Connecticut 2019 Regular Session

Connecticut Senate Bill SB01004 Compare Versions

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75 General Assembly Raised Bill No. 1004
86 January Session, 2019
97 LCO No. 5179
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119
12-Referred to Committee on LABOR AND PUBLIC
13-EMPLOYEES
10+Referred to Committee on LABOR AND PUBLIC EMPLOYEES
1411
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1613 Introduced by:
1714 (LAB)
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1816
1917
2018
2119 AN ACT CONCERNING PU BLIC INSURANCE OPTIONS FO R SMALL
2220 BUSINESS EMPLOYEES.
2321 Be it enacted by the Senate and House of Representatives in General
2422 Assembly convened:
2523
2624 Section 1. Section 5-259 of the general statutes is repealed and the 1
2725 following is substituted in lieu thereof (Effective October 1, 2019): 2
2826 (a) The Comptroller, with the approval of the Attorney General and 3
2927 of the Insurance Commissioner, shall arrange and procure a group 4
3028 hospitalization and medical and surgical insurance plan or plans for 5
3129 (1) state employees, (2) members of the General Assembly who elect 6
3230 coverage under such plan or plans, (3) participants in an alternate 7
3331 retirement program who meet the service requirements of section 5-8
3432 162 or subsection (a) of section 5-166, (4) anyone receiving benefits 9
3533 under section 5-144 or from any state-sponsored retirement system, 10
3634 except the teachers' retirement system and the municipal employees 11
3735 retirement system, (5) judges of probate and Probate Court employees, 12
3836 (6) the surviving spouse, and any dependent children of a state police 13
3937 officer, a member of an organized local police department, a firefighter 14
40-or a constable who performs criminal law enforcement duties who dies 15 Raised Bill No. 1004
38+or a constable who performs criminal law enforcement duties who dies 15
39+Raised Bill No. 1004
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4745 before, on or after June 26, 2003, as the result of injuries received while 16
4846 acting within the scope of such officer's or firefighter's or constable's 17
4947 employment and not as the result of illness or natural causes, and 18
5048 whose surviving spouse and dependent children are not otherwise 19
5149 eligible for a group hospitalization and medical and surgical insurance 20
5250 plan. Coverage for a dependent child pursuant to this subdivision shall 21
5351 terminate no earlier than the policy anniversary date on or after 22
5452 whichever of the following occurs first, the date on which the child: 23
5553 Becomes covered under a group health plan through the dependent's 24
5654 own employment; or attains the age of twenty-six, (7) employees of the 25
5755 Capital Region Development Authority established by section 32-601, 26
5856 and (8) the surviving spouse and dependent children of any employee 27
5957 of a municipality who dies on or after October 1, 2000, as the result of 28
6058 injuries received while acting within the scope of such employee's 29
6159 employment and not as the result of illness or natural causes, and 30
6260 whose surviving spouse and dependent children are not otherwise 31
6361 eligible for a group hospitalization and medical and surgical insurance 32
6462 plan. For purposes of this subdivision, "employee" means any regular 33
6563 employee or elective officer receiving pay from a municipality, 34
6664 "municipality" means any town, city, borough, school district, taxing 35
6765 district, fire district, district department of health, probate district, 36
6866 housing authority, regional work force development board established 37
6967 under section 31-3k, flood commission or authority established by 38
7068 special act or regional council of governments. For purposes of 39
7169 subdivision (6) of this subsection, "firefighter" means any person who 40
7270 is regularly employed and paid by any municipality for the purpose of 41
7371 performing firefighting duties for a municipality on average of not less 42
7472 than thirty-five hours per week. The minimum benefits to be provided 43
7573 by such plan or plans shall be substantially equal in value to the 44
7674 benefits that each such employee or member of the General Assembly 45
7775 could secure in such plan or plans on an individual basis on the 46
7876 preceding first day of July. The state shall pay for each such employee 47
7977 and each member of the General Assembly covered by such plan or 48
8078 plans the portion of the premium charged for such member's or 49
81-employee's individual coverage and seventy per cent of the additional 50 Raised Bill No. 1004
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85+employee's individual coverage and seventy per cent of the additional 50
8886 cost of the form of coverage and such amount shall be credited to the 51
8987 total premiums owed by such employee or member of the General 52
9088 Assembly for the form of such member's or employee's coverage under 53
9189 such plan or plans. On and after January 1, 1989, the state shall pay for 54
9290 anyone receiving benefits from any such state-sponsored retirement 55
9391 system one hundred per cent of the portion of the premium charged 56
