Health Insurance, first third
Connecticut General Statutes Chapter 700c, Secs. 38a-469 through 38a-483
Edition and licensing notes
Publisher. Connecticut General Assembly (cga.ct.gov)
Edition. Connecticut General Statutes, current online text (readers are directed to the 2026 Supplement, revised to January 1, 2026, for statutes amended, repealed or added in the 2025 sessions)
Status. US state statute; public domain.
What this document is
Connecticut General Statutes Chapter 700c - Health Insurance, first third (Secs. 38a-469 through 38a-483) is a state statute published by Connecticut General Assembly (cga.ct.gov). It is one of the Connecticut documents that insurance license exam questions are written from, including connecticut life & health practice questions. This page summarizes it and points to the official version, which is the text to rely on.
Sections cited in practice questions
Each practice answer shows the exact passage it comes from. These are sections of this document that questions cite, with a short excerpt from the source text.
- Conn. Gen. Stat. Chapter 700c § 38a-482 (Form of policy)
“No individual health insurance policy shall be delivered or issued for delivery to any person in this state unless: (1) The entire money and other considerations therefor are expressed therein; (2) the time at which the insurance takes effect and terminates is expressed therein; (3) such policy...”
- Conn. Gen. Stat. Chapter 700c § 38a-481(a) (Filing of policy form, classification of risks and rates)
“No individual health insurance policy shall be delivered or issued for delivery to any person in this state, nor shall any application, rider or endorsement be used in connection with such policy, until a copy of the form thereof and of the classification of risks and the premium rates have been...”
- Conn. Gen. Stat. Chapter 700c § 38a-476(b)(3) (Preexisting Condition Coverage)
“(3) No insurance company, fraternal benefit society, hospital service corporation, medical service corporation or health care center shall refuse to issue an individual health insurance plan or insurance arrangement to any individual solely on the basis that such individual has a preexisting condition.”
- Conn. Gen. Stat. Chapter 700c § 38a-475 (Precertification of Long-Term Care Policies)
“No policy shall be precertified if it requires prior hospitalization or a prior stay in a nursing home as a condition of providing benefits.”
- Conn. Gen. Stat. Chapter 700c § 38a-477b(a) (Postclaims Underwriting Prohibited)
“Unless approval is granted pursuant to subsection (b) of this section, no insurer or health care center may rescind, cancel or limit any policy of insurance, contract, evidence of coverage or certificate that provides coverage of the type specified in subdivisions (1), (2), (4), (6), (10), (11) and...”
- Conn. Gen. Stat. Chapter 700c § 38a-469 (Definitions: types of health insurance coverage)
“(13) specified disease coverage; (14) TriCare supplement coverage; (15) travel health coverage; (16) single service ancillary health coverage, including, but not limited to, dental, vision or prescription drug coverage; and (17) short-term care coverage.”
- Conn. Gen. Stat. Chapter 700c § 38a-482c(a) (Annual and Lifetime Limits; Essential Health Benefits)
“No individual health insurance policy providing coverage of the type specified in subdivisions (1), (2), (4), (11) and (12) of section 38a-469 delivered, issued for delivery, amended, renewed or continued in this state shall include an annual or lifetime limit on the dollar value of benefits for a...”
- Conn. Gen. Stat. Chapter 700c § 38a-478r(b) (Emergency Rooms; Prudent Layperson Standard; Basis for Coverage)
“The presenting symptoms, as coded by the provider and recorded by the hospital on the UB92 form or its successor, or the final diagnosis, whichever reasonably indicates an emergency medical condition, shall be the basis for reimbursement or coverage, provided such symptoms reasonably indicated an...”
- Conn. Gen. Stat. Chapter 700c § 38a-474(b) (Medicare supplement: prohibited rating and coverage factors)
“No insurance company, fraternal benefit society, hospital service corporation, medical service corporation, health care center or other entity that delivers or issues for delivery in this state any Medicare supplement policies or certificates shall incorporate in its rates or determinations to...”
- Conn. Gen. Stat. Chapter 700c § 38a-471(d)(1) (Third party prescription programs: denial of pharmacy payment)
“No administrator shall deny payment to any pharmacy for drugs or services which were provided as the result of the fraudulent or illegal use of an identification card by any person to whom an identification card was issued, unless the pharmacy was notified of the cancellation of such card.”
- Conn. Gen. Stat. Chapter 700c § 38a-477hh (Denial of Coverage Based on Pulse Oximeter Measurement Prohibited)
“No insurer, health care center, hospital service corporation, medical service corporation, fraternal benefit society or other entity delivering, issuing for delivery, renewing, amending or continuing an individual or group health insurance policy in this state on or after January 1, 2022, providing...”
- Conn. Gen. Stat. Chapter 700c § 38a-472e (Offer to contract with a school-based health center)
“Each health insurer licensed to do business in this state shall, at the request of any school-based health center or group of school-based health centers, offer to contract with such center or centers to provide reimbursement for covered health care services to persons who are insured by such...”
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More Connecticut sources
- Conn. Gen. Stat. Ch. 700c - Health InsuranceState statute
- Conn. Gen. Stat. Ch. 701a - Insurance Producers, Agents and Third-Party AdministratorsState statute
- Conn. Gen. Stat. Chapter 702 - LicensingState statute
- Conn. Gen. Stat. Ch. 704 - Unfair and Prohibited Practices (Unfair Insurance Practices Act)State statute
- Connecticut General Statutes Chapter 698a - Health Care and Related Service Groups (Secs. 38a-175 through 38a-225)State statute
- Connecticut General Statutes Chapter 699 - Insurance Contracts in General (Secs. 38a-283 through 38a-291)State statute
- Connecticut General Statutes Chapter 699a - Readable Language in Insurance Policies (Secs. 38a-295 through 38a-300)State statute
- Connecticut General Statutes Chapter 700b - Life Insurance, Annuities, Burial Contracts and Life Settlements (Secs. 38a-430 through 38a-465q)State statute