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DEPARTMENT OF INSURANCE

Archives

The archived documents below are maintained for reference only. These documents do not meet current accessibility requirements of the Americans with Disabilities Act (ADA) and are not actively used to learn about, access or apply for our services.


Consumer Protection
Financial Standards
Health and Life
Companies Selling Short-Term Major Medical Insurance in Kentucky    - 12K
HIPMC-F2 Health Policy Forms Filing Certification Privilege Program Form    - 30K
HIPMC-RF25 (07/2008) - Basic Health Benefit Plan Summary Sheet - Form and Rate Filings    - 10K
HIPMC-F35 - Health Benefit Plan Summary Sheet - Form Filings    - 51K
HIPMC-F37 (07/2008) - Limited Health Service Benefit Plan Summary Sheet - Form Filings    - 51K
Income and Expense Worksheet    - 26K
Standardized Options Bronze Plan Checklist    - 809K
Standardized Options Gold Plan Checklist    - 809K
Standardized Options Silver Plan Checklist    - 809K
Standardized Options Silver 73 CSR Plan Checklist    - 811K
Standardized Options Silver 87 CSR Plan Checklist    - 811K
Standardized Options Silver 94 CSR Plan Checklist    - 811K    - 811K
TMJ Nonsurgical Treatment Preauthorization    - 32K
TMJ Surgical Treatment Preauthorization    - 35K
2023 Anthem Marketplace Service Area    - 179K
2023 CareSource, Molina-Passport, WellCare Marketplace Service Area    - 168K
2024 Anthem Marketplace Service Area Map    - 172K
2024 CareSource, Molina-Passport, WellCare Marketplace Service Area Map    - 179K
2025 Anthem Marketplace Service Area Map    - 172K
2025 CareSource, Molina-Passport, WellCare Marketplace Service Area Map    - 180K
Department of Labor's Model Continuation Coverage Election Notice    - 11K
HIPMC-GAP-AFF-1 (06/01) - Guaranteed Acceptance Program (GAP) Affidavit    - 6K
Life Form Filing Process    - 154K
Provider Adequacy and Accessibility Reporting    - 91K
HIPMC-GAP-C-1GAP (12-2000) - Guaranteed Acceptance Program (GAP) Certification Form    - 6K
HIPMC-GAPQR-2 (04/01) - Supporting Insurer's and Stop-Loss Carrier's Quarterly Report    - 6K
Local Government Premium Tax