Title 806 | Chapter 017 | Regulation 350


REPEALED
This document is no longer current.
(New Administrative Regulation)

806 KAR 17:350.Guaranteed Acceptance Program (GAP) reporting requirements.

Section 1.

Definitions.

(1)

"Office" is defined in KRS 304.1-050(2).

(2)

"Earned premium" is defined in KRS 304.17B-001(8).

(3)

"Guaranteed Acceptance Program" or "GAP" is defined in KRS 304.17B-001(11).

(4)

"Guaranteed Acceptance Program Electronic Report Format-A" or HIPMC-GAPERF-A-1 means a three and five-tenths (3.5) inch diskette in a Microsoft Excel spreadsheet format with written procedural instructions for reporting annual data pertaining to insurer premiums and GAP individuals.

(5)

"Guaranteed Acceptance Program Electronic Report Format-M" or HIPMC-GAPERF-M-1 means a three and five-tenths (3.5) inch diskette in a Microsoft Excel spreadsheet format with written procedural instructions for reporting monthly data pertaining to insurer premiums and GAP individuals.

(6)

"Guaranteed Acceptance Program participating insurer" is defined in KRS 304.17B-001(12).

(7)

"Health benefit plan" is defined in KRS 304.17A-005(22).

(8)

"Insurer" is defined in KRS 304.17A-005(27).

(9)

"Supporting Insurer" is defined in KRS 304.17B-001(27).

Section 2.

GAP Participating Insurer's Monthly Report. A GAP participating insurer shall submit a HIPMC-GAPERF-M-1 (04/01), incorporated by reference in this administrative regulation, to the office within thirty (30) calendar days after the end of each calendar month.

Section 3.

Supporting Insurer's and Stop-Loss Carrier's Quarterly Reports. A supporting insurer and stop-loss carrier shall submit a HIPMC-GAPQR-2 (04/01), incorporated by reference in this administrative regulation, to the office within thirty (30) calendar days after the end of each calendar quarter.

Section 4.

GAP Participating Insurer's Annual Reports. A GAP participating insurer shall submit a HIPMC-GAPERF-A-1 (12/00), incorporated by reference in this administrative regulation, to the office within forty-five (45) calendar days after the end of each calendar year.

Section 5.

Certification. A GAP participating insurer shall complete and attach a HIPMC-GAPC-1, incorporated by reference in this administrative regulation, to the following reports, when submitted to the office:

(1)

HIPMC-GAPERF-M-1 (04/01); and

(2)

HIPMC-GAPERF-A-1 (12/00).

Section 6.

Annual Premium Verification.

(1)

After the end of a calendar year, the office may request in writing that a supporting insurer verify the amount of premiums reported by the insurer for that calendar year.

(2)

If a premium verification is requested pursuant to subsection (1) of this section, a supporting insurer shall submit the following documentation:

(a)

 

1.

Confirmation that the reported health benefit plan or stop-loss premium amounts are correct; or

2.

Corrections of reported health benefit plan or stop-loss premium amounts; and

(b)

A HIPMC-GAPAFF-1 (06/01), incorporated by reference into this administrative regulation.

Section 7.

Material Incorporated by Reference.

(1)

The following material is incorporated by reference:

(a)

Guaranteed Acceptance Program Affidavit, HIPMC-GAPAFF-1 (06/01);

(b)

Guaranteed Acceptance Program (GAP) Data Certification Form, HIPMC-GAPC-1 (12/00);

(c)

Guaranteed Acceptance Program Electronic Report Format - Annual for GAP Participating Insurers, HIPMC-GAPERF-A-1 (12/00);

(d)

Guaranteed Acceptance Program Electronic Report Format - Monthly for GAP Participating Insurers, HIPMC-GAPERF-M-1 (04/01); and

(e)

Supporting Insurer's and Stop-Loss Carrier's Quarterly Report, HIPMC-GAPQR-2 (04/01).

(2)

This material may be inspected, copied, or obtained, subject to applicable copyright law, at the Kentucky Office of Insurance, 215 West Main Street, Frankfort, Kentucky 40601, Monday through Friday, 8 a.m. to 4:30 p.m. Forms may also be obtained on the office's Internet Web site at http://doi.ppr.ky.gov/kentucky/

HISTORY: (28 Ky.R. 203; eff. 9-10-2001; TAm eff. 8-9-2007; Crt eff. 2-26-2020; Repealed by 806 KAR 017:531 effective 3-7-2023.)

7-Year Expiration: 2/26/2027

Last Updated: 3/7/2023


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