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Certification of Health Plan Benefits - Conn. Gen. Stat. § 38a-1086

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Health carriers that apply for certification of the health benefit plan as a qualified health plan must make the following information regarding the plan available, in plain language, to the public, the Exchange, the Secretary, and the Insurance commissioner: (1) “claims payment policies and practices;” (2) “periodic financial disclosures;” (3) enrollment and disenrollment data; (4) denied claims data; (5) rating practices data; (6) information regarding cost-sharing payments for out-of-network coverage; and (7) any other information as specified by the Secretary.


Current as of June 2015