Connecticut § 38a-477ff Third-party discounts and payments for covered benefits. Credit required.

Connecticut Statutes

§ 38a-477ff — Third-party discounts and payments for covered benefits. Credit required.

Connecticut·Title 38a Insurance·Ch. 700c Health Insurance

(a)Each insurer, health care center, hospital service corporation, medical service corporation, fraternal benefit society or other entity that delivers, issues for delivery, renews, amends or continues an individual or group health insurance policy in this state on or after January 1, 2022, providing coverage of the type specified in subdivisions (1), (2), (4), (11) and (12) of section 38a-469 shall, when calculating an insured's liability for a coinsurance, copayment, deductible or other out-of-pocket expense for a covered benefit, give credit for any discount provided or payment made by a third party for the amount of, or any portion of the amount of, the coinsurance, copayment, deductible or other out-of-pocket expense for the covered benefit.

(b)The provisions of subsection (a) of th

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(a) Each insurer, health care center, hospital service corporation, medical service corporation, fraternal benefit society or other entity that delivers, issues for delivery, renews, amends or continues an individual or group health insurance policy in this state on or after January 1, 2022, providing coverage of the type specified in subdivisions (1), (2), (4), (11) and (12) of section 38a-469 shall, when calculating an insured's liability for a coinsurance, copayment, deductible or other out-of-pocket expense for a covered benefit, give credit for any discount provided or payment made by a third party for the amount of, or any portion of the amount of, the coinsurance, copayment, deductible or other out-of-pocket expense for the covered benefit. (b) The provisions of subsection (a) of this section shall apply to a high deductible health plan, as that term is used in subsection (f) of section 38a-493 or subsection (f) of section 38a-520 , as applicable, to the maximum extent permitted by federal law, except if such plan is used to establish a medical savings account or an Archer MSA pursuant to Section 220 of the Internal Revenue Code of 1986, or any subsequent corresponding internal revenue code of the United States, as amended from time to time, or a health savings account pursuant to Section 223 of said Internal Revenue Code, as amended from time to time, the provisions of said subsection (a) shall apply to such plan to the maximum extent that (1) is permitted by federal law, and (2) does not disqualify such account for the deduction allowed under said Section 220 or 223, as applicable.

Connecticut § 38a-477ff (Third-party discounts and payments for covered benefits. Credit required.) — published by Counsel Stack Legal Research, free access to 12M+ legal documents.

Legislative History

(P.A. 21-14, S. 2; P.A. 22-146, S. 22.) History: P.A. 21-14 effective January 1, 2022; P.A. 22-146 designated existing language as Subsec. (a) and added Subsec. (b) re applicability to high deductible health plans, effective May 7, 2022, and applicable to policies delivered, issued for delivery, renewed, amended or continued on or after January 1, 2022.