Conn. Gen. Stat. § 38a-183. Approval of rates to be paid by subscribers and agreements. Capital Reserve Fund. Prescription drug rebates: Health Care and Related Health Groups—Health Care Centers – Connecticut
Status: Enacted Year Enacted: 1971
A health care center cannot enter into an agreement with a subscriber until it has filed with the commissioner a full schedule of the amounts to be paid by the subscribers and has obtained the …
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Conn. Gen. Stat. § 38a-218. Rates and contracts to be approved: Medical Service Corporations – Connecticut
Status: Enacted Year Enacted: 1949
Requires medical service corporations to file rates with the Insurance Commissioner; Authorizes the Insurance Commissioner to deny approval to rates that are excessive, inadequate, or discriminatory.
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Conn. Gen. Stat. § 38a-472f. Network adequacy. Health carrier duties and responsibilities. Access plan filing: Health Insurance – Connecticut
Status: Enacted Year Enacted: 2011
Requires health plans to establish and maintain a network that includes a sufficient number of appropriate types of pparticipating providers, including those that serve predominantly low-income, medically underserve individuals, to assure that all covered benefits …
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Conn. Gen. Stat. § 38a-476c. Policies and contracts with variable network and enrollee cost-sharing. Approval. Limitations: Health Insurance: In General – Connecticut
Status: Enacted Year Enacted: 2005
States that the Insurance Commissioner shall approve any health insurance policy or contract that uses variable networks and enrollee cost-sharing if the policy meets certain requirements, includes the rate filing in submission to commissioner, and …
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Conn. Gen. Stat. § 38a-477aa. Cost-sharing and health care provider reimbursement for emergency services and surprise bills: Health Insurance: In General – Connecticut
Status: Enacted Year Enacted: 2015
States that no health plan require prior authorization for rendering emergency services, that an insured should only be required to pay the applicable coinsurance, copayment, deductible or other out of pocket expenses that would be …
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Conn. Gen. Stat. § 38a-477bb. Cost-sharing re facility fees: Health Insurance: In General – Connecticut
Status: Enacted Year Enacted: 2015
Requires each health insurer that delivers, issues, amends an individual or group health plan on or after January 1, 2016 and includes a contract with a hospital or health system, shall not impose any separate …
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Conn. Gen. Stat. § 38a-477d. Information to be made available to consumers [Effective until January 1, 2020]: Health Insurance: In General – Connecticut
Status: Enacted Year Enacted: 2015
States that each insurer, health center, hospital or medical service corporation or other entity shall make coverage exclusions, restrictions on use or quantity of a benefit, how prescription drugs are included, the dollar amount of …
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Conn. Gen. Stat. § 38a-477e. Health carriers to maintain Internet web site and toll-free telephone number. Available information: Health Insurance: In General – Connecticut
Status: Enacted Year Enacted: 2015
Requires health plans to maintain an internet web site and toll-free number that enables consumers to request and obtain information on in-network costs and out of network costs.
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Conn. Gen. Stat. § 38a-478j. Coinsurance payments based on negotiated discounts: Health Insurance Managed Care – Connecticut
Status: Enacted Year Enacted: 1997
States that each managed care plan that uses coinsurance shall caculate the insured’s portion on the lesser of the provider’s or vendor’s charges for goods and services or the amount payable by the managed care …
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Conn. Gen. Stat. § 38a-511. Copayments re in-network imaging services: Individual Health Insurance – Connecticut
Status: Enacted Year Enacted: 2006
States that no health insurers and other organizations that provide coverage may require total copayments in excess of three hundred seventy-five dollars for magnetic resonance imaging or computed axial tomography in-network imaging services annually or …
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Conn. Gen. Stat. § 38a-511a. Copayments re in-network physical therapy services and in-network occupational therapy services.: Individual Health Insurance – Connecticut
Status: Enacted Year Enacted: 2013
States that no individual health insurance policy shall impose copayments that exceed a maximum of thirty dollars per visit for in-network physical therapy services and occupational therapy services.
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Conn. Gen. Stat. § 38a-513. Approval of policy forms and small employer rates. Medicare supplement policies. Age, gender, previous claim or medical history rating prohibited. Optional life insurance rider. Group specified disease policies: Group Health Insurance – Connecticut
Status: Enacted Year Enacted: 1990
States that group health insurance policies must submit premium rates to the Insurance Commissioner and receive approval.
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Conn. Gen. Stat. § 38a-513f. Claims information to be provided to certain employers. Restrictions. Subpoenas: Group Health Insurance – Connecticut
Status: Enacted Year Enacted: 2010
Describes the information that insurers, or any group providing insurance coverage, must provide to employer customers, such as complete and accurate medical utilization data, claims paid aggregated by practice type, preimums paid by month, and …
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Conn. Gen. Stat. § 38a-525. Mandatory coverage for medically necessary ambulance services. Direct payment to ambulance provider: Group Health Insurance – Connecticut
Status: Enacted Year Enacted: 1990
Requires each group health insurance policy to cover medically necessary ambulance services for persons covered by the policy and that the payment be made directly to the ambulance provider.
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Conn. Gen. Stat. § 38a-550. Copayments re in-network imaging services: Group Health Insurance – Connecticut
Status: Enacted Year Enacted: 2006
States that no health insurers and other organizations that provide coverage may require total copayments in excess of three hundred seventy-five dollars for magnetic resonance imaging or computed axial tomography in-network imaging services annually or …
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Conn. Gen. Stat. § 38a-550a. Copayments re in-network physical therapy services and in-network occupational therapy services: Group Health Insurance – Connecticut
Status: Enacted Year Enacted: 2013
States that no individual health insurance policy shall impose copayments that exceed a maximum of thirty dollars per visit for in-network physical therapy services and occupational therapy services.
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