GroundRules
Browse Connecticut
Read the original sections, or search by topic.
- Conn. Gen. Stat. § 38a-492v · Mandatory coverage for hospice services provided in home through a hospice care program to the extent provided for inpatient hospice services.
- Conn. Gen. Stat. § 38a-492w · Medically necessary wheelchair repairs, replacements. Coverage requirements.
- Conn. Gen. Stat. § 38a-492x · Mandatory coverage for coronary calcium scans.
- Conn. Gen. Stat. § 38a-493 · (Formerly Sec. 38-174k). Mandatory coverage for home health care. Deductibles. Exception from deductible limits for medical savings accounts, Archer MSAs and health savings accounts.
- Conn. Gen. Stat. § 38a-494 · (Formerly Sec. 38-174l). Home health care by recognized nonmedical systems.
- Conn. Gen. Stat. § 38a-495 · (Formerly Sec. 38-174m). Medicare supplement policies. Coverage of home health aide services and mammography. Prescription drug riders.
- Conn. Gen. Stat. § 38a-495a · Medicare supplement policies and certificates. Minimum required policy benefits and standards. Regulations.
- Conn. Gen. Stat. § 38a-495b · Medicare supplement policies and certificates. Definitions.
- Conn. Gen. Stat. § 38a-495c · Medicare supplement premium rates charged on a community rate basis. Age, gender, previous claim or medical history rating prohibited. Preexisting conditions. Coverage for the disabled and qualified Medicare beneficiaries. Exception. Regulations.
- Conn. Gen. Stat. § 38a-495d · Refund of prepaid premium for Medicare supplement policies.
- Conn. Gen. Stat. § 38a-496 · (Formerly Sec. 38-174q). Coverage for occupational therapy.
- Conn. Gen. Stat. § 38a-497 · (Formerly Sec. 38-174r). Termination of coverage of child, stepchild, or other dependent child in individual policies. Dental or vision coverage.
- Conn. Gen. Stat. § 38a-497a · Group coverage and benefits of a noncustodial parent. National Medical Support Notice. Notification of new employer by IV-D agency. Notification to parent. Enrollment of child.
- Conn. Gen. Stat. § 38a-498 · (Formerly Sec. 38-174t). Mandatory coverage for medically necessary ambulance services. Direct payment to ambulance provider.
- Conn. Gen. Stat. § 38a-498a · Prior authorization prohibited for certain 9-1-1 emergency calls or transporting enrollee to a hospital by ambulance when medically necessary. Denial of payment to ambulance provider responding to 9-1-1 local prehospital emergency medical service system call prohibited on basis that enrollee did not obtain approval prior to calling such system or transporting such enrollee when medically necessary by ambulance to a hospital.
- Conn. Gen. Stat. § 38a-498b · Mandatory coverage for mobile field hospital.
- Conn. Gen. Stat. § 38a-498c · Denial of coverage prohibited for health care services rendered to persons with an elevated blood alcohol content.
- Conn. Gen. Stat. § 38a-499 · (Formerly Sec. 38-174v). Coverage for services of physician assistants and certain nurses.
- Conn. Gen. Stat. § 38a-499a · Coverage for telehealth services.
- Conn. Gen. Stat. § 38a-500 · (Formerly Sec. 38-174w). Mandatory coverage for partners, sole proprietors and corporate officers for work-related injuries. Subrogation rights.
- 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.
- Conn. Gen. Stat. § 38a-501a · Individual short-term care policies. Approval of rates and forms. Disclosures. Regulations.
- 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.
- 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.
- Conn. Gen. Stat. § 38a-503a · Mandatory coverage for breast cancer survivors.
- Conn. Gen. Stat. § 38a-503b · Carriers to permit direct access to obstetrician-gynecologist.
- Conn. Gen. Stat. § 38a-503c · Mandatory coverage for maternity care. Interhospital transfer of newborn infant and mother.
- Conn. Gen. Stat. § 38a-503d · Mandatory coverage for mastectomy care. Termination of provider contract prohibited.
- Conn. Gen. Stat. § 38a-503e · Mandatory coverage for contraceptives and sterilization.
- 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.
- Conn. Gen. Stat. § 38a-503g · Mandatory coverage for ovarian cancer screening and monitoring.
- 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.
- Conn. Gen. Stat. § 38a-504a · Coverage for routine patient care costs associated with certain clinical trials.
- Conn. Gen. Stat. § 38a-504b · Clinical trial criteria.
- Conn. Gen. Stat. § 38a-504c · Evidence and information re eligibility for clinical trial. No coverage required for otherwise reimbursable costs.
- Conn. Gen. Stat. § 38a-504d · Clinical trials: Routine patient care costs.
- Conn. Gen. Stat. § 38a-504e · Clinical trials: Billing. Payments.
- Conn. Gen. Stat. § 38a-504f · Clinical trials: Standardized forms. Time frame for coverage determinations. Appeals. Regulations.
- Conn. Gen. Stat. § 38a-504g · Clinical trials: Submission and certification of policy forms.
- Conn. Gen. Stat. § 38a-505 · (Formerly Sec. 38-378). Insurance Commissioner's powers concerning comprehensive health care plans. Disclosures.
- Conn. Gen. Stat. § 38a-506 · (Formerly Sec. 38-173). Penalty.
- Conn. Gen. Stat. § 38a-507 · Coverage for services performed by chiropractors.
- Conn. Gen. Stat. § 38a-508 · Coverage for adopted children.
- Conn. Gen. Stat. § 38a-509 · Mandatory coverage for infertility diagnosis and treatment. Limitations.
- Conn. Gen. Stat. § 38a-510 · Prescription drug coverage. Mail order pharmacies. Step therapy use.
