DEPARTMENT OF INSURANCE

Proposed Administrative Regulations

The administrative regulations are also available on the Legislative Research Commission’s website, at https://legislature.ky.gov/Law/kar/Pages/default.aspx

KAR #	Summary
806 KAR 9:025	This administrative regulation establishes the guidelines for individual agents, business entities, consultants, and adjusters to become licensed, obtain appointments, as required, in Kentucky, maintain their licenses through the completion of continuing education, and surrender their license voluntarily or have their appointment terminated by an insurer.
KAR Title	Filing Date	Email	Proposed Administrative Regulation	Regulatory Impact Statement	Amended MIR	Public Comment Meeting Notice
Licensing Process	9/15/2020	abigail.gall@ky.gov	806 KAR 9 025 Proposed Regulation	806 KAR 9 025 Regulatory Statements	Form 8301 Individual Application Form 8302-TE Termination Form 8302-AP Appointment	806 KAR 9 025 Public Notice
KAR #	Summary
806 KAR 4:010	This administrative regulation prescribes these services for which the Department of Insurance will charge fees and the amounts of those fees
KAR Title	Filing Date	Email	Proposed Administrative Regulation	Regulatory Impact Statement	Amended MIR	Public Comment Meeting Notice
Fees of the Department of Insurance	4/26/2021	abigail.gall@ky.gov	806 KAR 4 010 Proposed Regulation			806 KAR 4 010 Public Notice
KAR #	Summary
806 KAR 5:025	This administrative regulation implements KRS 304.5-140 by establishing credit for reinsurance.
KAR Title	Filing Date	Email	Proposed Administrative Regulation	Regulatory Impact Statement	Amended MIR	Public Comment Meeting Notice
Credit for reinsurance.	9/15/2021	abigail.gall@ky.gov	806 KAR 5 025 Proposed Regulation	806 KAR 5 025 Regulatory Statements	Form RJ-1 9-21 NEW	806 KAR 5 025 Public Notice
KAR #	Summary
806 KAR 10:030	This administrative regulation provides for the reporting procedures to be used
KAR Title	Filing Date	Email	Proposed Administrative Regulation	Regulatory Impact Statement	Amended MIR	Public Comment Meeting Notice
Surplus lines reporting and tax payment structure.	10/15/2021	abigail.gall@ky.gov	806 KAR 10 030 Proposed Administrative Regulation	806 KAR 10 030 Regulatory Statement		806 KAR 10 030 Public Notice
KAR #	Summary
806 KAR 11:020	This administrative regulation also identifies the provisions of the Insurance Code that will be applicable to multiple employer welfare arrangements.
KAR Title	Filing Date	Email	Proposed Administrative Regulation	Regulatory Impact Statement	Amended MIR	Public Comment Meeting Notice
Multiple employer welfare arrangements.	7/15/2021	abigail.gall@ky.gov	806 KAR 11 020 Proposed Regulation	806 KAR 11 020 Regulatory Statement	2021 MEWA CoR App Final m1-2020 FORM 800 2020-form-5500	806 KAR 11 020 Public Notice
KAR #	Summary
806 KAR 12:010	This administrative regulation clarifies the minimum standards for advertising as established in KRS 304.12-010 and 304.12-020.
KAR Title	Filing Date	Email	Proposed Administrative Regulation	Regulatory Impact Statement	Amended MIR	Public Comment Meeting Notice
Advertising of accident and sickness benefits.	10/15/2021	abigail.gall@ky.gov	806 AKR 12 010 Proposed Administrative Regulaiton	806 KAR 12 010 Regulatory Statements	FORM 440 2021 Clean	806 KAR 12 010 Public Notice
KAR #	Summary
806 KAR 12:095	This administrative regulation establishes unfair property and casualty insurance claims settlement practices, effectuating KRS 304.3-200(1)(e), 304.12-010, and 304.12-230.
