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The Kentucky Health Benefit Exchange (KHBE), a division of the Office of Health Data and Analytics (OHDA), has submitted the following new administrative regulation(s).  Administrative regulations are also published on the LRC Website.

 

Proposed Regulations


​900 KAR 10:120 – KHBE Eligibility and Enrollment in a Qualified Health Plan SHOP, and SHOP Formal Resolution Process (Amendment)

900 KAR 10:120 – KHBE Eligibility and Enrollment in a Qualified Health Plan SHOP, and SHOP Formal Resolution Process

This administrative regulation establishes the policies and procedures relating to eligibility and enrollment in a qualified health plan in the individual market, the operation of a Small Business Health Options Program, and the formal review process related to SHOP on the Kentucky Health Benefit Exchange.

​A public hearing on this administrative regulation shall, if requested, be held on August 22, 2022, at 9:00 a.m. using the CHFS Office of Legislative and Regulatory Affairs Zoom meeting room. The Zoom invitation will be emailed to each requestor the week prior to the scheduled hearing. Individuals interested in attending this virtual hearing shall notify this agency in writing by August 15, 2022, five (5) workdays prior to the hearing, of their intent to attend. If no notification of intent to attend the hearing is received by that date, the hearing may be canceled. This hearing is open to the public. Any person who attends virtually will be given an opportunity to comment on the proposed administrative regulation. A transcript of the public hearing will not be made unless a written request for a transcript is made. If you do not wish to be heard at the public hearing, you may submit written comments on this proposed administrative regulation until August 31, 2022. Send written notification of intent to attend the public hearing or written comments on the proposed administrative regulation to the contact person. Pursuant to KRS 13A.280(8), copies of the statement of consideration and, if applicable, the amended after comments version of the administrative regulation shall be made available upon request.


CONTACT PERSON: Krista Quarles, Policy Analyst, Office of Legislative and Regulatory Affairs, 275 East Main Street 5 W-A, Frankfort, KY 40621; Phone: 502-564-6746; Fax: 502-564-7091; CHFSregs@ky.gov​.​



​ 900 KAR 13:010 Guaranteed Acceptance Program (GAP) reporting requirements.

900 KAR 13:010 Guaranteed Acceptance Program (GAP) reporting requirements.

This regulation prescribes the form and time schedule for submitting reports to the office.

 

CONTACT PERSON: Krista Quarles, Policy Analyst, Office of Legislative and Regulatory Affairs, 275 East Main Street 5 W-A, Frankfort, KY 40621; Phone: 502-564-6746; Fax: 502-564-7091; CHFSRegs@ky.gov​.

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Current Regulations


900 KAR 10:111 – Definitions for 900 KAR Chapter 10

https://apps.legislature.ky.gov/law/kar/900/010/111.pdf

This administrative regulation establishes the definitions used for 900 KAR Chapter 10.


 

900 KAR 10:115 – Exchange Participation Requirements and Certification of Qualified Health Plans and Qualified Stand-Alone Dental Plans

https://apps.legislature.ky.gov/law/kar/900/010/115.pdf

This administrative regulation establishes the policies and procedures relating to the certification of a qualified health plan or a qualified stand-alone dental plan to be offered on the Kentucky Health Benefit Exchange.

KHBE-C1 Issuer Participation Intent Form


 

900 KAR 10:120 – KHBE Eligibility and Enrollment in a Qualified Health Plan SHOP, and SHOP Formal Resolution Process

https://apps.legislature.ky.gov/law/kar/900/010/120.pdf

This administrative regulation establishes the policies and procedures relating to eligibility and enrollment in a qualified health plan in the individual market, the operation of a Small Business Health Options Program, and the formal review process related to SHOP on the Kentucky Health Benefit Exchange.

Exchange Verification Plan – March 2021

*There is a proposed update to this Regulation*


 

900 KAR 10:125 – KHBE Consumer Assistance Program, kynector Certification, and Individual Agent Participation with KHBE

https://apps.legislature.ky.gov/law/kar/900/010/125.pdf

This administrative regulation establishes the consumer assistance program for the Kentucky Health Benefit Exchange and the policies and procedures relating to the certification of kynectors, and the registration of an individual agent.


 

900 KAR 10:130 – Appeals of Eligibility for KHBE Participation and Insurance Affordability Programs

https://apps.legislature.ky.gov/law/kar/900/010/130.pdf

This administrative regulation establishes the policies and procedures relating to appeals of eligibility determinations for KHBE participation and insurance affordability programs on the Kentucky Health Benefit Exchange.