304.17A -330 Self -insurance reporting requirements -- Exemption. (1) All insurers authorized to write health insurance in this state and employer - organized associations that self -insure shall transmit at least annually by July 31 to the commissioner the following information, in a format prescribed by the commissioner, on t heir insurance experience in this state for the preceding calendar year: (a) Total premium by product type and market segment; (b) Total enrollment by product type and market segment; (c) Total cost of medical claims filed by product type and market segmen t; (d) Total amount of medical claims paid by the insurer and insured by product type and market segment; (e) Total policies canceled by type and the aggregate reasons therefor; and (f) List of total health and medical services paid for, grouped by types o f services and costs: 1. Total cost per health and medical service per insured group: a. Cost paid by insurer; b. Cost paid by insured; and 2. Number of insureds who received each service. (2) With the approval of the commissioner, the department may exemp t insurers, employer -organized associations that self -insure, and health purchasing outlets from ureds who received each service. (2) With the approval of the commissioner, the department may exemp t insurers, employer -organized associations that self -insure, and health purchasing outlets from the data reporting requirements of this section if the total number of insureds is less than five hundred (500). Effective: July 15, 2010 History: Amended 2010 Ky. Acts ch. 24, sec. 1225, effective July 15, 2010. -- Amended 2004 Ky. Acts ch. 59, sec. 5, effective July 13, 2004. -- Amended 2000 Ky. Acts ch. 521, sec. 3, effective July 14, 2000. -- Created 1998 Ky. Acts ch. 496, sec. 41, effective Apri l 10, 1998.
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