KS SB528

Municipal self-funded medical and prescription drug insurance pools must demonstrate funding to cover maximum exposure of annual claims liability, calculated using multiple years of claims data equivalent to at minimum a 12/18 aggregate stop-loss contract

Pools must maintain a reserve equal to the greater of 20% of annual claims liability or $4,000,000 in a segregated account, subject to annual actuarial review

Annual reporting requirements include total claims paid, reserve fund balance and adjustments, administrative expenses, actuarial certification, and documentation of compliance with funding requirements

Groups failing to meet reserve requirements are prohibited from self-funding medical and prescription drug coverage

Amends K.S.A. 12-2618, 12-2620, and 12-2621 to establish the Kansas municipal self-funded health and prescription drug insurance pool act