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- Conn. Gen. Stat. § 38a-478h · Contract requirements and notice for removal or departure of provider. Retaliatory action prohibited.
- Conn. Gen. Stat. § 38a-478i · Limitation on enrollee rights prohibited.
- Conn. Gen. Stat. § 38a-478j · Coinsurance and deductible payments based on negotiated discounts.
- Conn. Gen. Stat. § 38a-478k · Gag clauses prohibited.
- Conn. Gen. Stat. § 38a-478l · Consumer report card required. Content. Data analysis by commissioner.
- Conn. Gen. Stat. §§ 38a-478m and 38a-478n · Internal grievance procedure; notice re procedure and final resolution; penalties; fines allocated to Office of the Healthcare Advocate. Exhaustion of internal appeal mechanisms; external appeal to commissioner; applicability to health insurers, managed care organizations and utilization review companies; fees; preliminary review; full review; public outreach program; expedited external appeal; requirements for and approval of independent review entities; filing of report.
- Conn. Gen. Stat. § 38a-478o · Confidentiality and antidiscrimination procedures required.
- Conn. Gen. Stat. § 38a-478p · Expedited utilization review. Standardized process required.
- Conn. Gen. Stat. § 38a-478q · Use of laboratories covered by plan required.
- Conn. Gen. Stat. § 38a-478r · Emergency rooms. Prudent layperson standard. Presenting symptoms or final diagnosis as basis for coverage. Mandatory coverage for medically necessary health care services for emergency medical conditions.
- Conn. Gen. Stat. § 38a-478s · Nonapplicability to self-insured employee welfare benefit plans and workers' compensation plans.
- Conn. Gen. Stat. § 38a-478t · Commissioner of Public Health to receive data.
- Conn. Gen. Stat. § 38a-478u · Regulations.
- Conn. Gen. Stat. § 38a-478v · Applicability of Unfair and Prohibited Insurance Practices Act. Examination by Insurance Commissioner. Regulations.
- Conn. Gen. Stat. § 38a-478w · Managed care organization's calculation of enrollee liability for covered benefits. Credit required for third-party discounts and payments.
- Conn. Gen. Stat. § 38a-479 · Definitions. Access to fee schedules. Fee information to be confidential.
- Conn. Gen. Stat. § 38a-479a · Physicians and managed care organizations to discuss issues relative to contracting between such parties.
- Conn. Gen. Stat. § 38a-479b · Material changes to fee schedules. Return of payment by provider. Appeals. Filing of claim by provider under other applicable insurance coverage. Certain clauses, covenants and agreements prohibited. Exception.
- Conn. Gen. Stat. §§ 38a-479c to 38a-479z · Secs. 38a-479c to 38a-479z.
- Conn. Gen. Stat. § 38a-479aa · Preferred provider networks. Definitions. Licensing. Fees. Requirements. Exception.
- Conn. Gen. Stat. § 38a-479bb · Requirements for managed care organizations that contract with preferred provider networks. Requirements for preferred provider networks.
- Conn. Gen. Stat. § 38a-479cc · Duties of a preferred provider network when providing services pursuant to a contract with a managed care organization.
- Conn. Gen. Stat. § 38a-479dd · Preferred provider network examination of outstanding amounts. Notice. Commissioner's duties.
- Conn. Gen. Stat. § 38a-479ee · Violations. Penalties. Investigations and staffing. Grievances. Referrals from Healthcare Advocate.
- Conn. Gen. Stat. § 38a-479ff · Adverse action or threat of adverse action against complainant prohibited. Exception. Civil actions by aggrieved persons.
- Conn. Gen. Stat. § 38a-479gg · Regulations.
- Conn. Gen. Stat. §§ 38a-479hh to 38a-479pp · Secs. 38a-479hh to 38a-479pp.
- Conn. Gen. Stat. § 38a-479qq · Medical discount plans: Definitions, prohibited sales practices, penalties.
- Conn. Gen. Stat. § 38a-479rr · Medical discount plan organizations: Licensure. List of authorized marketers. Provider agreements. Minimum net worth. Suspension of authority and revocation or nonrenewal of license. Reinstatement of license. Maintenance of information. Regulations. Penalties. Advertising and marketing materials. Investigations.