KAR Title	Filing Date	Email	Proposed Administrative Regulation	Regulatory Impact Statement	Amended MIR	Public Comment Meeting Notice
Unfair claims settlement practices for property and casualty insurance.	4/26/2021	abigail.gall@ky.gov	806 KAR 12 095 Proposed Regulation	806 KAR 12 095 Regulatory Statements		806 KAR 12 095 Public Notice
KAR #	Summary
806 KAR 13:150	This administrative regulation establishes rate and rule filing procedures for property, casualty, surety, title, and mortgage guaranty insurance.
KAR Title	Filing Date	Email	Proposed Administrative Regulation	Regulatory Impact Statement	Amended MIR	Public Comment Meeting Notice
Property and casualty rate and rule filings.	4/26/2021	abigail.gall@ky.gov	806 KAR 13 150 Proposed Regulation	806 KAR 13 150 Regulatory Statements	Uniform Property & Casualty Product Coding Matrix Clean PC TD-1 Transmittal Document CLEAN	806 KAR 13 150 Public Notice
KAR #	Summary
806 KAR 14:007	This administrative regulation establishes rate and form filing procedures for health insurers.
KAR Title	Filing Date	Email	Proposed Administrative Regulation	Regulatory Impact Statement	Amended MIR	Public Comment Meeting Notice
Rate and form filing for health insurers.	10/15/2021	abigail.gall@ky.gov	806 KAR 14 007 Proposed Administrative Regulaiton	806 KAR 14 007 Regulatory Statements	HIPMC-F1 2021	806 KAR 14 007 Public Notice
KAR #	Summary
806 KAR 15:090	This administrative regulation establishes the notice that shall be provided to owners of life insurance policies at times specified in KRS 304.15-075(3) and exempts insurers from providing notice to owners whose life insurance policy has a net death benefit that is less than $100,000.
KAR Title	Filing Date	Email	Proposed Administrative Regulation	Regulatory Impact Statement	Amended MIR	Public Comment Meeting Notice
Notice of rights as an owner of a life insurance policy.	4/26/2021	abigail.gall@ky.gov	806 KAR 15 090 Proposed Regulaiton	806 KAR 15 090 Regulatory Statements	Notice 126 CLEAN	806 KAR 15 090 Public Notice
KAR #	Summary
806 KAR 17:070	The purpose of this administrative regulation is to provide additional filing procedures for health insurance rates.
KAR Title	Filing Date	Email	Proposed Administrative Regulation	Regulatory Impact Statement	Amended MIR	Public Comment Meeting Notice
Filing procedures for health insurance rates.	4/26/2021	abigail.gall@ky.gov	806 KAR 17 070 Proposed Regulation	806 KAR 17 070 Reglatory Statements		806 KAR 17 070 Public Notice
KAR #	Summary
806 KAR 17:085	The purpose of this administrative regulation is to establish the minimum standards for short-term nursing home insurance policies.
KAR Title	Filing Date	Email	Proposed Administrative Regulation	Regulatory Impact Statement	Amended MIR	Public Comment Meeting Notice
Minimum standards for short-term nursing home insurance policies.	4/26/2021	abigail.gall@ky.gov	806 KAR 17 085 Proposed Regulation	806 KAR 17 085 Regulatory Statements	Outline of Coverage Template HIPMC-STN1 NEW	806 KAR 17 085 Public Notice
KAR #	Summary
806 KAR 17:100	The purpose of this administrative regulation is to establish the requirements for a provider sponsored network applying for a certificate of filing.
KAR Title	Filing Date	Email	Proposed Administrative Regulation	Regulatory Impact Statement	Amended MIR	Public Comment Meeting Notice
Certificate of filing for provider-sponsored networks.	4/26/2021	abigail.gall@ky.gov	806 KAR 17 100 Proposed Regulation	806 KAR 17 100 Regulatory Statements	Form 996 CLEAN	806 KAR 17 100 Public Notice
KAR #	Summary
806 KAR 17:150	The purpose of this administrative regulation is to establish the format and procedure for the submission of a health benefit plan rate filing.
