CT HB05345

Third-party administrators contracted for state employee health insurance must provide written notices at 90, 60, and 30 days prior to the expiration or termination of any participating provider agreement with hospitals, affiliated provider health care practices, or their parent corporations.

Notices must be sent to the Comptroller, Health Care Cost Containment Committee, Senate president pro tempore, House speaker, and minority leaders of both chambers, and must include anticipated agreement expiration dates.

Third-party administrators must immediately notify the Comptroller and legislative leaders when new provider agreements are reached or when notice periods expire resulting in providers leaving the network.

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

Third-party administrators that terminate provider agreements may be prohibited from participating in competitive selection processes for up to five years, though this prohibition may be lifted if a new agreement is reached within 30 days of the termination notice.