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REPEALED
This document is no longer current.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; or2.
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.)
(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; or2.
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.)