Title 38a — Title 38a: Insurance
33 chapters · 1,393 sections in this title.
Conn. Gen. Stat. § 38a-509 Mandatory coverage for infertility diagnosis and treatment. Limitations.
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Sec. 38a-509. Mandatory coverage for infertility diagnosis and treatment. Limitations. (a) Subject to the limitations set forth in subsection (b) of this section and except as provided in subsection (c) of this section, each individual health insurance policy providing coverage o…
Conn. Gen. Stat. § 38a-510 Prescription drug coverage. Mail order pharmacies. Step therapy use.
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Sec. 38a-510. Prescription drug coverage. Mail order pharmacies. Step therapy use. (a) No insurance company, hospital service corporation, medical service corporation, health care center or other entity delivering, issuing for delivery, renewing, amending or continuing an individ…
Conn. Gen. Stat. § 38a-510a Prescription drug coverage. Synchronized refills.
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Sec. 38a-510a. Prescription drug coverage. Synchronized refills. No individual health insurance policy providing coverage of the type specified in subdivisions (1), (2), (4), (11), (12) and (16) of section 38a-469 delivered, issued for delivery, renewed, amended or continued in t…
Conn. Gen. Stat. § 38a-510b Prescription drug coverage. Prior authorization for naloxone hydrochloride or similar drug not required.
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Sec. 38a-510b. Prescription drug coverage. Prior authorization for naloxone hydrochloride or similar drug not required. No individual health insurance policy providing coverage of the type specified in subdivisions (1), (2), (4), (11), (12) and (16) of section 38a-469 delivered, …
Conn. Gen. Stat. § 38a-510c Coverage for investigational drug, biological product or device for insureds with terminal illnesses. Liability of health carrier.
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Sec. 38a-510c. Coverage for investigational drug, biological product or device for insureds with terminal illnesses. Liability of health carrier. (a) As used in this section, “health carrier” means an insurance company, health care center, hospital service corporation, medical se…
Conn. Gen. Stat. § 38a-511 Copayments re in-network imaging services.
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Sec. 38a-511. Copayments re in-network imaging services. (a) No health insurer, health care center, hospital service corporation, medical service corporation or fraternal benefit society that provides coverage under an individual health insurance policy or contract for magnetic r…
Conn. Gen. Stat. § 38a-511a Copayments re in-network physical therapy services and in-network occupational therapy services.
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Sec. 38a-511a. Copayments re in-network physical therapy services and in-network occupational therapy services. No individual health insurance policy providing coverage of the type specified in subdivisions (1), (2), (4), (11) and (12) of section 38a-469 delivered, issued for del…
Conn. Gen. Stat. § 38a-512 Applicability of statutes to certain major medical expense policies.
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Sec. 38a-512. Applicability of statutes to certain major medical expense policies. Any policy providing major medical expense coverage that is written to complement underlying hospital, medical and surgical expense coverage shall not be required, unless otherwise specifically pro…
Conn. Gen. Stat. § 38a-512a Continuation of coverage.
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Sec. 38a-512a. Continuation of coverage. (a)(1) Each insurer, health care center, hospital service corporation, medical service corporation, fraternal benefit society or other entity delivering, issuing for delivery, renewing, amending or continuing a group health insurance polic…
Conn. Gen. Stat. § 38a-512b Termination of coverage of child, stepchild or other dependent child in group policies. Dental or vision coverage.
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Sec. 38a-512b. Termination of coverage of child, stepchild or other dependent child in group policies. Dental or vision coverage. (a) Each group health insurance policy providing coverage of the type specified in subdivisions (1), (2), (4), (10), (11) and (12) of section 38a-469 …
Conn. Gen. Stat. § 38a-512c Annual and lifetime limits.
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Sec. 38a-512c. Annual and lifetime limits. (a) No group health insurance policy providing coverage of the type specified in subdivisions (1), (2), (4), (11) and (12) of section 38a-469 delivered, issued for delivery, amended, renewed or continued in this state shall include an an…
Conn. Gen. Stat. § 38a-513 Approval of policy forms and small employer rates. Prescription drug rebates. Medicare supplement policies. Age, gender, previous claim or medical history rating prohibited. Optional life insurance rider. Group specified disease policies.
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Sec. 38a-513. Approval of policy forms and small employer rates. Prescription drug rebates. Medicare supplement policies. Age, gender, previous claim or medical history rating prohibited. Optional life insurance rider. Group specified disease policies. (a)(1) No group health insu…
Conn. Gen. Stat. § 38a-513a Time limits for coverage determinations. Notice requirements.
