Title 38a — Title 38a: Insurance

Sec. 38a-175. (Formerly Sec. 33-179a). Definitions. As used in this section and sections 38a-176 to 38a-194, inclusive: (1) “Healing arts” means the professions and occupations licensed under the provisions of chapters 370, 372, 373, 375, 378, 379, 379a, 380, 381, 383 and 400j. (…

Sec. 38a-176. (Formerly Sec. 33-179b). Applicable statutes. Activities and purposes of health care center. (a) Each health care center shall be governed by sections 38a-175 to 38a-194, inclusive, and by the other applicable laws of the state to the extent not inconsistent with th…

Sec. 38a-177. (Formerly Sec. 33-179c). Manner of providing health care. A health care center may provide health care (1) directly or by its employees or contractors licensed by this state to render such services, or by contract or by indemnity arrangement with any hospital, hospi…

Sec. 38a-178. (Formerly Sec. 33-179e). Organization. Persons desiring to form a health care center may organize under the general law of the state governing corporations, partnerships, associations or trusts, subject to the following provisions: (1) The certificate of incorporati…

Sec. 38a-179. (Formerly Sec. 33-179g). Management of domestic health care center. Directors. (a) If a domestic health care center is organized as a nonprofit, nonstock corporation, the care, control and disposition of the property and funds of each such corporation and the genera…

Sec. 38a-180. (Formerly Sec. 33-179h). Clinics. Liability of practitioners to reprimand or discipline. Choice in selection of practitioner. (a) Any clinic established under sections 38a-175 to 38a-194, inclusive, including a clinic that is a part of a medical service center or ot…

Sec. 38a-181. (Formerly Sec. 33-179i). Acceptance of payments, grants and loans for cost of operation. A health care center governed by sections 38a-175 to 38a-194, inclusive, may accept from governmental agencies, or from private agencies, corporations, associations, groups or i…

Sec. 38a-182. (Formerly Sec. 33-179j). Agreements with subscribers. Agreement requirements. Evidence of coverage. (a) An agreement issued by a health care center governed by sections 38a-175 to 38a-194, inclusive, may be issued for health care or the costs thereof to a subscriber…

Sec. 38a-183. (Formerly Sec. 33-179k). Approval of rates to be paid by subscribers and agreements. Capital Reserve Fund. Prescription drug rebates. (a)(1) A health care center governed by sections 38a-175 to 38a-194, inclusive, shall not enter into any agreement with subscribers …

Sec. 38a-184. (Formerly Sec. 33-179l). Expenditure of funds. Each health care center governed by sections 38a-175 to 38a-194, inclusive, may expend sums, including sums in the capital reserve fund as provided in subsection (c) of section 38a-183, for the following objects and pur…

Sec. 38a-185. (Formerly Sec. 33-179m). Appeal from commissioner. Resolution of dispute between community member and corporation. From any order or decision of the commissioner relating to any health care center governed by sections 38a-175 to 38a-194, inclusive, an appeal may be …

Sec. 38a-186. (Formerly Sec. 33-179n). Disposition of property on termination. Prohibitions re stock transactions and mergers. (a) In the event of the dissolution, liquidation or termination of the corporate existence of a domestic health care center that is organized as a nonpro…

Sec. 38a-187. (Formerly Sec. 33-179o). Investments. Use of ancillary equipment and facilities. A health care center governed by sections 38a-175 to 38a-194, inclusive, may purchase, lease, construct, renovate, operate and maintain medical facilities and equipment ancillary to suc…

Sec. 38a-188. (Formerly Sec. 33-179p). Applicability of certain insurance statutes. Regulations re evaluation of financial condition. Exemption from certain taxes. (a) Each health care center governed by sections 38a-175 to 38a-194, inclusive, shall be exempt from the provisions …

Sec. 38a-189. (Formerly Sec. 33-179q). Workers' Compensation Act not affected. No provision of sections 38a-175 to 38a-194, inclusive, nor any contract for health care by a health care center governed by said sections shall, in any way, affect the operation of the Workers' Compen…

