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Connecticut Statutes, Title 38a

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Connecticut/Statutes

← All Connecticut coverage

Title 38a, Title 38a: Insurance

33 chapters · 1,357 sections in this title.

All chapters in Title 38a1,357 Ch 700c, Chapter 700c: Health Insurance364 Ch 698, Chapter 698: Insurers206 Ch 700, Chapter 700: Property and Casualty I…100 Ch 704c, Chapter 704c: Insurers Rehabilitatio…75 Ch 700b, Chapter 700b: Life Insurance, Annuit…55 Ch 701a, Chapter 701a: Insurance Producers, A…55 Ch 704a, Chapter 704a: Insurance Guaranty Funds48 Ch 698a, Chapter 698a: Health Care and Relate…47 Ch 700d, Chapter 700d: Fraternal Benefit Soci…44 Ch 701, Chapter 701: Personal and Commercial…39 Ch 697, Chapter 697: General Provisions32 Ch 702, Chapter 702: Licensing30 Ch 705, Chapter 705: Connecticut Insurance I…28 Ch 700a, Chapter 700a: Title Insurance27

1,357 sections·Filtered byTitle 38a✕

Conn. Gen. Stat. § 38a-500 (Formerly Sec. 38-174w). Mandatory coverage for partners, sole proprietors and corporate officers for work-related injuries. Subrogation rights.
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Sec. 38a-500. (Formerly Sec. 38-174w). Mandatory coverage for partners, sole proprietors and corporate officers for work-related injuries. Subrogation rights. (a) Notwithstanding any other provision of the general statutes, no individual health insurance policy providing coverage…
Conn. Gen. Stat. § 38a-501 (Formerly Sec. 38-174x). Individual long-term care policies. Insurers authorized. Disclosures. Premium rate increases of twenty per cent or more. Disclosure of premium rate increase and minimum set of affordable benefit options.
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Sec. 38a-501. (Formerly Sec. 38-174x). Individual long-term care policies. Insurers authorized. Disclosures. Premium rate increases of twenty per cent or more. Disclosure of premium rate increase and minimum set of affordable benefit options. (a)(1) As used in this section and se…
Conn. Gen. Stat. § 38a-501a Individual short-term care policies. Approval of rates and forms. Disclosures. Regulations.
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Sec. 38a-501a. Individual short-term care policies. Approval of rates and forms. Disclosures. Regulations. (a) As used in this section, “short-term care policy” means any individual health insurance policy delivered or issued for delivery to any resident of this state that is des…

Showing 701–750 of 1,357

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Conn. Gen. Stat. § 38a-502 (Formerly Sec. 38-174ff). Mandatory coverage for services provided by the Healthcare Center maintained by the Department of Veterans Affairs.

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Sec. 38a-502. (Formerly Sec. 38-174ff). Mandatory coverage for services provided by the Healthcare Center maintained by the Department of Veterans Affairs. No individual health insurance policy delivered, issued for delivery or renewed in this state on or after October 1, 1988, m…

Conn. Gen. Stat. § 38a-503 (Formerly Sec. 38-174gg). Mandatory coverage for diagnostic and screening mammography, diagnostic and screening breast ultrasound, diagnostic and screening magnetic resonance imaging, breast biopsies, prophylactic mastectomies and breast reconstructive surgery. Breast density information included in report.

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Sec. 38a-503. (Formerly Sec. 38-174gg). Mandatory coverage for diagnostic and screening mammography, diagnostic and screening breast ultrasound, diagnostic and screening magnetic resonance imaging, breast biopsies, prophylactic mastectomies and breast reconstructive surgery. Brea…

Conn. Gen. Stat. § 38a-503a Mandatory coverage for breast cancer survivors.

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Sec. 38a-503a. Mandatory coverage for breast cancer survivors. Section 38a-503 is repealed, effective January 1, 2020. (P.A. 96-177, S. 4; P.A. 17-15, S. 57; P.A. 19-134, S. 2.)

Conn. Gen. Stat. § 38a-503b Carriers to permit direct access to obstetrician-gynecologist.

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Sec. 38a-503b. Carriers to permit direct access to obstetrician-gynecologist. (a) As used in this section, “carrier” means each insurer, health care center, hospital service corporation, medical service corporation or other entity delivering, issuing for delivery, renewing, amend…

Conn. Gen. Stat. § 38a-503c Mandatory coverage for maternity care. Interhospital transfer of newborn infant and mother.

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Sec. 38a-503c. Mandatory coverage for maternity care. Interhospital transfer of newborn infant and mother. (a) As used in this section, “carrier” means each insurer, health care center, hospital service corporation, medical service corporation or other entity delivering, issuing …

Conn. Gen. Stat. § 38a-503d Mandatory coverage for mastectomy care. Termination of provider contract prohibited.

