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

Connecticut § 38a-543

• Jurisdiction: Connecticut
• Title 38a: Insurance
• Ch. 700c: Health Insurance

Text

No group health insurance policy delivered, issued for delivery, renewed, amended or continued in this state shall include any provision that reduces payments on the basis that an individual is eligible for Medicare by reason of age, disability or end-stage renal disease, unless such individual enrolls in Medicare. If such individual enrolls in Medicare, any such reduction shall be only to the extent such coverage is provided by Medicare.

Legislative History

(P.A. 82-196, S. 2; P.A. 88-303, S. 2, 6; P.A. 90-88, S. 2; P.A. 15-247, S. 23.) History: P.A. 88-303 removed the provision for reduced coverage for Medicare-eligible employees and provided that employees and their spouses aged 65 and over are entitled to group health insurance coverage under the same conditions as covered employees and spouses under age 65; P.A. 90-88 allowed for the provision of reduced coverage for Medicare eligible employees of employers with less than 20 employees; Sec. 38-262j transferred to Sec. 38a-543 in 1991; P.A. 15-247 replaced provisions prohibiting coverage reduction because of age and eligibility for Medicare with provisions prohibiting payment reduction on basis of eligibility for Medicare unless individual enrolls in Medicare and restricting any such reduction, effective July 10, 2015.