Sec. 38a-190. (Formerly Sec. 33-179r). Inapplicability of other laws. Any provisions of the statutes of this state regulating group medical, dental or other professions or occupations dealing with health care which is in conflict with sections 38a-175 to 38a-194, inclusive, shall…

Sec. 38a-191. (Formerly Sec. 33-179s). Authority of insurance companies not affected. Nothing in sections 38a-175 to 38a-194, inclusive, shall preclude an insurance company authorized to conduct an accident and health insurance business in this state from performing marketing, en…

Sec. 38a-192. (Formerly Sec. 33-179u). Regulations by Insurance Commissioner. The commissioner may adopt such regulations, in accordance with the provisions of chapter 54, as shall be necessary to carry out the provisions of sections 38a-175 to 38a-194, inclusive. (P.A. 86-154, S…

Sec. 38a-193. Protection against insolvency. (a) Net worth requirements. (1) Before issuing any certificate of authority to any health care center on or after July 1, 1990, the commissioner shall require that a health care center have: (A) An initial net worth of one million five…

Sec. 38a-193a. Uncovered expenditures insolvency deposit by health care center. Requirements. Withdrawal of deposit. Regulations. Section 38a-193a is repealed, effective July 1, 2019. (P.A. 07-178, S. 2; P.A. 19-125, S. 15.)

Sec. 38a-194. Enrollment period. Replacement coverage in the event of insolvency. (a) Enrollment period. In the event of an insolvency of a health care center, upon order of the commissioner, all other carriers that participated in the enrollment process with the insolvent health…

Secs. 38a-195 to 38a-198. Reserved for future use. PART II* HOSPITAL SERVICE CORPORATIONS *See chapter 698b re prepaid legal services and formation of nonprofit legal service plans. See Sec. 38a-470 re liens on workers' compensation awards in favor of hospital service corporation…

Sec. 38a-199. (Formerly Sec. 33-157). Definition. Powers. Exemption from insurance laws. Reserves. (a) A hospital service corporation is defined as a non-profit-sharing corporation without capital stock organized under the laws of the state for the purpose of establishing, mainta…

Sec. 38a-200. (Formerly Sec. 33-158). Incorporation. Representation of policyholders on board of directors. Persons desiring to form a hospital service corporation may incorporate under the general law of the state governing corporations, but subject to the following provisions: …

Sec. 38a-201. (Formerly Sec. 33-159). Form of contract. No contract between any such corporation and subscribers shall entitle more than one person to services, except that such contract may be issued for service to a subscriber and spouse, to a subscriber and family, to a subscr…

Sec. 38a-202. (Formerly Sec. 33-160). Reports and examinations. Each such corporation shall annually, on or before March first, file in the office of the Insurance Commissioner a statement, verified by at least two of its principal officers, showing its condition on the thirty-fi…

Sec. 38a-203. (Formerly Sec. 33-161). Investments. Such corporations shall not invest in real estate mortgages, but may invest in other securities permitted by the general statutes for the investment of trust funds, and in such other securities alone. (1949 Rev., S. 5274.) Histor…

Sec. 38a-204. (Formerly Sec. 33-162). Liquidation or rehabilitation. Mergers. Each such corporation shall be subject to liquidation, dissolution or rehabilitation, and such proceeding shall be under the supervision of the Insurance Commissioner, who shall have such powers hereund…

Sec. 38a-205. (Formerly Sec. 33-163). Workers' compensation law not affected. No provision of sections 38a-199 to 38a-209, inclusive, nor any contract for hospital or other health service by any such corporation shall, in any way, affect the operation of the Workers' Compensation…

Sec. 38a-206. (Formerly Sec. 33-164). Fraternal benefit societies and life or accident insurance companies not affected. Fraternal benefit societies and life and accident insurance companies or accident insurance companies shall not be affected by any provision of sections 38a-19…

Sec. 38a-207. (Formerly Sec. 33-165). Exemption from taxation. All property of any such corporation shall be exempt from state, district and municipal taxes. (1949 Rev., S. 5279.) History: Sec. 33-165 transferred to Sec. 38a-207 in 1991. Annotation to former section 33-165: Cited…

