A Christians-only health care plan provides a “contract for insurance” and doesn’t qualify for exemption from state regulations as a religious publication, the Kentucky Supreme Court ruled Thursday in a decision that potentially opens the plan to stricter regulations by the state. A split high court found that that the Medi-Share program “fits comfortably within the statutory definition of an insurance contract” because it shifts the risk of payments for medical expenses from the individual to a pool of people paying into the program. “Thus, regardless of how Medi-Share defines itself or what disclaimers it includes in its literature, in the final analysis, there is a shifting of risk,” Justice Daniel J. Venters wrote for the court.

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