CT HB07126

Third-party administrators providing state employee health insurance must give written notices to the State Comptroller, Health Care Cost Containment Committee, and legislative leaders at 90, 60, and 30 days prior to expiration or termination of provider agreements with hospitals or affiliated health care practices.

Administrators must immediately notify state officials of any new, extended, or amended provider agreements, or when a hospital or health care practice leaves the administrator's provider network.

The State Comptroller must commence a competitive selection process for a new third-party administrator within 60 days of receiving notice that a provider agreement has terminated.

Third-party administrators that terminate provider agreements may be prohibited from participating in competitive selection processes for up to five years, though the Comptroller may reduce this period.

If parties to an expired or terminated provider agreement reach a new agreement within 30 days of the termination notice, the Comptroller may suspend or cease the competitive selection process. Effective July 1, 2025.