CT SB00024

Requires insurers, health care centers, hospitals, and related entities to provide consumers with easily readable information about coverage exclusions, benefit restrictions, prescription drug coverage details, copayments, and coinsurance amounts for health insurance policies, effective January 1, 2016.

Mandates insurers make available tools allowing consumers to determine prescription drug formulary coverage, applicable out-of-pocket costs, specialist in-network status, and provider/hospital network participation at time of enrollment and on their websites.

Requires the Connecticut Health Insurance Exchange to post links to qualified health plan information and directs the Insurance Commissioner to post links to online tools and calculators for comparing health insurance policies.

Mandates insurers comply with specific sections of the Affordable Care Act (Sections 1251, 1252, 1304, and specified sections of the Public Health Service Act) and prohibits state law from superseding ACA requirements unless state law provides greater consumer protection.

Requires the Insurance Commissioner to evaluate insurer compliance with the Affordable Care Act, including discriminatory benefit design prohibitions, and submit annual reports to the joint standing committee on insurance regarding findings.