Part III - GROUP HEALTH INSURANCE

Section 38a-512 - Applicability of statutes to certain major medical expense policies
Section 38a-512a - Continuation of coverage
Section 38a-512b - Termination of coverage of child, stepchild or other dependent child in group policies. Dental or vision coverage
Section 38a-512c - Annual and lifetime limits
Section 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
Section 38a-513a - [Repealed]
Section 38a-513b - Coverage and notice re experimental treatments. Appeals
Section 38a-513c - Group health insurance policy to contain definition of "medically necessary" or "medical necessity"
Section 38a-513d - Insurers prohibited from issuing policy with limited coverage to employer as replacement for a comprehensive health insurance plan. Disclosure required in policy providing limited coverage. Limited coverage defined
Section 38a-513e - Premium payment by employer following employee termination. Exceptions. Right to continuation of coverage following relocation or closing of covered establishment not affected
Section 38a-513f - Claims information to be provided to certain employers. Restrictions. Subpoenas
Section 38a-513g - Employer submission of plan cost information to Comptroller
Section 38a-514 - (Formerly Sec. 38-174d). Mandatory coverage for the diagnosis and treatment of mental or nervous conditions. Exceptions. Benefits payable re type of provider or facility. State's claims against proceeds. Direct reimbursement for certain covered services rendered by certain out-of-network providers
Section 38a-514a - [Repealed]
Section 38a-514b - Coverage for autism spectrum disorder
Section 38a-514c - Mental health and substance use disorder benefits. Nonquantitative treatment limitations
Section 38a-514d - Coverage for substance abuse services provided pursuant to court order
Section 38a-514e - Coverage for mental health wellness exams
Section 38a-514f - Services by primary care provider to insured under Collaborative Care Model; group health insurance policy codes
Section 38a-514g - Group health insurance coverage for acute inpatient psychiatric services
Section 38a-515 - Continuation of coverage of mentally or physically handicapped children
Section 38a-516 - Coverage for newly born children. Notification to insurer
Section 38a-516a - Coverage for birth-to-three program
Section 38a-516b - Coverage for hearing aids
Section 38a-516c - Coverage for craniofacial disorders
Section 38a-516d - Coverage for neuropsychological testing for children diagnosed with cancer
Section 38a-517 - Coverage for services performed by dentist in certain instances
Section 38a-517a - Coverage for in-patient, outpatient or one-day dental services in certain instances
Section 38a-517b - Assignment of benefits to a dentist or oral surgeon
Section 38a-518 - Coverage for accidental ingestion or consumption of controlled drugs. Benefits prescribed
Section 38a-518a - Mandatory coverage for hypodermic needles and syringes
Section 38a-518b - Coverage for certain off-label drug prescriptions
Section 38a-518c - Coverage for low protein modified food products, amino acid modified preparations and specialized formulas
Section 38a-518d - Mandatory coverage for diabetes treatment and devices
Section 38a-518e - Mandatory coverage for diabetes outpatient self-management training
Section 38a-518f - Mandatory coverage for certain prescription drugs removed from formulary
Section 38a-518g - Mandatory coverage for prostate cancer screening and treatment
Section 38a-518h - Mandatory coverage for certain Lyme disease treatments
Section 38a-518i - Mandatory coverage for pain management
Section 38a-518j - Mandatory coverage for ostomy-related supplies
Section 38a-518k - Mandatory coverage for colorectal cancer screening
Section 38a-518l - Mandatory coverage for certain renewals of prescription eye drops
Section 38a-518m - Mandatory coverage for certain wound-care supplies
Section 38a-518n - Reserved for future use
Section 38a-518o - Mandatory coverage for bone marrow testing
Section 38a-518p - Mandating coverage for medically monitored inpatient detoxification
Section 38a-518q - Mandatory coverage for essential health benefits
Section 38a-518r - Mandatory coverage for certain immunizations
Section 38a-518s - Mandatory coverage for certain preventive care and screenings for individuals who are twenty-one years of age or younger
Section 38a-518t - Mandatory coverage for prosthetic devices
Section 38a-518u - Subscription for ninety-day supply of psychotropic drug not required for group health insurance policies
Section 38a-518v - Mandatory coverage for hospice services in the home through a hospice care program to the extent provided for inpatient hospice services
Section 38a-519 - (Formerly Sec. 38-174j). Offset proviso prohibited in certain policies. Required disclosures for group long-term disability policies
Section 38a-520 - Mandatory coverage for home health care. Deductibles. Exception from deductible limits for medical savings accounts. Archer MSAs and health savings accounts
Section 38a-521 - Home health care by recognized nonmedical systems
Section 38a-522 - Medicare supplement policies. Coverage of home health aide service
Section 38a-523 - (Formerly Sec. 38-174p). Group hospital or medical insurance coverage for comprehensive rehabilitation services