- Conn. Gen. Stat. § 38a-510a · Prescription drug coverage. Synchronized refills.
- Conn. Gen. Stat. § 38a-510b · Prescription drug coverage. Prior authorization for naloxone hydrochloride or similar drug not required.
- Conn. Gen. Stat. § 38a-510c · Coverage for investigational drug, biological product or device for insureds with terminal illnesses. Liability of health carrier.
- Conn. Gen. Stat. § 38a-511 · Copayments re in-network imaging services.
- Conn. Gen. Stat. § 38a-511a · Copayments re in-network physical therapy services and in-network occupational therapy services.
- Conn. Gen. Stat. § 38a-512 · Applicability of statutes to certain major medical expense policies.
- Conn. Gen. Stat. § 38a-512a · Continuation of coverage.
- Conn. Gen. Stat. § 38a-512b · Termination of coverage of child, stepchild or other dependent child in group policies. Dental or vision coverage.
- Conn. Gen. Stat. § 38a-512c · Annual and lifetime limits.
- Conn. Gen. Stat. § 38a-513 · *(See end of section for amended version of subsection (a) and effective date.) 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.
- Conn. Gen. Stat. § 38a-513a · Time limits for coverage determinations. Notice requirements.
- Conn. Gen. Stat. § 38a-513b · Coverage and notice re experimental treatments. Appeals.
- Conn. Gen. Stat. § 38a-513c · Group health insurance policy to contain definition of “medically necessary” or “medical necessity”.
- 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.
- 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.
- Conn. Gen. Stat. § 38a-513f · Claims information to be provided to certain employers. Restrictions. Subpoenas.
- Conn. Gen. Stat. § 38a-513g · Employer submission of plan cost information to Comptroller.
- 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.
- Conn. Gen. Stat. § 38a-514a · Biologically-based mental illness. Coverage required.
- Conn. Gen. Stat. § 38a-514b · *(See end of section for amended version of subdivision (4) of subsection (a) and effective date.) Coverage for autism spectrum disorder.
- Conn. Gen. Stat. § 38a-514c · Mental health and substance use disorder benefits. Nonquantitative treatment limitations.
- Conn. Gen. Stat. § 38a-514d · Coverage for substance abuse services provided pursuant to court order.
- Conn. Gen. Stat. § 38a-514e · Coverage for mental health wellness exams.
- Conn. Gen. Stat. § 38a-514f · Coverage for services provided under the Collaborative Care Model.
- Conn. Gen. Stat. § 38a-514g · Acute inpatient psychiatric coverage. Prior authorization not required.
- Conn. Gen. Stat. § 38a-515 · Continuation of coverage of mentally or physically handicapped children.
- Conn. Gen. Stat. § 38a-516 · Coverage for newly born children. Notification to insurer.
- Conn. Gen. Stat. § 38a-516a · Coverage for birth-to-three program.
- Conn. Gen. Stat. § 38a-516b · Coverage for hearing aids.
- Conn. Gen. Stat. § 38a-516c · Coverage for craniofacial disorders.
- Conn. Gen. Stat. § 38a-516d · Coverage for neuropsychological testing for children diagnosed with cancer.
- Conn. Gen. Stat. § 38a-517 · Coverage for services performed by dentist in certain instances.
- Conn. Gen. Stat. § 38a-517a · Coverage for in-patient, outpatient or one-day dental services in certain instances.
- Conn. Gen. Stat. § 38a-517b · Assignment of benefits to a dentist or oral surgeon.
- Conn. Gen. Stat. § 38a-518 · Coverage for accidental ingestion or consumption of controlled drugs. Benefits prescribed.
- Conn. Gen. Stat. § 38a-518a · Mandatory coverage for hypodermic needles and syringes.
- Conn. Gen. Stat. § 38a-518b · Coverage for certain off-label drug prescriptions.
- Conn. Gen. Stat. § 38a-518c · Coverage for low protein modified food products, amino acid modified preparations and specialized formulas.
- Conn. Gen. Stat. § 38a-518d · Mandatory coverage for diabetes screening, testing and treatment.
- Conn. Gen. Stat. § 38a-518e · Mandatory coverage for diabetes outpatient self-management training.
- Conn. Gen. Stat. § 38a-518f · Mandatory coverage for certain prescription drugs removed from formulary.
- Conn. Gen. Stat. § 38a-518g · Mandatory coverage for prostate cancer screening and treatment.
- Conn. Gen. Stat. § 38a-518h · Mandatory coverage for certain Lyme disease treatments.
- Conn. Gen. Stat. § 38a-518i · Mandatory coverage for pain management.
- Conn. Gen. Stat. § 38a-518j · Mandatory coverage for ostomy-related supplies.
- Conn. Gen. Stat. § 38a-518k · Mandatory coverage for colorectal cancer screening.
- Conn. Gen. Stat. § 38a-518l · Mandatory coverage for certain renewals of prescription eye drops.
- Conn. Gen. Stat. § 38a-518m · Mandatory coverage for certain wound-care supplies.
- Conn. Gen. Stat. § 38a-518n · Sec. 38a-518n.
- Conn. Gen. Stat. § 38a-518o · Mandatory coverage for bone marrow testing.
- Conn. Gen. Stat. § 38a-518p · Mandating coverage for medically monitored inpatient detoxification.
- Conn. Gen. Stat. § 38a-518q · Mandatory coverage for essential health benefits.
- Conn. Gen. Stat. § 38a-518r · Mandatory coverage for certain immunizations and consultation with health care provider.
- Conn. Gen. Stat. § 38a-518s · Mandatory coverage for certain preventive care and screenings for individuals who are twenty-one years of age or younger.
- Conn. Gen. Stat. § 38a-518t · Mandatory coverage for prosthetic devices.