9492 for such member's or employee's individual coverage and one 57
9593 hundred per cent of any additional cost for the form of coverage. The 58
9694 balance of any premiums payable by an individual employee or by a 59
9795 member of the General Assembly for the form of coverage shall be 60
9896 deducted from the payroll by the State Comptroller. The total 61
9997 premiums payable shall be remitted by the Comptroller to the 62
10098 insurance company or companies or nonprofit organization or 63
10199 organizations providing the coverage. The amount of the state's 64
102100 contribution per employee for a health maintenance organization 65
103101 option shall be equal, in terms of dollars and cents, to the largest 66
104102 amount of the contribution per employee paid for any other option 67
105103 that is available to all eligible state employees included in the health 68
106104 benefits plan, but shall not be required to exceed the amount of the 69
107105 health maintenance organization premium. 70
108106 (b) The insurance coverage procured under subsection (a) of this 71
109107 section for active state employees, employees of the Connecticut 72
110108 Institute for Municipal Studies, anyone receiving benefits from any 73
111109 such state-sponsored retirement system and members of the General 74
112110 Assembly, who are over sixty-five years of age, may be modified to 75
113111 reflect benefits available to such employees or members pursuant to 76
114112 Social Security and medical benefits programs administered by the 77
115113 federal government, provided any payments required to secure such 78
116114 benefits administered by the federal government shall be paid by the 79
117115 Comptroller either directly to the employee or members or to the 80
118116 agency of the federal government authorized to collect such payments. 81
119117 (c) On October 1, 1972, the Comptroller shall continue to afford 82
120-payroll deduction services for employees participating in existing 83 Raised Bill No. 1004
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124+payroll deduction services for employees participating in existing 83
127125 authorized plans covering state employees until such time as the 84
128126 employee elects in writing to be covered by the plan authorized by 85
129127 subsection (a) of this section. 86
130128 (d) Notwithstanding the provisions of subsection (a) of this section, 87
131129 the state shall pay for a member of any such state-sponsored 88
132130 retirement system, or a participant in an alternate retirement program 89
133131 who meets the service requirements of section 5-162 or subsection (a) 90
134132 of section 5-166, and who begins receiving benefits from such system 91
135133 or program on or after November 1, 1989, eighty per cent of the 92
136134 portion of the premium charged for his individual coverage and eighty 93
137135 per cent of any additional cost for his form of coverage. Upon the 94
138136 death of any such member, any surviving spouse of such member who 95
139137 begins receiving benefits from such system shall be eligible for 96
140138 coverage under this section and the state shall pay for any such spouse 97
141139 eighty per cent of the portion of the premium charged for his 98
142140 individual coverage and eighty per cent of any additional cost for his 99
143141 form of coverage. 100
144142 (e) Notwithstanding the provisions of subsection (a) of this section, 101
145143 vending stand operators eligible for membership in the state 102
146144 employees retirement system pursuant to section 5-175a shall be 103
147145 eligible for coverage under the group hospitalization and medical and 104
148146 surgical insurance plans procured under this section, provided the cost 105
149147 for such operators' insurance coverage shall be paid by the Department 106
150148 of Rehabilitation Services from vending machine income pursuant to 107
151149 section 10-303. 108
152150 (f) The Comptroller, with the approval of the Attorney General and 109
153151 of the Insurance Commissioner, shall arrange and procure a group 110
154152 hospitalization and medical and surgical insurance plan or plans for 111
155153 any person who adopts a child from the state foster care system, any 112
156154 person who has been a foster parent for the Department of Children 113
157155 and Families for six months or more, and any dependent of such 114
158-adoptive parent or foster parent who elects coverage under such plan 115
159-or plans. The Comptroller may also arrange for inclusion of such 116 Raised Bill No. 1004
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162+adoptive parent or foster parent who elects coverage under such plan 115
163+or plans. The Comptroller may also arrange for inclusion of such 116
166164 person and any such dependent in an existing group hospitalization 117
167165 and medical and surgical insurance plan offered by the state. Any 118
168166 adoptive parent or foster parent and any dependent who elects 119
169167 coverage shall pay one hundred per cent of the premium charged for 120
170168 such coverage directly to the insurer, provided such adoptive parent or 121
171169 foster parent and all such dependents shall be included in such group 122
172170 hospitalization and medical and surgical insurance plan. A person and 123