KAR Title	Filing Date	Email	Proposed Administrative Regulation	Regulatory Impact Statement	Amended MIR	Public Comment Meeting Notice
Health benefit plan rate filing requirements.	4/26/2021	abigail.gall@ky.gov	806 KAR 17 150 Proposed Regulation	806 KAR 17 150 Regulatory Statements	ASP NO ASOP NO HIPMC-R34 NEW ASOP NO HIPMC-R32 NEW HIPMC-R33 NEW HIPMC-F1 NEW
KAR #	Summary
806 KAR 17:230	This administrative regulation establishes the procedure to be followed when a medical director’s signature is required on health care benefit denials.
KAR Title	Filing Date	Email	Proposed Administrative Regulation	Regulatory Impact Statement	Amended MIR	Public Comment Meeting Notice
Requirements regarding medical director’s signature on health care benefit denials.	4/26/2021	abigail.gall@ky.gov	806 KAR 17 230 Proposed Regulation	806 KAR 17 230 Regulatory Statements	HIPMC-MD-1 CLEAN	806 KAR 230 Public Notice
KAR #	Summary
806 KAR 17:240	This administrative regulation establishes the data elements and the format for submitting annual reports to the Department of Insurance.
KAR Title	Filing Date	Email	Proposed Administrative Regulation	Regulatory Impact Statement	Amended MIR	Public Comment Meeting Notice
Data reporting requirements.	6/15/2021	abigail.gall@ky.gov	806 KAR 17 240 Proposed Regulation	806 KAR 17 240 Regulatory Statements	HIPMC-DR-1 CLEAN FINAL	806 KAR 17 240 Public Notice
KAR #	Summary
806 KAR 17:260	KRS 304.18-120(2) requires the department to promulgate administrative regulations to establish minimum benefits for a conversion policy issued pursuant to the conversion privilege contained in a group health policy.
KAR Title	Filing Date	Email	Proposed Administrative Regulation	Regulatory Impact Statement	Amended MIR	Public Comment Meeting Notice
Conversion policy minimum benefits.	6/15/2021	abigail.gall@ky.gov	806 KAR 17 260 Proposed Regulation	806 KAR 17 260 Regulatory Statements		806 KAR 17 260 Public Notice
KAR #	Summary
806 KAR 17:270	KRS 304.17A-138(4) requires that the department promulgate an administrative regulation in accordance with KRS Chapter 13A to designate the claim forms and records required to be maintained for telehealth claims.
KAR Title	Filing Date	Email	Proposed Administrative Regulation	Regulatory Impact Statement	Amended MIR	Public Comment Meeting Notice
Telehealth claim forms and records.	6/15/2021	abigail.gall@ky.gov	806 KAR 17 270 Proposed Regulation	806 KAR 17 270 Regulatory Statements	ADA Dental Claim Form 2019 CLEAN CMS 1500 CLEAN	806 KAR 17 270 Public Notice
KAR #	Summary
806 KAR 17:280	This administrative regulation establishes requirements for the registration of insurers or private review agents, and the utilization review process, including internal appeal of decisions.
KAR Title	Filing Date	Email	Proposed Administrative Regulation	Regulatory Impact Statement	Amended MIR	Public Comment Meeting Notice
Registration, utilization review, and internal appeal.	6/15/2021	abigail.gall@ky.gov	806 KAR 17 280 Proposed Regulation	806 KAR 17 280 Regulatory Statements	HIPMC-MD-1 02172021 CLEAN HIPMC-UR-1 01112021 CLEAN HIPMC-MD-1 01112021 CLEAN	806 KAR 17 280 Public Notice
KAR #	Summary
806 KAR 17:290	The purpose of this administrative regulation is to establish requirements, procedures for the certification of independent review entities, and the process for initiating and conducting external review of utilization review decisions.
KAR Title	Filing Date	Email	Proposed Administrative Regulation	Regulatory Impact Statement	Amended MIR	Public Comment Meeting Notice
Independent External Review Program.	6/15/2021	abigail.gall@ky.gov	806 KAR 17 290 Proposed Regulation	806 KAR 17 290 Regulatory Statement	806 KAR 17 290 Regulatory Statement	806 KAR 17 290 Public Notice
KAR #	Summary
806 KAR 17:300	This administrative regulation establishes the filing requirements of provider agreements, subcontract agreements, and risk sharing arrangements.