Section 38a-524 - Coverage for occupational therapy
Section 38a-525 - Mandatory coverage for medically necessary ambulance services. Direct payment to ambulance provider
Section 38a-525a - [Effective Until 1/1/2025] Prior authorization prohibited for certain 9-1-1 emergency calls
Section 38a-525a - [Effective 1/1/2025] Prior authorization prohibited for certain 9-1-1 emergency calls
Section 38a-525b - Mandatory coverage for mobile field hospital
Section 38a-525c - Denial of coverage prohibited for health care services rendered to persons with an elevated blood alcohol content
Section 38a-526 - Coverage for services of physician assistants and certain nurses
Section 38a-526a - Coverage for telehealth services
Section 38a-527 - Mandatory coverage for partners, sole proprietors and corporate officers for work-related injuries
Section 38a-528 - Group long-term care policies. Disclosures. Spreading of premium rate increases of twenty per cent or more. Disclosure of premium rate increase
Section 38a-528a - Group short-term care policies. Approval of rates and forms. Disclosures. Regulations
Section 38a-529 - Mandatory coverage for services provided by the Healthcare Center maintained by the Department of Veterans Affairs
Section 38a-530 - Mandatory coverage for mammography, breast ultrasound and magnetic resonance imaging. Breast density information included in mammography report
Section 38a-530a - [Repealed]
Section 38a-530b - Carriers to permit direct access to obstetrician-gynecologist
Section 38a-530c - Mandatory coverage for maternity care. Interhospital transfer of newborn infant and mother
Section 38a-530d - Mandatory coverage for mastectomy care. Termination of provider contract prohibited
Section 38a-530e - Mandatory coverage for contraceptives and stelirization
Section 38a-530f - Mandatory coverage for certain health benefits and services for women, infants, children and adolescents
Section 38a-530g - Group Health Policy Coverage for Breast and Ovarian Cancer Susceptibility Screening Required
Section 38a-531 - (Formerly Sec. 38-174hh). Mandatory coverage for employees of certain employers. Approval of policy forms
Section 38a-532 - (Formerly Sec. 38-262a). Assignment of incidents of ownership under group life, health or accident policy
Section 38a-533 - (Formerly Sec. 38-262b). Mandatory coverage for the treatment of medical complications of alcoholism
Section 38a-534 - Coverage for services performed by chiropractors
Section 38a-535 - Mandatory coverage for preventive pediatric care and blood lead screening and risk assessment
Section 38a-535a - [Repealed]
Section 38a-536 - Mandatory coverage for infertility diagnosis and treatment. Limitations
Section 38a-537 - (Formerly Sec. 38-262c). Notice of cancellation or discontinuation to covered employees. Fine. Notice of transfer of coverage. Failure to procure coverage
Section 38a-538 - [Repealed]
Section 38a-539 - [Repealed]
Section 38a-540 - (Formerly Sec. 38-262g). Duplication of coverage under group health insurance policies
Section 38a-541 - (Formerly Sec. 38-262h). Group health policy to allow spouse coverage as both employee and dependent, when. Effect of collective bargaining agreements
Section 38a-542 - Mandatory coverage for treatment of tumors and leukemia. Mandatory coverage for reconstructive surgery, prosthesis, chemotherapy and wigs. Orally administered anticancer medications
Section 38a-542a - Coverage for routine patient care costs associated with certain clinical trials
Section 38a-542b - Clinical trial criteria
Section 38a-542c - Evidence and information re eligibility for clinical trial. No coverage required for otherwise reimbursable costs
Section 38a-542d - Clinical trials: Routine patient care costs
Section 38a-542e - Clinical trials: Billing. Payments
Section 38a-542f - Clinical trials: Standardized forms. Time frame for coverage determinations. Appeals. Regulations
Section 38a-542g - Clinical trials: Submission and certification of policy forms
Section 38a-543 - (Formerly Sec. 38-262j). Reduction of payments on basis of Medicare eligibility
Section 38a-544 - Prescription drug coverage. Mail order pharmacies. Step therapy use
Section 38a-544a - Prescription drug coverage. Synchronized refills
Section 38a-544b - Prescription drug coverage. Prior authorization for naloxone hydrochloride or similar drug not required
Section 38a-545 - (Formerly Sec. 38-262k). Group dental health insurance plans. Alternative coverage option
Section 38a-546 - (Formerly Sec. 38-379). Discontinuation and replacement of group health insurance policy. Regulations
Section 38a-547 - Termination of policy or contract due to insurer ceasing to offer health insurance in this state; maternity benefits to continue for six weeks following termination of the pregnancy, when
Section 38a-548 - Penalty
Section 38a-549 - Coverage for adopted children
Section 38a-550 - [Effective Until 1/1/2025] Copayments re in-network imaging services
Section 38a-550 - [Effective 1/1/2025] Copayments re in-network imaging services
Section 38a-550a - [Effective Until 1/1/2025] Copayments re in-network physical therapy services and in-network occupational therapy services
Section 38a-550a - [Effective 1/1/2025] Copayments re in-network physical therapy services and in-network occupational therapy services