- Conn. Gen. Stat. §§ 38a-479ss to 38a-479zz · Secs. 38a-479ss to 38a-479zz.
- Conn. Gen. Stat. § 38a-479aaa · Pharmacy benefits managers. Definitions.
- Conn. Gen. Stat. § 38a-479bbb · Registration of pharmacy benefits managers required. Application for registration. Fee. Surety bond. Exemption from registration.
- Conn. Gen. Stat. § 38a-479ccc · Certificate of registration; when issued or refused. Suspension, revocation or refusal to issue or renew registration; grounds.
- Conn. Gen. Stat. § 38a-479ddd · Hearing on denial of certificate. Subsequent application.
- Conn. Gen. Stat. § 38a-479eee · Claims payment to be made by electronic funds transfer upon written request.
- Conn. Gen. Stat. § 38a-479fff · Expiration of certificates of registration. Renewal. Fees.
- Conn. Gen. Stat. § 38a-479ggg · Regulations.
- Conn. Gen. Stat. § 38a-479hhh · Investigations and hearings. Powers of commissioner. Appeals.
- Conn. Gen. Stat. § 38a-479iii · Pharmacy audits.
- Conn. Gen. Stat. § 38a-479jjj · Contract with 340B covered entity. Prohibited provisions. Reimbursement rates. Regulations.
- Conn. Gen. Stat. §§ 38a-479kkk to 38a-479nnn · Secs. 38a-479kkk to 38a-479nnn.
- Conn. Gen. Stat. § 38a-479ooo · Definitions.
- Conn. Gen. Stat. § 38a-479ppp · Annual report by pharmacy benefits managers. Standardized form. Confidentiality of information. Penalty. Regulations. Commissioner's report to the General Assembly.
- Conn. Gen. Stat. § 38a-479qqq · Annual report by health carriers. Regulations.
- Conn. Gen. Stat. § 38a-479rrr · Annual certification by health carriers.
- Conn. Gen. Stat. § 38a-479sss · Annual report by commissioner to the General Assembly re outpatient prescription drug costs.
- Conn. Gen. Stat. § 38a-479ttt · Annual report by commissioner to the General Assembly re prescription drug rebates.
- Conn. Gen. Stat. § 38a-480 · (Formerly Sec. 38-174). Applicability of statutes to certain policies and contracts.
- Conn. Gen. Stat. § 38a-481 · (Formerly Sec. 38-165). *(See end of section for amended version of subsection (b) and effective date.) 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.
- Conn. Gen. Stat. § 38a-482 · (Formerly Sec. 38-166). Form of policy.
- Conn. Gen. Stat. § 38a-482a · Individual health insurance policy to contain definition of “medically necessary” or “medical necessity”.
- Conn. Gen. Stat. § 38a-482b · Individual health insurance policy providing limited coverage to include disclosure. Limited coverage defined.
- Conn. Gen. Stat. § 38a-482c · Annual and lifetime limits.
- Conn. Gen. Stat. § 38a-483 · (Formerly Sec. 38-167). Standard provisions of individual health policy.
- Conn. Gen. Stat. § 38a-483a · Exclusionary riders for individual health insurance policies. Regulations.
- Conn. Gen. Stat. § 38a-483b · Time limits for coverage determinations. Notice requirements.
- Conn. Gen. Stat. § 38a-483c · Coverage and notice re experimental treatments. Appeals.
- Conn. Gen. Stat. § 38a-484 · (Formerly Sec. 38-168). Policy provisions not to be less favorable than standard. Validity of policy issued in violation of law.
- Conn. Gen. Stat. § 38a-485 · (Formerly Sec. 38-169). Copy of application to be part of new policy or to be furnished with renewal. Alteration of application.
- Conn. Gen. Stat. § 38a-486 · (Formerly Sec. 38-170). Certain acts not to operate as waiver of rights.
- Conn. Gen. Stat. § 38a-487 · (Formerly Sec. 38-171). Coverage after termination date of policy.
- Conn. Gen. Stat. § 38a-488 · (Formerly Sec. 38-172). Discrimination.
- Conn. Gen. Stat. § 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.
