CT SB00357

Insurers, health care centers, hospital service corporations, medical service corporations, fraternal benefit societies, and other health entities must give credit for third-party discounts or payments toward an insured's coinsurance, copayment, deductible, or other out-of-pocket expenses for covered benefits, effective January 1, 2022.

Pharmacy benefits managers must give credit for third-party discounts or payments toward an insured's or enrollee's pharmacy-related out-of-pocket expenses when calculating liability for coinsurance, copayment, deductible, or other out-of-pocket costs for covered prescription drug benefits, effective January 1, 2022.

Managed care organizations must give credit for third-party discounts or payments toward an enrollee's coinsurance, copayment, deductible, or other out-of-pocket expenses for covered benefits, effective January 1, 2022.

The copay accumulator credit requirements apply to high deductible health plans to the maximum extent permitted by federal law, except that they apply only to the extent they do not disqualify medical savings accounts, Archer MSAs, or health savings accounts from receiving federal income tax deductions under Internal Revenue Code sections 220 or 223.