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Sec. 38a-513a. Time limits for coverage determinations. Notice requirements. Section 38a-513a is repealed, effective October 1, 2015. (P.A. 99-284, S. 13; P.A. 10-24, S. 2; P.A. 11-19, S. 24; P.A. 15-118, S. 71.)
Conn. Gen. Stat. § 38a-513b Coverage and notice re experimental treatments. Appeals.
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Sec. 38a-513b. Coverage and notice re experimental treatments. Appeals. (a) Each group health insurance policy delivered, issued for delivery, renewed, amended or continued in this state shall define the extent to which it provides coverage for experimental treatments. (b) No suc…
Conn. Gen. Stat. § 38a-513c Group health insurance policy to contain definition of “medically necessary” or “medical necessity”.
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Sec. 38a-513c. Group health insurance policy to contain definition of “medically necessary” or “medical necessity”. (a) No insurer, health care center, hospital service corporation, medical service corporation or other entity delivering, issuing for delivery, renewing, continuing…
Conn. Gen. Stat. § 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.
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Sec. 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. (a) No insurer, health care center, hospital serv…
Conn. Gen. Stat. § 38a-513e Premium payment by employer following employee termination. Exceptions. Right to continuation of coverage following relocation or closing of covered establishment not affected.
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Sec. 38a-513e. Premium payment by employer following employee termination. Exceptions. Right to continuation of coverage following relocation or closing of covered establishment not affected. (a) In the event (1) an employer, as defined in section 31-58, terminates an employee fo…
Conn. Gen. Stat. § 38a-513f Claims information to be provided to certain employers. Restrictions. Subpoenas.
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Sec. 38a-513f. Claims information to be provided to certain employers. Restrictions. Subpoenas. (a) As used in this section: (1) “Claims paid” means the amounts paid for the covered employees of an employer by an insurer, health care center, hospital service corporation, medical …
Conn. Gen. Stat. § 38a-513g Employer submission of plan cost information to Comptroller.
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Sec. 38a-513g. Employer submission of plan cost information to Comptroller. (a) For the purposes of this section, “employer” has the same meaning as provided in section 38a-513f. (b) Not later than October first, annually, each employer that sponsors a fully insured group health …
Conn. Gen. Stat. § 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.
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Sec. 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 …
Conn. Gen. Stat. § 38a-514a Biologically-based mental illness. Coverage required.
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Sec. 38a-514a. Biologically-based mental illness. Coverage required. Section 38a-514a is repealed, effective January 1, 2000. (P.A. 97-99, S. 27; June 18 Sp. Sess. P.A. 97-8, S. 62, 88; P.A. 99-284, S. 59, 60.)
Conn. Gen. Stat. § 38a-514b Coverage for autism spectrum disorder.
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Sec. 38a-514b. Coverage for autism spectrum disorder. (a) As used in this section: (1) “Applied behavior analysis” means the design, implementation and evaluation of environmental modifications, using behavioral stimuli and consequences, including the use of direct observation, m…
Conn. Gen. Stat. § 38a-514c Mental health and substance use disorder benefits. Nonquantitative treatment limitations.
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Sec. 38a-514c. Mental health and substance use disorder benefits. Nonquantitative treatment limitations. No group health insurance policy providing coverage of the type specified in subdivisions (1), (2), (4), (11) and (12) of section 38a-469 delivered, issued for delivery, renew…
Conn. Gen. Stat. § 38a-514d Coverage for substance abuse services provided pursuant to court order.
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Sec. 38a-514d. Coverage for substance abuse services provided pursuant to court order. No group health insurance policy providing coverage of the type specified in subdivisions (1), (2), (4), (11) and (12) of section 38a-469 that is delivered, issued for delivery, renewed, amende…
Conn. Gen. Stat. § 38a-514e Coverage for mental health wellness exams.
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Sec. 38a-514e. Coverage for mental health wellness exams. (a) For the purposes of this section: (1) “Licensed mental health professional” means: (A) A licensed professional counselor or professional counselor, as defined in section 20-195aa; (B) a person who is under professional…
Conn. Gen. Stat. § 38a-514f Coverage for services provided under the Collaborative Care Model.