- Conn. Gen. Stat. § 38a-488b · *(See end of section for amended version of subdivision (4) of subsection (a) and effective date.) Coverage for autism spectrum disorder therapies.
- Conn. Gen. Stat. § 38a-488c · Mental health and substance use disorder benefits. Nonquantitative treatment limitations.
- Conn. Gen. Stat. § 38a-488d · Coverage for substance abuse services provided pursuant to court order.
- Conn. Gen. Stat. § 38a-488e · Coverage for mental health wellness examinations.
- Conn. Gen. Stat. § 38a-488f · Coverage for services provided under the Collaborative Care Model.
- Conn. Gen. Stat. § 38a-488g · Acute inpatient psychiatric coverage. Prior authorization not required.
- Conn. Gen. Stat. § 38a-489 · (Formerly Sec. 38-174e). Continuation of coverage of mentally or physically handicapped children.
- Conn. Gen. Stat. § 38a-490 · (Formerly Sec. 38-174g). Coverage for newly born children. Notification to insurer.
- Conn. Gen. Stat. § 38a-490a · Coverage for birth-to-three program.
- Conn. Gen. Stat. § 38a-490b · Coverage for hearing aids.
- Conn. Gen. Stat. § 38a-490c · Coverage for craniofacial disorders.
- Conn. Gen. Stat. § 38a-490d · Mandatory coverage for blood lead screening and risk assessment.
- Conn. Gen. Stat. § 38a-491 · (Formerly Sec. 38-174h). Coverage for services performed by dentists in certain instances.
- Conn. Gen. Stat. § 38a-491a · Coverage for in-patient, outpatient or one-day dental services in certain instances.
- Conn. Gen. Stat. § 38a-491b · Assignment of benefits to a dentist or oral surgeon.
- Conn. Gen. Stat. § 38a-492 · (Formerly Sec. 38-174i). Coverage for accidental ingestion or consumption of controlled drugs. Benefits prescribed.
- Conn. Gen. Stat. § 38a-492a · Mandatory coverage for hypodermic needles and syringes.
- Conn. Gen. Stat. § 38a-492b · Coverage for certain off-label drug prescriptions.
- Conn. Gen. Stat. § 38a-492c · Coverage for low protein modified food products, amino acid modified preparations and specialized formulas.
- Conn. Gen. Stat. § 38a-492d · Mandatory coverage for diabetes screening, testing and treatment.
- Conn. Gen. Stat. § 38a-492e · Mandatory coverage for diabetes outpatient self-management training.
- Conn. Gen. Stat. § 38a-492f · Mandatory coverage for certain prescription drugs removed from formulary.
- Conn. Gen. Stat. § 38a-492g · Mandatory coverage for prostate cancer screening and treatment.
- Conn. Gen. Stat. § 38a-492h · Mandatory coverage for certain Lyme disease treatments.
- Conn. Gen. Stat. § 38a-492i · Mandatory coverage for pain management.
- Conn. Gen. Stat. § 38a-492j · Mandatory coverage for ostomy-related supplies.
- Conn. Gen. Stat. § 38a-492k · Mandatory coverage for colorectal cancer screening.
- Conn. Gen. Stat. § 38a-492l · Mandatory coverage for neuropsychological testing for children diagnosed with cancer.
- Conn. Gen. Stat. § 38a-492m · Mandatory coverage for certain renewals of prescription eye drops.
- Conn. Gen. Stat. § 38a-492n · Mandatory coverage for certain wound-care supplies.
- Conn. Gen. Stat. § 38a-492o · Mandatory coverage for bone marrow testing.
- Conn. Gen. Stat. § 38a-492p · Mandatory coverage for medically monitored inpatient detoxification.
- Conn. Gen. Stat. § 38a-492q · Mandatory coverage for essential health benefits.
- Conn. Gen. Stat. § 38a-492r · Mandatory coverage for certain immunizations and consultation with health care provider.
- Conn. Gen. Stat. § 38a-492s · Mandatory coverage for certain preventive care and screenings for individuals who are twenty-one years of age or younger.
- Conn. Gen. Stat. § 38a-492t · Mandatory coverage for prosthetic devices.
- Conn. Gen. Stat. § 38a-492u · Coverage for psychotropic drugs. Standards re availability.