KAR Title	Filing Date	Email	Proposed Administrative Regulation	Regulatory Impact Statement	Amended MIR	Public Comment Meeting Notice
Provider agreement and risk-sharing agreement filing requirements.	11/15/2021	abigail.gall@ky.gov	806 KAR 17 300 Proposed Regulation	806 KAR 17 300 Regulatory Statements	HIPMC R1 NEW 10-21	Public Notice
KAR #	Summary
806 KAR 17:350	This administrative regulation prescribes the form and the time schedule for submitting reports to the Office of Health and Data Analytics within the Cabinet for Health and Family Services for each calendar year.
KAR Title	Filing Date	Email	Proposed Administrative Regulation	Regulatory Impact Statement	Amended MIR	Public Comment Meeting Notice
Guaranteed Acceptance Program (GAP) reporting requirements.	7/15/2021	abigail.gall@ky.gov	806 KAR 17 350 Proposed Regulaiton	806 KAR 17 350 Regulatory Statement	OHDA-GAP ERF-M-1& A-1 2021 DIRTY OHDA-GAPAFF-1 2021 DIRTY OHDA-GAPC-1 2021 DIRTY OHDA-GAP ERF-M-1&A-1 2021 CLEAN	806 KAR 17 350 Public Notice
KAR #	Summary
806 KAR 17:370	This administrative regulation establishes requirements for standardized health claim attachments and minimum requirements for routinely requested medical information health claim attachments.
KAR Title	Filing Date	Email	Proposed Administrative Regulation	Regulatory Impact Statement	Amended MIR	Public Comment Meeting Notice
Standardized health claim attachments.	6/15/2021	abigail.gall@ky.gov	806 KAR 17 370 Proposed Regulaiton	806 KAR 17 370 Regulatory Statements		806 KAR 17 370 Public Notice
KAR #	Summary
806 KAR 17:450	KRS 304.17A-762(3)(c) requires the commissioner promulgate regulations to establish disclosures that are required to be made by the insurance purchasing outlet to insurance
KAR Title	Filing Date	Email	Proposed Administrative Regulation	Regulatory Impact Statement	Amended MIR	Public Comment Meeting Notice
Insurance purchasing outlet requirements.	6/15/2021	abigail.gall@ky.gov	806 KAR 17 450 Proposed Regulation	806 KAR 17 450 Regulatory Statements		806 KAR 17 450 Public Notice
KAR #	Summary
806 KAR 17:470	This administrative regulation establishes requirements for the provision of health benefit plan information to an employer-organized association by an insurer offering a health benefit plan.
KAR Title	Filing Date	Email	Proposed Administrative Regulation	Regulatory Impact Statement	Amended MIR	Public Comment Meeting Notice
Data reporting to an employer-organized association health benefit plan.	6/15/2021	abigail.gall@ky.gov	806 KAR 17 470 Proposed Regulation	806 KAR 17 470 Regulatory Statements		806 KAR 17 470 Public Notice
KAR #	Summary
806 KAR 17:511	The intent of this administrative regulation is to repeal 806 KAR 17:005, 806 KAR 17:095, 806 KAR 17:170, 806 KAR 17:180, and 806 KAR 17:510.
KAR Title	Filing Date	Email	Proposed Administrative Regulation	Regulatory Impact Statement	Amended MIR	Public Comment Meeting Notice
Repeal of 806 KAR 17:005, 806 KAR 17:095, 806 KAR 17:170, 806 KAR 17:180, and 806 KAR 17:510.	4/26/2021	abigail.gall@ky.gov	806 KAR 17	806 KAR 17 511 Regulatory Statements		806 KAR 17 511 Public Notice
KAR #	Summary
806 KAR 17:575	This administrative regulation establishes the process for the department’s review of a complaint associated with a maximum allowable cost appeal, and the requirements for the cost listings made available by a pharmacy benefit manager.