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Sec. 38a-514f. Coverage for services provided under the Collaborative Care Model. (a) For the purposes of this section: (1) “Collaborative Care Model” means the integrated delivery of behavioral health and primary care services by a primary care team that includes a primary care …
Conn. Gen. Stat. § 38a-514g Acute inpatient psychiatric coverage. Prior authorization not required.
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Sec. 38a-514g. Acute inpatient psychiatric coverage. Prior authorization not required. (a) No group health insurance policy providing coverage of the type specified in subdivisions (1), (2), (4), (11) and (12) of section 38a-469 delivered, issued for delivery, renewed, amended or…
Conn. Gen. Stat. § 38a-515 Continuation of coverage of mentally or physically handicapped children.
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Sec. 38a-515. Continuation of coverage of mentally or physically handicapped children. (a) Each group health insurance policy providing coverage of the type specified in subdivisions (1), (2), (4), (11) and (12) of section 38a-469 delivered, issued for delivery, renewed, amended …
Conn. Gen. Stat. § 38a-516 Coverage for newly born children. Notification to insurer.
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Sec. 38a-516. Coverage for newly born children. Notification to insurer. (a) Each group health insurance policy delivered, issued for delivery, renewed, amended or continued in this state providing coverage of the type specified in subdivisions (1), (2), (4), (11) and (12) of sec…
Conn. Gen. Stat. § 38a-516a Coverage for birth-to-three program.
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Sec. 38a-516a. Coverage for birth-to-three program. (a) Each group health insurance policy providing coverage of the type specified in subdivisions (1), (2), (4), (11) and (12) of section 38a-469 delivered, issued for delivery, renewed, amended or continued in this state shall pr…
Conn. Gen. Stat. § 38a-516b Coverage for hearing aids.
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Sec. 38a-516b. Coverage for hearing aids. Each group health insurance policy providing coverage of the type specified in subdivisions (1), (2), (4), (11) and (12) of section 38a-469 delivered, issued for delivery, renewed, amended or continued in this state shall provide coverage…
Conn. Gen. Stat. § 38a-516c Coverage for craniofacial disorders.
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Sec. 38a-516c. Coverage for craniofacial disorders. Each group health insurance policy providing coverage of the type specified in subdivisions (1), (2), (4), (11) and (12) of section 38a-469 delivered, issued for delivery, amended, renewed or continued in this state on or after …
Conn. Gen. Stat. § 38a-516d Coverage for neuropsychological testing for children diagnosed with cancer.
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Sec. 38a-516d. Coverage for neuropsychological testing for children diagnosed with cancer. Each group health insurance policy providing coverage of the type specified in subdivisions (1), (2), (4), (11) and (12) of section 38a-469 delivered, issued for delivery, amended, renewed …
Conn. Gen. Stat. § 38a-517 Coverage for services performed by dentist in certain instances.
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Sec. 38a-517. Coverage for services performed by dentist in certain instances. Whenever the term “physician” or “doctor” is used in any group health insurance policy delivered, issued for delivery or renewed in this state on or after October 1, 1975, it shall be deemed to include…
Conn. Gen. Stat. § 38a-517a Coverage for in-patient, outpatient or one-day dental services in certain instances.
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Sec. 38a-517a. Coverage for in-patient, outpatient or one-day dental services in certain instances. (a) Each group health insurance policy providing coverage of the type specified in subdivisions (1), (2), (4), (11) and (12) of section 38a-469 delivered, issued for delivery, rene…
Conn. Gen. Stat. § 38a-517b Assignment of benefits to a dentist or oral surgeon.
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Sec. 38a-517b. Assignment of benefits to a dentist or oral surgeon. No insurer, health care center, hospital service corporation, medical service corporation or other entity delivering, issuing for delivery, renewing, continuing or amending any group health insurance policy in th…
Conn. Gen. Stat. § 38a-518 Coverage for accidental ingestion or consumption of controlled drugs. Benefits prescribed.
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Sec. 38a-518. Coverage for accidental ingestion or consumption of controlled drugs. Benefits prescribed. No group health insurance policy providing coverage of the type specified in subdivisions (1), (2), (4), (6) and (11) of section 38a-469 shall be delivered, issued for deliver…
Conn. Gen. Stat. § 38a-518a Mandatory coverage for hypodermic needles and syringes.
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Sec. 38a-518a. Mandatory coverage for hypodermic needles and syringes. Each group health insurance policy providing coverage of the type specified in subdivisions (1), (2), (4), (6), (10), (11) and (12) of section 38a-469, delivered, issued for delivery, renewed, amended or conti…
Conn. Gen. Stat. § 38a-518b Coverage for certain off-label drug prescriptions.