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Sec. 38a-503d. Mandatory coverage for mastectomy care. Termination of provider contract prohibited. (a) Each individual 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 del…

Conn. Gen. Stat. § 38a-503e Mandatory coverage for contraceptives and sterilization.

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Sec. 38a-503e. Mandatory coverage for contraceptives and sterilization. (a) Each 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 delivery, renewed, amended or continu…

Conn. Gen. Stat. § 38a-503f Mandatory coverage for certain health benefits and services for women, infants, children and adolescents and certain evidence-based items or services for individuals.

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Sec. 38a-503f. Mandatory coverage for certain health benefits and services for women, infants, children and adolescents and certain evidence-based items or services for individuals. (a)(1) Except as provided in subdivision (2) of this subsection, each individual health insurance …

Conn. Gen. Stat. § 38a-503g Mandatory coverage for ovarian cancer screening and monitoring.

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Sec. 38a-503g. Mandatory coverage for ovarian cancer screening and monitoring. (a) For purposes of this section: (1) “At risk for ovarian cancer” means: (A) Having a family history: (i) With one or more first degree blood relatives, including a parent, sibling or child, or one or…

Conn. Gen. Stat. § 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.

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Sec. 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. (a) Each insurance company, hospital service corporation, …

Conn. Gen. Stat. § 38a-504a Coverage for routine patient care costs associated with certain clinical trials.

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Sec. 38a-504a. Coverage for routine patient care costs associated with certain clinical trials. Each 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 delivery, renewed…

Conn. Gen. Stat. § 38a-504b Clinical trial criteria.

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Sec. 38a-504b. Clinical trial criteria. A clinical trial for the prevention of cancer shall be eligible for coverage only if it involves a therapeutic intervention, is a phase III clinical trial approved by one of the entities identified in this section, and is conducted at multi…

Conn. Gen. Stat. § 38a-504c Evidence and information re eligibility for clinical trial. No coverage required for otherwise reimbursable costs.

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Sec. 38a-504c. Evidence and information re eligibility for clinical trial. No coverage required for otherwise reimbursable costs. In order to be eligible for coverage of routine patient care costs, as defined in section 38a-504d, the insurer, health care center or plan administra…

Conn. Gen. Stat. § 38a-504d Clinical trials: Routine patient care costs.

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Sec. 38a-504d. Clinical trials: Routine patient care costs. (a) For purposes of sections 38a-504a to 38a-504g, inclusive, “routine patient care costs” means: (1) Medically necessary health care services that are incurred as a result of the treatment being provided to the insured …

Conn. Gen. Stat. § 38a-504e Clinical trials: Billing. Payments.

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Sec. 38a-504e. Clinical trials: Billing. Payments. (a) Providers, hospitals and institutions that provide routine patient care services as set forth in subsection (a) of section 38a-504d as part of a clinical trial that meets the requirements of sections 38a-504a to 38a-504g, inc…

Conn. Gen. Stat. § 38a-504f Clinical trials: Standardized forms. Time frame for coverage determinations. Appeals. Regulations.

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Sec. 38a-504f. Clinical trials: Standardized forms. Time frame for coverage determinations. Appeals. Regulations. (a)(1) For purposes of cancer clinical trials, the Insurance Department, in cooperation with the Connecticut Oncology Association, the American Cancer Society, the Co…

Conn. Gen. Stat. § 38a-504g Clinical trials: Submission and certification of policy forms.

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Sec. 38a-504g. Clinical trials: Submission and certification of policy forms. (a) Any insurer or health care center with coverage policies for care in clinical trials shall submit such policies to the Insurance Department for evaluation and approval. The department shall certify …

Conn. Gen. Stat. § 38a-505 (Formerly Sec. 38-378). Insurance Commissioner's powers concerning comprehensive health care plans. Disclosures.

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Sec. 38a-505. (Formerly Sec. 38-378). Insurance Commissioner's powers concerning comprehensive health care plans. Disclosures. In order to provide reasonable simplification of terms and coverages of individual health insurance policies, to facilitate public understanding and comp…

Conn. Gen. Stat. § 38a-506 (Formerly Sec. 38-173). Penalty.

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Sec. 38a-506. (Formerly Sec. 38-173). Penalty. Any insurer, hospital service corporation, medical service corporation, health care center or fraternal benefit society, or any officer or agent thereof, delivering or issuing for delivery to any person in this state any policy in vi…

Conn. Gen. Stat. § 38a-507 Coverage for services performed by chiropractors.

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Sec. 38a-507. Coverage for services performed by chiropractors. Each individual health insurance policy providing coverage of the type specified in subdivisions (1), (2), (4), (6) and (11) of section 38a-469, delivered, issued for delivery, renewed, amended or continued in this s…

Conn. Gen. Stat. § 38a-508 Coverage for adopted children.

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Sec. 38a-508. Coverage for adopted children. (a) Each individual 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, amended, renewed or continued in this state shal…

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 …