Part II - INDIVIDUAL HEALTH INSURANCE

Section 38a-480 - (Formerly Sec. 38-174). Applicability of statutes to certain policies and contracts
Section 38a-481 - (Formerly Sec. 38-165). Filing of policy form, application, classification of risks and rates. Approval of rates. Prescription drug rebates. Medicare supplement policies: Age, gender, previous claim or medical history rating prohibited. Reduction of payments on basis of Medicare eligibility. Optional life insurance rider. Treatment of health insurance issued to association or certain other insurance arrangements. Special enrollment periods. Grandfathered and nongrandfathered plans
Section 38a-482 - (Formerly Sec. 38-166). Form of policy
Section 38a-482a - Individual health insurance policy to contain definition of "medically necessary" or "medical necessity"
Section 38a-482b - Individual health insurance policy providing limited coverage to include disclosure. Limited coverage defined
Section 38a-482c - Annual and lifetime limits
Section 38a-483 - (Formerly Sec. 38-167). Standard provisions of individual health policy
Section 38a-483a - Exclusionary riders for individual health insurance policies. Regulations
Section 38a-483b - [Repealed]
Section 38a-483c - Coverage and notice re experimental treatments. Appeals
Section 38a-484 - (Formerly Sec. 38-168). Policy provisions not to be less favorable than standard. Validity of policy issued in violation of law
Section 38a-485 - (Formerly Sec. 38-169). Copy of application to be part of new policy or to be furnished with renewal. Alteration of application
Section 38a-486 - (Formerly Sec. 38-170). Certain acts not to operate as waiver of rights
Section 38a-487 - (Formerly Sec. 38-171). Coverage after termination date of policy
Section 38a-488 - (Formerly Sec. 38-172). Discrimination
Section 38a-488a - Mandatory coverage for the diagnosis and treatment of mental or nervous conditions. Exceptions. Benefits payable re type of provider or facility. State's claim against proceeds. Direct reimbursement for certain covered services rendered by certain out-of-network providers
Section 38a-488b - Coverage for autism spectrum disorder therapies
Section 38a-488c - Mental health and substance use disorder benefits. Nonquantitative treatment limitations
Section 38a-488d - Coverage for substance abuse services provided pursuant to court order
Section 38a-488e - Coverage for mental health wellness examinations
Section 38a-488f - Services by primary care provider to insured under Collaborative Care Model; individual health insurance policy codes
Section 38a-488g - Individual health insurance coverage for acute inpatient psychiatric services
Section 38a-489 - (Formerly Sec. 38-174e). Continuation of coverage of mentally or physically handicapped children
Section 38a-490 - (Formerly Sec. 38-174g). Coverage for newly born children. Notification to insurer
Section 38a-490a - Coverage for birth-to-three program
Section 38a-490b - Coverage for hearing aids
Section 38a-490c - Coverage for craniofacial disorders
Section 38a-490d - Mandatory coverage for blood lead screening and risk assessment
Section 38a-491 - (Formerly Sec. 38-174h). Coverage for services performed by dentists in certain instances
Section 38a-491a - Coverage for in-patient, outpatient or one-day dental services in certain instances
Section 38a-491b - Assignment of benefits to a dentist or oral surgeon
Section 38a-492 - (Formerly Sec. 38-174i). Coverage for accidental ingestion or consumption of controlled drugs. Benefits prescribed
Section 38a-492a - Mandatory coverage for hypodermic needles and syringes
Section 38a-492b - Coverage for certain off-label drug prescriptions
Section 38a-492c - Coverage for low protein modified food products, amino acid modified preparations and specialized formulas
Section 38a-492d - Mandatory coverage for diabetes treatment and devices
Section 38a-492e - Mandatory coverage for diabetes outpatient self-management training
Section 38a-492f - Mandatory coverage for certain prescription drugs removed from formulary
Section 38a-492g - Mandatory coverage for prostate cancer screening and treatment
Section 38a-492h - Mandatory coverage for certain Lyme disease treatments
Section 38a-492i - Mandatory coverage for pain management
Section 38a-492j - Mandatory coverage for ostomy-related supplies
Section 38a-492k - Mandatory coverage for colorectal cancer screening
Section 38a-492l - Mandatory coverage for neuropsychological testing for children diagnosed with cancer
Section 38a-492m - Mandatory coverage for certain renewals of prescription eye drops
Section 38a-492n - Mandatory coverage for certain wound-care supplies
Section 38a-492o - Mandatory coverage for bone marrow testing
Section 38a-492p - Mandatory coverage for medically monitored inpatient detoxification
Section 38a-492q - Mandatory coverage for essential health benefits
Section 38a-492r - Mandatory coverage for certain immunizations
Section 38a-492s - Mandatory coverage for certain preventive care and screenings for individuals who are twenty-one years of age or younger
Section 38a-492t - Mandatory coverage for prosthetic devices
Section 38a-492u - Subscription for ninety-day supply of psychotropic drug not required for individual health insurance policies
Section 38a-492v - Mandatory coverage for hospice services provided in home through a hospice care program to the extent provided for inpatient hospice services
Section 38a-493 - (Formerly Sec. 38-174k). Mandatory coverage for home health care. Deductibles. Exception from deductible limits for medical savings accounts, Archer MSAs and health savings accounts
