40-2209e. Same; plans subject to act; certain laws inapplicable to plans; individual policies not subject to act.

282 words·~1 min read·/ks/chapter-40/40-2209e

A research copy — for the controlling text, always check the official state or federal source. Not legal advice.

(a)Any individual or group health benefit plan issued to a group authorized by K.S.A. 40-2209 (a), and amendments thereto, shall be subject to the provisions of this act if it provides health care benefits covering employees of a small employer and if it meets any one of the following conditions:

(1)Any portion of the premium is paid by a small employer, or any covered individual, whether through wage adjustments, reimbursement, withholding or otherwise;

(2)the health benefit plan is treated by the employer or any of the covered individuals as part of a plan or program for the purposes of section 106 or section 162 of the United States internal revenue code; or

(3)with the permission of the board, the carrier elects to renew or continue a health benefit plan covering employees of an employer who no longer meets the definition of a "small employer."

(b)Except as expressly provided in this act, no health benefit plan offered to a small employer shall be subject to:

(1)Any law that would inhibit any carrier from contracting with providers or groups of providers with respect to health care services or benefits;

(2)any law that would impose any restriction on the ability to negotiate with providers regarding the level or method of reimbursing care or services provided under the health benefit plan.

(c)Individual policies of accident and sickness insurance issued to individuals and their dependents totally independent of any group, association or trust arrangement permitted under K.S.A. 40-2209 , and amendments thereto, shall not be subject to the provisions of this act.