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CT SB00926
Bill
Status
2/24/2017
Primary Sponsor
Insurance and Real Estate Committee
Click for details
AI Summary
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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).
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Requires large employers' stop-loss policies to have annual aggregate attachment points of at least 110% of expected claims.
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Prohibits stop-loss policies from providing direct coverage for individuals' health care or medical expenses.
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Mandates that insurers offering compliant stop-loss policies submit annual actuarial certifications to the Insurance Commissioner by March 15th.
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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