky National Guard or Reserve component with Kentucky as home of record and require reasonable notice be given to employer of that member; establish reemployment rights for returning members at the same pay and benefits as if the member had been continuously employed if member contacts employer within specified amount of time after return from active duty, or in another position if the member has a disability which makes them unqualified for their previous position; limit reemployment rights to members honorably discharged or otherwise satisfactorily released from active duty and when active duty is less than five years cumulatively; establish right to continue insurance benefits during active duty; provide that rights are supplemental to any federal rights and does not supersede any agreement that provide more beneficial rights to members; establish right of a member [...]

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Create a new section of Subtitle 17A of KRS Chapter 304 to define "dependent"; require a health benefit plan that provides coverage for an insured's dependent under which coverage of the dependent terminates at a certain age before the dependent's thirtieth birthday to, upon application by the dependent, provide coverage to the dependent until his or her thirtieth birthday; provide that an employer shall not be required by this section to pay all or part of the cost of the coverage for a dependent under this section; permit the dependent to make a written election at the prescribed time before his or her thirtieth birthday to be covered until his or her thirtieth birthday; permit a dependent for twelve months after the effective date of this section to make a written election to reinstate coverage under a plan as a dependent if the dependent's coverage as a dependent under a health benefit plan terminated prior to the effective date of this section; create a new section of Subtitle C of [...]

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Create new sections of Subtitle 17A of KRS Chapter 304 to require a health benefit plan with a provider network to provide coverage for the dialysis provider of the insured's choice; establish a method of determining the payment rate for out-of-network dialysis services; prevent restriction of the insured's choice; prevent restriction of the dialysis benefit during open enrollment; define "unreasonable distance" and prohibit travel of such distance for in-network dialysis service; provide coverage for out-of-network dialysis if the distance for in-network dialysis is unreasonable; require written notice of any change to a health plan with a provider network that would affect a dialysis patient's coverage or benefit level concerning out-of-network coverage; require payment directly to the dialysis provider and not to the patient; require the executive director of the Office of Insurance to conduct a review of all findings to determine compliance within 120 days of the effective date of this [...]

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Create a new section of KRS Chapter 18A to require the Personnel Cabinet to establish health insurance plans for Medicare-eligible retirees participating in the state-administered retirement systems and to establish minimum benefits; amend KRS 18A.225 to amend definition of employee to include employees of public and private employers for purposes of participation in the state health plan and to establish minimum benefits of the state health plan; amend KRS 18A.2254 to conform; create a new section of KRS Chapter 18A to require public agencies and the state-administered retirement systems to participate in the state health plan and to allow private employers to participate in the state health plan; amend KRS 79.080 to require participation by local government agencies in the state health plan by January 1, 2010; amend KRS 61.702 to require the Kentucky Retirement Systems to provide health insurance coverage through the state health plans and to make amendments to the hazardous duty retiree [...]

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Create a new section of KRS 304.17A-700 to 304.17A-730 to define the term carrier; require that a contract between a carrier and its pharmacy benefits administrator requiring electronic submission of claims also require electronic payments to the participating provider or designee for clean claims submitted electronically; require that a contract between a carrier and a participating pharmacy or its contracting agency requiring electronic submission of claims also require electronic payments to the participating provider or designee for clean claims submitted electronically; provide that an electronic claim is to be submitted in the form required by the carrier if the participating provider or designee agrees to accept claims details for the payments electronically and provides accurate electronic funds transfer information to the carrier; require that all electronic claims are to be in compliance with HIPAA regulations on privacy of electronic submissions; require that the provisions for [...]

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Establish Subtitle 17D of KRS Chapter 304 and create new sections thereof to establish the Insurance Coverage Affordability and Relief to Small Employers (ICARE) Program to make health insurance more affordable for small employer groups of 2 to 50 employees; require all health insurers that issue health benefit plans to small employer groups to be ICARE program participating insurers; establish 2 employer health care incentive programs for eligible employers; prohibit participation by an employer group whose average annual salary exceeds 300% of the federal poverty level; require each participating insurer to offer at least 1 enriched qualified health benefit plan to each employer group; direct that health care incentives shall be paid in amounts of $40 per employee per month to the employer group that has not provided coverage for the past 12 months and $60 per employee per month to the employer group that has at least 1 member with a high-cost health condition; authorize the Office of [...]

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Create new sections of Subtitle 17A of KRS Chapter 304 to require a health benefit plan with a provider network to provide coverage for the dialysis provider of the insured's choice; establish a method of determining the payment rate for out-of-network dialysis services; prevent restriction of the insured's choice; prevent restriction of the dialysis benefit during open enrollment; define "unreasonable distance" and prohibit travel of such distance for in-network dialysis service; provide coverage for out-of-network dialysis if the distance for in-network dialysis is unreasonable; require written notice of any change to a health plan with a provider network that would affect a dialysis patient's coverage or benefit level concerning out-of-network coverage; require payment directly to the dialysis provider and not to the patient; require the executive director of the Office of Insurance to conduct a review of all findings to determine compliance within 120 days of the effective date of this [...]

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Create new sections of Subtitle 17A of KRS Chapter 304 to provide for payment by a managed care plan to a physician seeking expedited credentialing; require insurers to provide payment or fee schedules to health care providers when contracting or renewing contracts with providers to enable providers to determine the manner and amount of payments under the contract prior to final execution or renewal of the contract; require any change to payment or fee schedules applicable to providers be made available to providers at least 30 days prior to the effective date of the amendment; provide that if an insurer issuing a managed care plan modifies an agreement it has entered into with a participating provider, the insurer must provide the provider with at least 30 days notice of the modification and notify the provider that the provider has the option to withdraw from the agreement at the end of the 30 day period prior to the modification becoming effective; require such provider who opts to withdraw [...]

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