Part I - HEALTH INSURANCE: IN GENERAL
- Section 38a-469 - Definitions
- Section 38a-470 - (Formerly Sec. 38-174n). Lien on workers' compensation awards for insurers. Notice of lien
- Section 38a-471 - (Formerly Sec. 38-174o). Third party prescription programs. Notice of cancellation. Applicability of section
- Section 38a-472 - (Formerly Sec. 38-174a). Assignment of insurance proceeds to doctor, hospital or state agency. Lien for state care. Notice of lien
- Section 38a-472a - Medical provider indemnification agreements prohibited
- Section 38a-472b - Medical provider indemnification contracts. Professional actions and related liability
- Section 38a-472c - Dental policies. Estimate of reimbursement. Material adjustments to fee schedules for in-network providers. Notice
- Section 38a-472d - Public education outreach program re health insurance availability and eligibility requirements
- Section 38a-472e - Health insurer. Requirements re offer to contract with a school-based health center
- Section 38a-472f - [Effective Until 7/1/2024] Network adequacy. Health carrier duties and responsibilities. Access plan filing
- Section 38a-472f - [Effective 7/1/2024] Network adequacy. Health carrier duties and responsibilities. Access plan filing
- Section 38a-472g - Restrictions applicable to prior authorization or precertification
- Section 38a-472h - Fees charged by dentists, optometrists and ophthalmologists for noncovered benefits. Notice and posting required
- Section 38a-472i - Payment amount of professional services component of covered colonoscopy or endoscopic services
- Section 38a-472j - Restrictions applicable to cost-sharing for covered benefits. Regulations
- Section 38a-472k - Disability income policies. Discretionary clauses prohibited. Regulations
- Section 38a-472l - Participating dental providers
- Section 38a-473 - Medicare supplement expense factors. Age, gender, previous claim or medical history rating prohibited
- Section 38a-474 - Medicare supplement policy rate increases: Procedure. Age, gender, previous claim or medical history rating prohibited
- Section 38a-475 - [Effective Until 7/1/2024] Precertification of long-term care policies under the Connecticut Partnership for Long-Term Care. Regulations
- Section 38a-475 - [Effective 7/1/2024] Precertification of long-term care policies under the Connecticut Partnership for Long-Term Care. Regulations
- Section 38a-475a - Commissioner to develop a set of affordable benefit options to be offered
- Section 38a-476 - Preexisting condition coverage
- Section 38a-476a - Compliance with the Health Insurance Portability and Accountability Act. Guaranteed renewability. Discrimination based on health status, newborns' and mothers' health prohibited. Parity of mental health benefits. Disclosure of information for employers. Construction. Application. Regulations
- Section 38a-476b - Standards re psychotropic drug availability in health plans
- Section 38a-476c - Policies and contracts with variable network and enrollee cost-sharing. Approval. Limitations
- Section 38a-477 - Standardized claim forms. Information necessary for filing a claim. Regulations
- Section 38a-477a - Notification by Insurance Commissioner of required benefits and policy forms
- Section 38a-477b - Postclaims underwriting prohibited unless approval granted. Application for approval of rescission, cancellation or limitation. Decision. Appeals. Regulations
- Section 38a-477c - Disclosure of state and federal medical loss ratio with each health insurance application
- Section 38a-477d - Information to be made available to consumers. Explanations of benefits. Disclosures by health carriers. Specifications by consumers. Restrictions
- Section 38a-477e - Health carriers to maintain Internet web site and toll-free telephone number. Available information. Exception
- Section 38a-477f - Contract provision prohibiting certain disclosures prohibited
- Section 38a-477g - Contracts between health carriers and participating providers
- Section 38a-477h - Participating provider directories
- Section 38a-477i - [Effective 7/1/2024] Contract provisions containing all-or-nothing clauses, anti-steering clauses, anti-tiering clauses or gas clauses prohibited
- Section 38a-477j to 38a-477z - Reserved for future use
- Section 38a-477aa - Cost-sharing and health care provider reimbursements for emergency services and surprise bills
- Section 38a-477bb - Cost-sharing re facility fees
- Section 38a-477cc - Contracts for pharmacy services with health carriers or pharmacy benefits managers
- Section 38a-477dd - Contracts with health carriers. Certain provisions concerning disclosures to covered persons prohibited
- Section 38a-477ee - Mental health and substance use disorder benefits. Nonquantitative treatment limitations. Reports. Public hearings. Regulations
- Section 38a-477ff - Credit for any discount provided or payment made by a third party
- Section 38a-477gg - Credit for any discount provided or payment made by a third party regarding prescription drugs
- Section 38a-477hh - No denial of coverage based on pulse oximeter measure
- Section 38a-477ii - Pulse oximeter accuracy. Educational materials. Distribution and posting required
- Section 38a-477jj - Pharmacy benefits. Drug formulary lists.
- Section 38a-477kk - Health insurance cards to contain statement disclosing coverage is fully insured or self-insured
- Section 38a-477ll - Health enhancement program