Sec. 38a-512. Applicability of statutes to certain major medical expense policies.

Sec. 38a-512a. Continuation of coverage.

Sec. 38a-512b. Termination of coverage of children in group policies. Coverage for stepchildren.

Sec. 38a-512c. Annual and lifetime limits.

Sec. 38a-513. *(See end of section for amended version of subdivision (2) of subsection (a) and effective date.) Approval of policy forms and small employer rates. Medicare supplement policies. Age, gender, previous claim or medical history rating prohibited. Optional life insurance rider. Group specified disease policies.

Sec. 38a-513a. Time limits for coverage determinations. Notice requirements.

Sec. 38a-513b. Coverage and notice re experimental treatments. Appeals.

Sec. 38a-513c. Group health insurance policy to contain definition of “medically necessary” or “medical necessity”.

Sec. 38a-513d. Insurers prohibited from issuing policy with limited coverage to employer as replacement for a comprehensive health insurance plan. Disclosure required in policy providing limited coverage. Limited coverage defined.

Sec. 38a-513e. Premium payment by employer following employee termination. Exceptions. Right to continuation of coverage following relocation or closing of covered establishment not affected.

Sec. 38a-513f. Claims information to be provided to certain employers. Restrictions. Subpoenas.

Sec. 38a-513g. Employer submission of plan cost information to Comptroller.

Sec. 38a-514. (Formerly Sec. 38-174d). Mandatory coverage for the diagnosis and treatment of mental or nervous conditions. Exceptions. Benefits payable re type of provider or facility. State's claims against proceeds. Direct reimbursement for certain covered services rendered by certain out-of-network providers.

Sec. 38a-514a. Biologically-based mental illness. Coverage required.

Sec. 38a-514b. Coverage for autism spectrum disorder.

Sec. 38a-515. Continuation of coverage of mentally or physically handicapped children.

Sec. 38a-516. Coverage for newly born children. Notification to insurer.

Sec. 38a-516a. Coverage for birth-to-three program.

Sec. 38a-516b. Coverage for hearing aids for children twelve and under.

Sec. 38a-516c. Coverage for craniofacial disorders.

Sec. 38a-516d. Coverage for neuropsychological testing for children diagnosed with cancer.

Sec. 38a-517. Coverage for services performed by dentist in certain instances.

Sec. 38a-517a. Coverage for in-patient, outpatient or one-day dental services in certain instances.

Sec. 38a-517b. Assignment of benefits to a dentist or oral surgeon.

Sec. 38a-518. Coverage for accidental ingestion or consumption of controlled drugs. Benefits prescribed.

Sec. 38a-518a. Mandatory coverage for hypodermic needles and syringes.

Sec. 38a-518b. Coverage for certain off-label drug prescriptions.

Sec. 38a-518c. Coverage for low protein modified food products, amino acid modified preparations and specialized formulas.

Sec. 38a-518d. Mandatory coverage for diabetes testing and treatment.

Sec. 38a-518e. Mandatory coverage for diabetes outpatient self-management training.

Sec. 38a-518f. Mandatory coverage for certain prescription drugs removed from formulary.

Sec. 38a-518g. Mandatory coverage for prostate cancer screening and treatment.

Sec. 38a-518h. Mandatory coverage for certain Lyme disease treatments.

Sec. 38a-518i. Mandatory coverage for pain management.

Sec. 38a-518j. Mandatory coverage for ostomy-related supplies.

Sec. 38a-518k. Mandatory coverage for colorectal cancer screening.

Sec. 38a-518l. Mandatory coverage for certain renewals of prescription eye drops.

Sec. 38a-518m. Mandatory coverage for certain wound-care supplies.

Sec. 38a-518n. [Reserved]

Sec. 38a-518o. Mandatory coverage for bone marrow testing.

Sec. 38a-518p. Mandating coverage for medically monitored inpatient detoxification.

Sec. 38a-518q. Mandatory coverage for essential health benefits.

Sec. 38a-518r. Mandatory coverage for certain immunizations.

Sec. 38a-518s. Mandatory coverage for certain preventive care and screenings for individuals who are twenty-one years of age or younger.

Sec. 38a-518t. Mandatory coverage for prosthetic devices.

Sec. 38a-519. (Formerly Sec. 38-174j). Offset proviso prohibited in certain policies. Required disclosures for group long-term disability policies.

Sec. 38a-520. Mandatory coverage for home health care. Deductibles. Exception from deductible limits for medical savings accounts. Archer MSAs and health savings accounts.

Sec. 38a-521. Home health care by recognized nonmedical systems.

Sec. 38a-522. Medicare supplement policies. Coverage of home health aide service.

Sec. 38a-523. (Formerly Sec. 38-174p). Group hospital or medical insurance coverage for comprehensive rehabilitation services.

Sec. 38a-524. Coverage for occupational therapy.

Sec. 38a-525. Mandatory coverage for medically necessary ambulance services. Direct payment to ambulance provider.