KAR Title	Filing Date	Email	Proposed Administrative Regulation	Regulatory Impact Statement	Amended MIR	Public Comment Meeting Notice
Pharmacy benefit managers.	11/15/2021	abigail.gall@ky.gov	806 KAR 17 575 Proposed Regulation	806 KAR 17 575 Regulatory Statement		Public Notice
KAR #	Summary
806 KAR 17:580	KRS 304.17A-005(23)(j) authorizes the Department to promulgate an administrative regulation to determine other health care practitioners to be added to the definition of “health care provider” or “provider” for use in KRS Chapter 304, Subtitle 17A.
KAR Title	Filing Date	Email	Proposed Administrative Regulation	Regulatory Impact Statement	Amended MIR	Public Comment Meeting Notice
Definition of Health Care Provider	4/26/2021	abigail.gall@ky.gov	806 KAR 17 580 Proposed Regulaiton	806 KAR 17 580 Regulatory Statements
KAR #	Summary
806 KAR 17:590	This administrative regulation sets forth the format and submission time frame for the data reporting requirements in KRS 304.17A-732.
KAR Title	Filing Date	Email	Proposed Administrative Regulation	Regulatory Impact Statement	Amended MIR	Public Comment Meeting Notice
Annual Report on Providers Prescribing Medication for Addiction Treatment.	10/15/2021	abigail.gall@ky.gov	806 KAR 17 590 Proposed Regulation	806 KAR 17 590 Regulatory Statements	806 KAR 17 590 SDR Medical Claims Request 21 806 KAR 17 590 SDR Rx Pharmacy Claims Request 21	806 KAR 17 590 Public Notice
KAR #	Summary
806 KAR 18:030	This administrative regulation establishes guidelines for coordination of benefits by group health insurance contracts.
KAR Title	Filing Date	Email	Proposed Administrative Regulation	Regulatory Impact Statement	Amended MIR	Public Comment Meeting Notice
Group health insurance coordination of benefits.	11/15/2021	abigail.gall@ky.gov	806 KAR 18 030 Proposed Regulation	806 KAR 18 030 Regulatory Statement		Public Notice
KAR #	Summary
806 KAR 39:070	This administrative regulation establishes the requirements for the proof of insurance; the methods for reporting coverage provided for personal motor vehicles insured on a personal lines motor vehicle policy; the methods for presenting proof of motor vehicle insurance to a county clerk or peace officer; and the requirements for notifying the Department of Vehicle Regulation if a binder, contract, or commercial policy of motor vehicle insurance is cancelled or not renewed.
KAR Title	Filing Date	Email	Proposed Administrative Regulation	Regulatory Impact Statement	Amended MIR	Public Comment Meeting Notice
Proof of motor vehicle insurance.	7/15/2021	abigail.gall@ky.gov	806 KAR 39 070 Proposed Regulation	806 KAR 39 070 Regulatory Statement		806 KAR 39 070 Public Notice
KAR #	Summary
806 KAR 46:050	This administrative regulation establishes the procedures for liability self-insurance groups to submit these filings.
KAR Title	Filing Date	Email	Proposed Administrative Regulation	Regulatory Impact Statement	Amended MIR	Public Comment Meeting Notice
Liability self-insurance group rate, underwriting and evidence of coverage filings	6/15/2021	abigail.gall@ky.gov	806 KAR 46 050 Proposed Regulation	806 KAR 46 050 Regulatory Statements		806 KAR 46 050 Public Notice
KAR #	Summary
806 KAR 52:030	This administrative regulation establishes workers’ compensation self-insured group rate, rule and form filing procedures.
KAR Title	Filing Date	Email	Proposed Administrative Regulation	Regulatory Impact Statement	Amended MIR	Public Comment Meeting Notice
Workers’ compensation self-insured group rate, rule and form filings.	4/26/2021	abigail.gall@ky.gov	806 KAR 52 030 Proposed Regulaiton 806 KAR 52 030 Proposed Regulaiton	806 KAR 52 030 Regulatory Statements 806 KAR 52 030 Regulatory Statements		806 KAR 52 030 Public Notice 806 KAR 52 030 Public Notice