Section 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 in accordance with administrative regulations promulgated by the 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;(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:7/15/2010
Amended 2010, Ky. Acts ch. 24, sec. 1254, effective7/15/2010. -- Created 2002, Ky. Acts ch. 207, sec. 6, effective 7/15/2002.