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Sec. 38a-518b. Coverage for certain off-label drug prescriptions. (a)(1) Each group health insurance policy delivered, issued for delivery, renewed, amended or continued in this state, that provides coverage for prescription drugs approved by the federal Food and Drug Administrat…
Conn. Gen. Stat. § 38a-518c Coverage for low protein modified food products, amino acid modified preparations and specialized formulas.
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Sec. 38a-518c. Coverage for low protein modified food products, amino acid modified preparations and specialized formulas. (a) For purposes of this section: (1) “Inherited metabolic disease” includes (A) a disease for which newborn screening is required under section 19a-55; and …
Conn. Gen. Stat. § 38a-518d Mandatory coverage for diabetes screening, testing and treatment.
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Sec. 38a-518d. Mandatory coverage for diabetes screening, testing and treatment. (a) For the purposes of this section: (1) “Diabetes device” has the same meaning as provided in section 20-616; (2) “Diabetic ketoacidosis device” has the same meaning as provided in section 20-616; …
Conn. Gen. Stat. § 38a-518e Mandatory coverage for diabetes outpatient self-management training.
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Sec. 38a-518e. Mandatory coverage for diabetes outpatient self-management training. (a) Each group health insurance policy providing coverage of the type specified in subdivisions (1), (2), (4), (11) and (12) of section 38a-469 delivered, issued for delivery, renewed or continued…
Conn. Gen. Stat. § 38a-518f Mandatory coverage for certain prescription drugs removed from formulary.
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Sec. 38a-518f. Mandatory coverage for certain prescription drugs removed from formulary. Each group health insurance policy providing coverage of the type specified in subdivisions (1), (2), (4), (11) and (12) of section 38a-469 delivered, issued for delivery, renewed, amended or…
Conn. Gen. Stat. § 38a-518g Mandatory coverage for prostate cancer screening and treatment.
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Sec. 38a-518g. Mandatory coverage for prostate cancer screening and treatment. Each group health insurance policy providing coverage of the type specified in subdivisions (1), (2), (4), (11) and (12) of section 38a-469 delivered, issued for delivery, renewed, amended or continued…
Conn. Gen. Stat. § 38a-518h Mandatory coverage for certain Lyme disease treatments.
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Sec. 38a-518h. Mandatory coverage for certain Lyme disease treatments. Each group health insurance policy providing coverage of the type specified in subdivisions (1), (2), (4), (11) and (12) of section 38a-469 delivered, issued for delivery, renewed or continued in this state on…
Conn. Gen. Stat. § 38a-518i Mandatory coverage for pain management.
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Sec. 38a-518i. Mandatory coverage for pain management. (a) Each group health insurance policy providing coverage of the type specified in subdivisions (1), (2), (4), (10), (11) and (12) of section 38a-469 delivered, issued for delivery, renewed, amended or continued in this state…
Conn. Gen. Stat. § 38a-518j Mandatory coverage for ostomy-related supplies.
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Sec. 38a-518j. Mandatory coverage for ostomy-related supplies. Each group health insurance policy providing coverage of the type specified in subdivisions (1), (2), (4), (11) and (12) of section 38a-469 delivered, issued for delivery, renewed, amended or continued in this state t…
Conn. Gen. Stat. § 38a-518k Mandatory coverage for colorectal cancer screening.
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Sec. 38a-518k. Mandatory coverage for colorectal cancer screening. (a) Each group health insurance policy providing coverage of the type specified in subdivisions (1), (2), (4), (11) and (12) of section 38a-469 delivered, issued for delivery, amended, renewed or continued in this…
Conn. Gen. Stat. § 38a-518l Mandatory coverage for certain renewals of prescription eye drops.
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Sec. 38a-518l. Mandatory coverage for certain renewals of prescription eye drops. Each group health insurance policy providing coverage of the type specified in subdivisions (1), (2), (4), (11) and (12) of section 38a-469 delivered, issued for delivery, amended, renewed or contin…
Conn. Gen. Stat. § 38a-518m Mandatory coverage for certain wound-care supplies.
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Sec. 38a-518m. Mandatory coverage for certain wound-care supplies. Each group health insurance policy providing coverage of the type specified in subdivisions (1), (2), (4), (11) and (12) of section 38a-469 that is delivered, issued for delivery, renewed, amended or continued in …