Health Insurance, second third

What this document is

Connecticut General Statutes Chapter 700c - Health Insurance, second third (Secs. 38a-483a through 38a-518r) 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-512a(a)(1)(C) (Group Continuation During Illness or Injury Absence)

  “Regardless of the employee's or dependent's eligibility for other group insurance, during an employee's absence due to illness or injury, continuation of coverage for such employee and such employee's covered dependents during continuance of such illness or injury or for up to twelve months from...”

• Conn. Gen. Stat. Chapter 700c § 38a-512a(a)(2) (Premium Contribution for Continued Group Coverage)

  “Any continuation of coverage required by this subsection except subparagraph (D) or (F) of subdivision (1) of this subsection may be subject to the requirement, on the part of the individual whose coverage is to be continued, that such individual contribute that portion of the premium the...”

• Conn. Gen. Stat. Chapter 700c § 38a-512a(a)(1)(D) (Continuation for Individuals Totally Disabled at Policy Termination)

  “Regardless of an individual's eligibility for other group insurance, upon termination of the group policy, coverage for covered individuals who were totally disabled on the date of termination shall be continued without premium payment during the continuance of such disability for a period of...”

• Conn. Gen. Stat. Chapter 700c § 38a-483c(c) (Experimental treatment denial: expedited appeal)

  “Any person who has been diagnosed with a condition that creates a life expectancy in that person of less than two years and who has been denied an otherwise covered procedure, treatment or drug on the grounds that it is experimental may request an expedited appeal as provided in section 38a-591e...”

• Conn. Gen. Stat. Chapter 700c § 38a-504f(c) (Clinical trials: appeal of medical necessity denial to external review)

  “The insured, or the provider with the insured's written consent, may appeal any denial of coverage for medical necessity to an external, independent review pursuant to section 38a-591g .”

• Conn. Gen. Stat. § 38a-513(a)(1) (Continuing authority to disapprove a group form)

  “The commissioner shall disapprove the use of such form at any time if it does not comply with the requirements of law, or if it contains a provision or provisions that are unfair or deceptive or that encourage misrepresentation of the policy. The commissioner shall notify, in writing, the insurer...”

• Conn. Gen. Stat. Chapter 700c § 38a-515(a) (Continuation of Coverage of Mentally or Physically Handicapped Children)

  “attainment of the limiting age shall not operate to terminate the coverage of the child if at such date the child is and continues thereafter to be both (1) incapable of self-sustaining employment by reason of mental or physical handicap, as certified by the child's physician, physician assistant...”

• Conn. Gen. Stat. Chapter 700c § 38a-516(a) (Group Coverage for Newly Born Children)

  “Each group health insurance policy delivered, issued for delivery, renewed, amended or continued in this state providing coverage of the type specified in subdivisions (1), (2), (4), (11) and (12) of section 38a-469 for a family member of the insured or subscriber shall, as to such family member's...”

• Conn. Gen. Stat. Chapter 700c § 38a-499a(d) (Telehealth coverage: utilization review parity)

  “Nothing in this section shall prohibit or limit a health insurer, health care center, hospital service corporation, medical service corporation or other entity from conducting utilization review for telehealth services, provided such utilization review is conducted in the same manner and uses the...”

• Conn. Gen. Stat. Chapter 700c § 38a-485(b) (Alteration of Application)

  “(b) No alteration of any written application for any such policy shall be made by any person other than the applicant without his written consent, except that insertions may be made by the insurer, for administrative purposes only, in such manner as to indicate clearly that such insertions are not...”

• Conn. Gen. Stat. Chapter 700c § 38a-518f (Mandatory Coverage for Certain Prescription Drugs Removed from Formulary)

  “Each group 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, renewed, amended or continued in this state that provides coverage for outpatient prescription drugs shall not deny coverage...”

• Conn. Gen. Stat. Chapter 700c § 38a-518a (Mandatory Coverage for Hypodermic Needles and Syringes)

  “Each group health insurance policy providing coverage of the type specified in subdivisions (1), (2), (4), (6), (10), (11) and (12) of section 38a-469 , delivered, issued for delivery, renewed, amended or continued in this state shall provide coverage for hypodermic needles or syringes prescribed...”

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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