Section 38a-494 - (Formerly Sec. 38-174l). Home health care by recognized nonmedical systems
Section 38a-495 - (Formerly Sec. 38-174m). Medicare supplement policies. Coverage of home health aide services and mammography. Prescription drug riders
Section 38a-495a - Medicare supplement policies and certificates. Minimum required policy benefits and standards. Regulations
Section 38a-495b - Medicare supplement policies and certificates. Definitions
Section 38a-495c - Medicare supplement premium rates charged on a community rate basis. Age, gender, previous claim or medical history rating prohibited. Preexisting conditions. Coverage for the disabled and qualified Medicare beneficiaries. Exception. Regulations
Section 38a-495d - Refund of prepaid premium for Medicare supplement policies
Section 38a-496 - (Formerly Sec. 38-174q). Coverage for occupational therapy
Section 38a-497 - (Formerly Sec. 38-174r). Termination of coverage of child, stepchild, or other dependent child in individual policies. Dental or vision coverage
Section 38a-497a - Group coverage and benefits of a noncustodial parent. National Medical Support Notice. Notification of new employer by IV-D agency. Notification to parent. Enrollment of child
Section 38a-498 - (Formerly Sec. 38-174t). Mandatory coverage for medically necessary ambulance services. Direct payment to ambulance provider
Section 38a-498a - [Effective Until 1/1/2025] Prior authorization prohibited for certain 9-1-1 emergency calls
Section 38a-498a - [Effective 1/1/2025] Prior authorization prohibited for certain 9-1-1 emergency calls
Section 38a-498b - Mandatory coverage for mobile field hospital
Section 38a-498c - Denial of coverage prohibited for health care services rendered to persons with an elevated blood alcohol content
Section 38a-499 - (Formerly Sec. 38-174v). Coverage for services of physician assistants and certain nurses
Section 38a-499a - Coverage for telehealth services
Section 38a-500 - (Formerly Sec. 38-174w). Mandatory coverage for partners, sole proprietors and corporate officers for work-related injuries. Subrogation rights
Section 38a-501 - (Formerly Sec. 38-174x). Individual long-term care policies. Disclosures. Spreading of premium rate increases of twenty per cent or more. Disclosure of premium rate increase
Section 38a-501a - Individual short-term care policies. Approval of rates and forms. Disclosures. Regulations
Section 38a-502 - (Formerly Sec. 38-174ff). Mandatory coverage for services provided by the Healthcare Center maintained by the Department of Veterans Affairs
Section 38a-503 - (Formerly Sec. 38-174gg). Mandatory coverage for mammography, breast ultrasound and magnetic resonance imaging. Breast density information included in mammography report
Section 38a-503a - [Repealed]
Section 38a-503b - Carriers to permit direct access to obstetrician-gynecologist
Section 38a-503c - Mandatory coverage for maternity care. Interhospital transfer of newborn infant and mother
Section 38a-503d - Mandatory coverage for mastectomy care. Termination of provider contract prohibited
Section 38a-503e - Mandatory coverage for contraceptives and sterilization
Section 38a-503f - Mandatory coverage for certain health benefits and services for women, infants, children and adolescents
Section 38a-503g - Individual Health Policy Coverage for Breast and Ovarian Cancer Susceptibility Screening Required
Section 38a-504 - (Formerly Sec. 38-262i). Mandatory coverage for treatment of tumors and leukemia. Mandatory coverage for reconstructive surgery, prosthesis, chemotherapy and wigs. Orally administered anticancer medications
Section 38a-504a - Coverage for routine patient care costs associated with certain clinical trials
Section 38a-504b - Clinical trial criteria
Section 38a-504c - Evidence and information re eligibility for clinical trial. No coverage required for otherwise reimbursable costs
Section 38a-504d - Clinical trials: Routine patient care costs
Section 38a-504e - Clinical trials: Billing. Payments
Section 38a-504f - Clinical trials: Standardized forms. Time frame for coverage determinations. Appeals. Regulations
Section 38a-504g - Clinical trials: Submission and certification of policy forms
Section 38a-505 - (Formerly Sec. 38-378). Insurance Commissioner's powers concerning comprehensive health care plans. Disclosures
Section 38a-506 - (Formerly Sec. 38-173). Penalty
Section 38a-507 - Coverage for services performed by chiropractors
Section 38a-508 - Coverage for adopted children
Section 38a-509 - Mandatory coverage for infertility diagnosis and treatment. Limitations
Section 38a-510 - Prescription drug coverage. Mail order pharmacies. Step therapy use
Section 38a-510a - Prescription drug coverage. Synchronized refills
Section 38a-510b - Prescription drug coverage. Prior authorization for naloxone hydrochloride or similar drug not required
Section 38a-510c - Coverage for investigational drug, biological product or device for insureds with terminal illnesses. Liability of health carrier
Section 38a-511 - [Effective Until 1/1/2025] Copayments re in-network imaging services
Section 38a-511 - [Effective 1/1/2025] Copayments re in-network imaging services
Section 38a-511a - [Effective Until 1/1/2025] Copayments re in-network physical therapy services and in-network occupational therapy services
Section 38a-511a - [Effective 1/1/2025] Copayments re in-network physical therapy services and in-network occupational therapy services