CT HB05579

Establishes a three-month grace period for qualified individuals and qualified employers enrolled in qualified health plans through the exchange on or after January 1, 2015, in addition to any existing nonpayment periods.

Requires health carriers to notify enrollees, their primary health care providers, and the exchange on the first day of the second month of the grace period when premiums remain unpaid.

Prohibits health carriers from seeking to recoup payments from health care providers more than twelve months after receipt of a clean claim for services provided during a grace period.

Mandates that health carriers disclose to health care providers when an enrollee is in a grace period during eligibility inquiries or benefit requests, and prohibits recoupment if the carrier failed to disclose the grace period status.

Imposes a $5,000 fine per violation for health carriers that fail to comply with the requirements of this section, effective October 1, 2014.