18A.2254 Self-insured plan for public employees -- Contract for third-party

247 words·~1 min read·/ky/18a-2254

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

administrator -- Formulary change -- Health reimbursement account, health

flexible spending account, or health savings account -- Public employee health

insurance trust fund -- Annual audit -- Quarterly status reports.

(1)Based on the recommendation of the secretary of the Personnel Cabinet, the

secretary of the Finance and Administration Cabinet, in lieu of contracting with one

(1)or more insurers licensed to do business in this state, shall procure, in

compliance with KRS 45A.080, 45A.085, and 45A.090, and reviewed by the

Government Contract Review Committee pursuant to KRS 45A.705, a contract

with one

(1)or more third-party administrators licensed to do business in the

Commonwealth pursuant to KRS 304.9-052 to administer a self-insured plan

offered to the Public Employee Health Insurance Program for public employees.

The requirements for the self-insured plan shall be as follows:

(a)1. The secretary of the Personnel Cabinet shall incorporate by reference in

an administrative regulation, pursuant to KRS 13A.2251, the plan year

handbook distributed by the Department of Employee Insurance in the

Personnel Cabinet to public employees covered under the self-insured

plan. The plan year handbook shall contain, at a minimum, the

premiums, employee contributions, employer contributions, and a

summary of benefits, copays, coinsurance, and deductibles for each plan

provided to public employees covered under the self-insured plan;

2. Notwithstanding any other provision of KRS Chapter 18A to the

contrary, the administrative regulation shall not be subject to review by

the Personnel Board prior to filing the administrative regulation with the