Connecticut 2019 Regular Session

Connecticut House Bill HB07265 Compare Versions

Only one version of the bill is available at this time.

Old	New	Differences
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2	2
3	3	LCO No. 4874 1 of 3
4	4
5	5	General Assembly Raised Bill No. 7265
6	6	January Session, 2019
7	7	LCO No. 4874
8	8
9	9
10	10	Referred to Committee on INSURANCE AND REAL ESTATE
11	11
12	12
13	13	Introduced by:
14	14	(INS)
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17	17
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19	19	AN ACT AUTHORIZING A SSOCIATION HEALTH PLANS FOR GRO UP
20	20	PRACTICES AND EXEMPT ING PRACTICES COVERE D UNDER SUCH
21	21	PLANS FROM CERTAIN P ROVISIONS OF THE INSURANCE
22	22	STATUTES.
23	23	Be it enacted by the Senate and House of Representatives in General
24	24	Assembly convened:
25	25
26	26	Section 1. (NEW) (Effective October 1, 2019) The Insurance 1
27	27	Commissioner shall adopt regulations, in accordance with chapter 54 2
28	28	of the general statutes, to enable two or more group practices, as 3
29	29	defined in section 19a-486i of the general statutes, to form a bona fide 4
30	30	group or association of employers for the purpose of offering and 5
31	31	providing health coverage to such group practices and their employees 6
32	32	in the manner prescribed in 29 CFR Part 2510, as amended from time 7
33	33	to time. 8
34	34	Sec. 2. Subdivisions (3) and (4) of section 38a-564 of the general 9
35	35	statutes are repealed and the following is substituted in lieu thereof 10
36	36	(Effective October 1, 2019): 11
37	37	(3) "Employee" means an individual employed by an employer. 12
38	38	"Employee" does not include (A) an individual and such individual's 13 Raised Bill No. 7265
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40	40
41	41
42	42	LCO No. 4874 2 of 3
43	43
44	44	spouse with respect to an incorporated or unincorporated trade or 14
45	45	business that is wholly owned by such individual, by such individual's 15
46	46	spouse or by such individual and such individual's spouse, [or] (B) a 16
47	47	partner in a partnership and such partner's spouse with respect to such 17
48	48	partnership, or (C) an individual covered under an association health 18
49	49	plan authorized under regulations adopted pursuant to section 1 of 19
50	50	this act. 20
51	51	(4) (A) "Small employer" means (i) prior to January 1, 2016, an 21
52	52	employer that employed an average of at least one but not more than 22
53	53	fifty employees on business days during the preceding calendar year 23
54	54	and employs at least one employee on the first day of the group health 24
55	55	insurance plan year, and (ii) on and after January 1, 2016, an employer 25
56	56	that employed an average of at least one but not more than one 26
57	57	hundred employees on business days during the preceding calendar 27
58	58	year and employs at least one employee on the first day of the group 28
59	59	health insurance plan year, except the commissioner may postpone 29
60	60	said January 1, 2016, date to be consistent with any such postponement 30
61	61	made by the Secretary of the United States Department of Health and 31
62	62	Human Services under the Patient Protection and Affordable Care Act, 32
63	63	P.L. 111-148, as amended from time to time. "Small employer" does not 33
64	64	include a sole proprietorship that employs only the sole proprietor or 34
65	65	the spouse of such sole proprietor, or a group practice, as defined in 35
66	66	section 19a-486i, providing coverage through an association health 36
67	67	plan authorized under regulations adopted pursuant to section 1 of 37
68	68	this act. 38
69	69	(B) (i) For purposes of subparagraph (A) of this subdivision, the 39
70	70	number of employees shall be determined by adding (I) the number of 40
71	71	full-time employees for each month who work a normal work week of 41
72	72	thirty hours or more, and (II) the number of full-time equivalent 42
73	73	employees, calculated for each month by dividing by one hundred 43
74	74	twenty the aggregate number of hours worked for such month by 44
75	75	employees who work a normal work week of less than thirty hours, 45
76	76	and averaging such total for the calendar year. 46 Raised Bill No. 7265
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79	79
80	80	LCO No. 4874 3 of 3
81	81
82	82	(ii) If an employer was not in existence throughout the preceding 47
83	83	calendar year, the number of employees shall be based on the average 48
84	84	number of employees that such employer reasonably expects to 49
85	85	employ in the current calendar year. 50
86	86	(C) All persons treated as a single employer under Section 414 of the 51
87	87	Internal Revenue Code of 1986, or any subsequent corresponding 52
88	88	internal revenue code of the United States, as amended from time to 53
89	89	time, shall be considered a single employer for purposes of this 54
90	90	subdivision. 55
91	91	This act shall take effect as follows and shall amend the following
92	92	sections:
93	93
94	94	Section 1 October 1, 2019 New section
95	95	Sec. 2 October 1, 2019 38a-564(3) and (4)
96	96
97	97	Statement of Purpose:
98	98	To: (1) Require the Insurance Commissioner to adopt regulations to
99	99	enable two or more group practices to form a bona fide group or
100	100	association of employers for the purpose of offering and providing
101	101	health coverage to such group practices and their employees; and (2)
102	102	exempt such group practices from certain provisions of the insurance
103	103	statutes governing health insurance provided to small employers and
104	104	their employees.
105	105	[Proposed deletions are enclosed in brackets. Proposed additions are indicated by underline,
106	106	except that when the entire text of a bill or resolution or a section of a bill or resolution is new, it is
107	107	not underlined.]
108	108