Sec. 38a-208. (Formerly Sec. 33-166). Approval of rates to be paid by subscribers and contracts. (a) No such corporation shall enter into any contract with subscribers unless and until it has filed with the Insurance Commissioner a full schedule of the rates to be paid by the sub…

Sec. 38a-209. (Formerly Sec. 33-167). Appeal. From any order or decision of the Insurance Commissioner, an appeal may be taken by any person or corporation aggrieved thereby in accordance with the provisions of section 4-183. Any dispute which arises between a subscriber and a ho…

Secs. 38a-210 to 38a-213. Reserved for future use. PART III* MEDICAL SERVICE CORPORATIONS *See Sec. 38a-470 re liens on workers' compensation awards in favor of medical service corporations. See Sec. 38a-471 re requirements for third party prescription programs. See Sec. 38a-495 …

Sec. 38a-214. (Formerly Sec. 33-168). Definition. Powers. Exemption from insurance laws. Reserves. (a) A nonprofit medical service corporation is defined as a non-profit-sharing corporation without capital stock organized under the laws of the state for the purpose of establishin…

Sec. 38a-215. (Formerly Sec. 33-169). Formation. Any number of persons not less than seven, all of whom shall be residents of this state, may form a corporation, under and in conformity with the provisions of sections 38a-214 to 38a-225, inclusive, for the purpose of establishing…

Sec. 38a-216. (Formerly Sec. 33-170). Incorporation. Representation of policyholders on board of directors. A medical association desiring to form a medical service corporation may incorporate under the general laws of the state governing corporations, but subject to the followin…

Sec. 38a-217. (Formerly Sec. 33-171). Form of contract. No single contract between any such corporation and its subscribers shall entitle more than one person to indemnity, except that a single contract may be issued to subscriber and spouse, to subscriber and family by marriage …

Sec. 38a-218. (Formerly Sec. 33-172). Approval of rates to be paid by subscribers and contracts. (a) No such medical service corporation shall enter into any contract with subscribers unless and until it has filed with the Insurance Commissioner a full schedule of the rates to be…

Sec. 38a-219. (Formerly Sec. 33-173). Reports and examinations. Insurance Commissioner's supervision. Each such medical service corporation shall, annually, on or before the first day of March, file in the office of the Insurance Commissioner a statement, verified by at least two…

Sec. 38a-220. (Formerly Sec. 33-174). Investments. No such medical service corporation shall invest its funds in any security other than those permitted by the laws of the state for trust funds, except that no funds of such medical service corporation shall be invested in real es…

Sec. 38a-221. (Formerly Sec. 33-175). Liquidation or rehabilitation. Mergers. Each such medical service corporation shall be subject to liquidation, dissolution or rehabilitation, and such proceeding shall be under the supervision of the Insurance Commissioner, who shall have suc…

Sec. 38a-222. (Formerly Sec. 33-176). Workers' compensation law not affected. No provision of sections 38a-214 to 38a-225, inclusive, nor any contract for medical service, hospital or other health services by any such medical service corporation shall, in any way, affect the oper…

Sec. 38a-223. (Formerly Sec. 33-177). Fraternal benefit societies and life or accident insurance companies not affected. Fraternal benefit societies and life or accident insurance companies shall not be affected by sections 38a-214 to 38a-225, inclusive. (1949 Rev., S. 5290.) His…

Sec. 38a-224. (Formerly Sec. 33-178). Exemption from taxation. All property of any such medical service corporation is declared exempt from state, district and municipal taxes. (1949 Rev., S. 5291.) History: Sec. 33-178 transferred to Sec. 38a-224 in 1991. Annotations to former s…

Sec. 38a-225. (Formerly Sec. 33-179). Appeal. An appeal may be taken from any order or decision of the Insurance Commissioner by any person or corporation aggrieved thereby in accordance with the provisions of section 4-183, except venue for such appeal shall be in the judicial d…

Secs. 38a-226 to 38a-226d. Definitions. Annual licensure; fees; complaints re utilization review companies; certification and release of information; compliance. Violations; notice and hearing; penalties; appeal. Utilization review company minimum standards: Determinations, notif…

Secs. 38a-227 to 38a-229. Reserved for future use.