| 18 | | - | (b) (1) There is established within the Insurance Department a health benefit review program for the review and evaluation of any mandated health benefit that is requested by the joint standing committee of the General Assembly having cognizance of matters relating to insurance. Such program shall be funded by the Insurance Fund established under section 38a-52a. The commissioner shall [be authorized to make assessments in a manner consistent with the provisions of chapter 698] assess, in accordance with subdivision (2) of this subsection, each domestic insurer and domestic health care center conducting health insurance business in this state for the costs of carrying out the requirements of this section. Such assessments shall be in addition to any other taxes, fees and moneys otherwise payable to the state. The commissioner shall deposit all payments made under this section with the State Treasurer. The moneys deposited shall be (A) credited to the Insurance Fund, (B) dedicated to the health benefit review program, and [shall be] (C) accounted for as expenses recovered from insurance companies. Such moneys shall be expended by the commissioner to carry out the provisions of this section and section 2 of public act 09-179. |
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| 19 | | - | |
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| 20 | | - | (2) Upon the committee's request of a mandated health benefit review pursuant to subsection (c) of this section, the commissioner shall determine (A) the total amount necessary to conduct such review, and (B) the fee to be assessed against each such insurer and health care center for such review. Each such fee shall be a percentage of the total amount necessary and shall be calculated on the basis of direct written health insurance premiums and subscriber charges in the same manner as calculations under section 38a-48, as amended by this act. Each such insurer and health care center shall pay to the commissioner the fee assessed, on a schedule as determined by the commissioner. |
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| 21 | | - | |
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| 22 | | - | [(2)] (3) The commissioner shall contract with The University of Connecticut Center for Public Health and Health Policy to conduct any mandated health benefit review requested pursuant to subsection (c) of this section. The director of said center may engage the services of an actuary, quality improvement clearinghouse, health policy research organization or any other independent expert, and may engage or consult with any dean, faculty or other personnel said director deems appropriate within The University of Connecticut schools and colleges, including, but not limited to, The University of Connecticut (A) School of Business, (B) School of Dental Medicine, (C) School of Law, (D) School of Medicine, and (E) School of Pharmacy. |
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| 23 | | - | |
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| 24 | | - | Sec. 2. Subdivision (2) of subsection (c) of section 38a-48 of the 2010 supplement to the general statutes is repealed and the following is substituted in lieu thereof (Effective July 1, 2010): |
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| 25 | | - | |
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| 26 | | - | (2) When the amount any such company or entity is assessed pursuant to this section exceeds twenty-five per cent of the actual expenditures of the Insurance Department and the Office of the Healthcare Advocate, such excess amount shall not be paid by such company or entity but rather shall be assessed against and paid by all other such companies and entities in proportion to their respective shares of the total taxes and charges imposed under chapter 207 on business done in this state during the preceding calendar year, except that for purposes of any assessment made to fund (A) payments to the Department of Public Health to purchase vaccines, or (B) mandated health benefit reviews requested pursuant to subsection (c) of section 38a-21, as amended by this act, such company or entity shall be responsible for its share of the costs, notwithstanding whether its assessment exceeds twenty-five per cent of the actual expenditures of the Insurance Department and the Office of the Healthcare Advocate. The provisions of this subdivision shall not be applicable to any corporation which has converted to a domestic mutual insurance company pursuant to section 38a-155 upon the effective date of any public act which amends said section to modify or remove any restriction on the business such a company may engage in, for purposes of any assessment due from such company on and after such effective date. |
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| 30 | + | (b) (1) There is established within the Insurance Department a health benefit review program for the review and evaluation of any mandated health benefit that is requested by the joint standing committee of the General Assembly having cognizance of matters relating to insurance. Such program shall be funded by the Insurance Fund established under section 38a-52a. The commissioner shall be authorized to make assessments against each domestic insurance company and each other domestic entity authorized to write health insurance in the state in a manner consistent with the provisions of chapter 698 for the costs of carrying out the requirements of this section. Such assessments shall be in addition to any other taxes, fees and moneys otherwise payable to the state. The commissioner shall deposit all payments made under this section with the State Treasurer. The moneys deposited shall be credited to the Insurance Fund and shall be accounted for as expenses recovered from insurance companies. Such moneys shall be expended by the commissioner to carry out the provisions of this section and section 2 of public act 09-179*. |
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