Sec. 38a-525a. Prior authorization prohibited for certain 9-1-1 emergency calls.

Sec. 38a-525b. Mandatory coverage for mobile field hospital.

Sec. 38a-525c. Denial of coverage prohibited for health care services rendered to persons with an elevated blood alcohol content.

Sec. 38a-526. Coverage for services of physician assistants and certain nurses.

Sec. 38a-526a. Coverage for telehealth services.

Sec. 38a-527. Mandatory coverage for partners, sole proprietors and corporate officers for work-related injuries.

Sec. 38a-528. Group long-term care policies. Disclosures. Spreading of premium rate increases of twenty per cent or more. Disclosure of premium rate increase.

Sec. 38a-528a. Group short-term care policies. Approval of rates and forms. Disclosures. Regulations.

Sec. 38a-529. Mandatory coverage for services provided by the Healthcare Center maintained by the Department of Veterans Affairs.

Sec. 38a-530. Mandatory coverage for mammography, breast ultrasound and magnetic resonance imaging. Breast density information included in mammography report.

Sec. 38a-530a. Mandatory coverage for breast cancer survivors.

Sec. 38a-530b. Carriers to permit direct access to obstetrician-gynecologist.

Sec. 38a-530c. Mandatory coverage for maternity care. Interhospital transfer of newborn infant and mother.

Sec. 38a-530d. Mandatory coverage for mastectomy care. Termination of provider contract prohibited.

Sec. 38a-530e. Mandatory coverage for contraceptives and stelirization.

Sec. 38a-530f. Mandatory coverage for certain health benefits and services for women, infants, children and adolescents.

Sec. 38a-531. (Formerly Sec. 38-174hh). Mandatory coverage for employees of certain employers. Approval of policy forms.

Sec. 38a-532. (Formerly Sec. 38-262a). Assignment of incidents of ownership under group life, health or accident policy.

Sec. 38a-533. (Formerly Sec. 38-262b). Mandatory coverage for the treatment of medical complications of alcoholism.

Sec. 38a-534. Coverage for services performed by chiropractors.

Sec. 38a-535. Mandatory coverage for preventive pediatric care and blood lead screening and risk assessment.

Sec. 38a-535a. Notification of individual coverage and benefits of a noncustodial parent to a custodial parent, when. Regulations.

Sec. 38a-536. Mandatory coverage for infertility diagnosis and treatment. Limitations.

Sec. 38a-537. (Formerly Sec. 38-262c). Notice of cancellation or discontinuation to covered employees. Fine. Notice of transfer of coverage. Failure to procure coverage.

Sec. 38a-538. (Formerly Sec. 38-262d). Continuation of benefits under group employee health plans.

Sec. 38a-539. (Formerly Sec. 38-262f). Group hospital or medical expense insurance policy coverage for treatment of alcoholism on an outpatient basis.

Sec. 38a-540. (Formerly Sec. 38-262g). Duplication of coverage under group health insurance policies.

Sec. 38a-541. (Formerly Sec. 38-262h). Group health policy to allow spouse coverage as both employee and dependent, when. Effect of collective bargaining agreements.

Sec. 38a-542. Mandatory coverage for treatment of tumors and leukemia. Mandatory coverage for reconstructive surgery, prosthesis, chemotherapy and wigs. Orally administered anticancer medications.

Sec. 38a-542a. Coverage for routine patient care costs associated with certain clinical trials.

Sec. 38a-542b. Clinical trial criteria.

Sec. 38a-542c. Evidence and information re eligibility for clinical trial. No coverage required for otherwise reimbursable costs.

Sec. 38a-542d. Clinical trials: Routine patient care costs.

Sec. 38a-542e. Clinical trials: Billing. Payments.

Sec. 38a-542f. Clinical trials: Standardized forms. Time frame for coverage determinations. Appeals. Regulations.

Sec. 38a-542g. Clinical trials: Submission and certification of policy forms.

Sec. 38a-543. (Formerly Sec. 38-262j). Reduction of payments on basis of Medicare eligibility.

Sec. 38a-544. Prescription drug coverage. Mail order pharmacies. Step therapy use.

Sec. 38a-544a. Prescription drug coverage. Synchronized refills.

Sec. 38a-544b. Prescription drug coverage. Prior authorization for naloxone hydrochloride or similar drug not required.

Sec. 38a-545. (Formerly Sec. 38-262k). Group dental health insurance plans. Alternative coverage option.

Sec. 38a-546. (Formerly Sec. 38-379). Discontinuation and replacement of group health insurance policy. Regulations.

Sec. 38a-547. Termination of policy or contract due to insurer ceasing to offer health insurance in this state; maternity benefits to continue for six weeks following termination of the pregnancy, when.

Sec. 38a-548. Penalty.

Sec. 38a-549. Coverage for adopted children.

Sec. 38a-550. Copayments re in-network imaging services.

Sec. 38a-550a. Copayments re in-network physical therapy services and in-network occupational therapy services.