Accident & Health and Life Insurance

Accident & Health and Life Insurance

2023 SERFF Health Filings

• Rating Areas
• State Dental Attestations
• State Medical Attestations
• EHB Plan Index (xlsx)

2022 SERFF Health Filings

• Rating Areas
• State Dental Attestations
• State Medical Attestations
• EHB Plan Index (xlsx)

Filing Requirements

• Compliance Reference for Group Accident and Health Coverages
• Compliance Reference for Individual Accident and Health Coverages

Standardized Credentialing Application

• Online Standardized Credentialing Links
  • Bulletin 2007-2: Online Standardized Credentialing Application effective June 1, 2007

Health Maintenance Organizations

• Explanatory Letter
• Official List
• Application for Certificate of Authority
• Quality of Care Assessment Guidelines
• HMO Estimated Privilege Fee Statement

Pharmacy Benefits Manager

Effective January 1, 2023, all Pharmacy Benefits Managers operating in Kansas are required to be licensed with the Department.  See 2022 House Substitute for SB 28.

• Pharmacy Benefit Manager Licensing and Renewal Information and Instructions
• Network Adequacy Report
• Contacts Form
• PBM Licensing Frequently Asked Questions
• PBM Initial Licensing Application Checklist

Professional Employer Organizations

• Information on registration of Professional Employer Organizations
• Criminal History Form

Third Party Administrators

• Non-Resident TPA Renewal
• Application for Self-funded TPA Registration – Initial and Renewal
• Kansas Home State TPA Application
• Kansas Non-Resident TPA Application
• Business Entity Name Change Application
• Annual Report
• Hardship Exemption
• Bond of Administrator
• Bulletin 1991-21
• Bulletin 2017-2
• Voluntary Surrender of Kansas TPA Certificate

Utilization Review Organizations

• Bulletin 1995-4
• Bulletin 1995-6
• K.A.R. 40-4-41
• Explanatory Letter
• Application for New Utilization Review Certificate – URO Standard
• Application for New Utilization Review Certificate – URO URAC Accreditation
• Renewal Process – URO Standard
• Renewal Process – URO URAC Accreditation

Viatical Settlement Companies

• Viatical Settlement Provider License Renewal Form
• Viatical Settlement Provider Annual Statement Form
• Viatical Admission Application
• Viatical Explanatory Letter
• Viatical Instruction Packet

Prepaid Service Plans

• New Application for Dental or Legal Prepaid Service Plan
• Renewal Process for Dental or Legal Prepaid Service Plan
• Prepaid Plans Representatives List
• Qualifying Bond Application

Continuing Care Providers

• Application for New Continuing Care Provider
• Application for Renewal of a Continuing Care Provider

Health Savings Accounts

• HSA Riders

Health Providers Prompt-Pay

• Prompt Pay Act