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CT SB00926

Bill

Status

Introduced

2/24/2017

Primary Sponsor

Insurance and Real Estate Committee

Click for details

Origin

Senate

2017 General Assembly

AI Summary

  • Establishes minimum annual attachment points for stop-loss insurance policies effective January 1, 2018: $20,000 per covered individual, and for small employers $20,000, $4,000 per covered individual, or 120% of expected claims (whichever is greater).

  • Requires large employers' stop-loss policies to have annual aggregate attachment points of at least 110% of expected claims.

  • Prohibits stop-loss policies from providing direct coverage for individuals' health care or medical expenses.

  • Mandates that insurers offering compliant stop-loss policies submit annual actuarial certifications to the Insurance Commissioner by March 15th.

  • Prevents the Commissioner from denying stop-loss policies based on conflicts with underlying health plans regarding medical necessity, experimental treatments, provider networks, benefit limits, and other specified provisions.

Legislative Description

An Act Concerning Stop-loss Insurance Policies For Health Care Or Medical Benefits.

Last Action

Public Hearing 03/07

3/3/2017

Committee Referrals

Insurance and Real Estate2/24/2017

Full Bill Text

No bill text available