CT SB00392

Requires insurers, health care centers, managed care organizations, and preferred provider networks to maintain adequate provider networks and report annually to the commissioner on enrollee and participating provider numbers, effective January 1, 2015.

Mandates the Insurance Commissioner, in consultation with the Healthcare Advocate, conduct annual actuarial analysis to assess network adequacy at license renewal and annually thereafter.

Prohibits exclusion of any appropriately licensed type of health care provider as a class and requires networks to include at least five primary care providers within reasonable travel distance, with sufficient specialty providers to meet enrollee needs.

Authorizes the Commissioner to require surveys of providers and enrollees, examine contracting practices, and interview enrollees if network inadequacy is suspected.

Amends the Healthcare Advocate's duties to include consultation with the Insurance Commissioner on assessing and ensuring health care provider network adequacy.