173171 his dependents electing coverage pursuant to this subsection shall be 124
174172 eligible for such coverage until no longer an adoptive parent or a foster 125
175173 parent. An adoptive parent shall be eligible for such coverage until the 126
176174 coverage anniversary date on or after whichever of the following 127
177175 occurs first, the date on which the child: Becomes covered under a 128
178176 group health plan through the dependent's own employment; or 129
179177 attains the age of twenty-six. As used in this section "dependent" 130
180178 means a spouse or natural or adopted child if such child is wholly or 131
181179 partially dependent for support upon the adoptive parent or foster 132
182180 parent. 133
183181 (g) Notwithstanding the provisions of subsection (a) of this section, 134
184182 the Probate Court Administration Fund established in accordance with 135
185183 section 45a-82, shall pay for each probate judge and each probate court 136
186184 employee not more than one hundred per cent of the portion of the 137
187185 premium charged for the judge's or employee's individual coverage 138
188186 and not more than fifty per cent of any additional cost for the judge's 139
189187 or employee's form of coverage. The remainder of the premium for 140
190188 such coverage shall be paid by the probate judge or probate court 141
191189 employee to the State Treasurer. Payment shall be credited by the State 142
192190 Treasurer to the fund established by section 45a-82. The total 143
193191 premiums payable shall be remitted by the Probate Court 144
194192 Administrator directly to the insurance company or companies or 145
195193 nonprofit organization or organizations providing the coverage. The 146
196194 Probate Court Administrator shall issue regulations governing group 147
197-hospitalization and medical and surgical insurance pursuant to 148
198-subsection (b) of section 45a-77. 149 Raised Bill No. 1004
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201+hospitalization and medical and surgical insurance pursuant to 148
202+subsection (b) of section 45a-77. 149
205203 (h) For the purpose of subsection (g) of this section, "probate judge" 150
206204 or "judge" means a duly elected probate judge who works in such 151
207205 judge's capacity as a probate judge at least twenty hours per week, on 152
208206 average, on a quarterly basis and certifies to that fact on forms 153
209207 provided by and filed with the Probate Court Administrator, on or 154
210208 before the fifteenth day of April, July, October and January, for the 155
211209 preceding calendar quarter; and "probate court employee" or 156
212210 "employee" means a person employed by a probate court for at least 157
213211 twenty hours per week. 158
214212 (i) (1) The Comptroller may provide for coverage of employees of 159
215213 municipalities, nonprofit corporations, community action agencies 160
216214 [and small employers] and individuals eligible for a health coverage 161
217215 tax credit, retired members or members of an association for personal 162
218216 care assistants under the plan or plans procured under subsection (a) 163
219217 of this section, provided: [(1)] (A) Participation by each municipality, 164
220218 nonprofit corporation, community action agency, [small employer,] 165
221219 eligible individual, retired member or association for personal care 166
222220 assistants shall be on a voluntary basis; [(2)] (B) where an employee 167
223221 organization represents employees of a municipality, nonprofit 168
224222 corporation [,] or community action agency, [or small employer,] 169
225223 participation in a plan or plans to be procured under subsection (a) of 170
226224 this section shall be by mutual agreement of the municipality, 171
227225 nonprofit corporation [,] or community action agency [or small 172
228226 employer] and the employee organization only and neither party may 173
229227 submit the issue of participation to binding arbitration except by 174
230228 mutual agreement if such binding arbitration is available; [(3)] (C) no 175
231229 group of employees shall be refused entry into the plan by reason of 176
232230 past or future health care costs or claim experience; [(4)] (D) rates paid 177
233231 by the state for its employees under subsection (a) of this section are 178
234232 not adversely affected by this [subsection] subdivision; [(5)] (E) 179
235233 administrative costs to the plan or plans provided under this 180
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236240 [subsection] subdivision shall not be paid by the state; [(6)] (F) 181
237241 participation in the plan or plans in an amount determined by the state 182
238-shall be for the duration of the period of the plan or plans, or for such 183 Raised Bill No. 1004
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242+shall be for the duration of the period of the plan or plans, or for such 183
245243 other period as mutually agreed by the municipality, nonprofit 184
246244 corporation, community action agency, [small employer,] retired 185
247245 member or association for personal care assistants and the 186
248246 Comptroller; and [(7)] (G) nothing in this section or section 12-202a, 187
249247 38a-551 or 38a-556 shall be construed as requiring a participating 188
250248 insurer or health care center to issue individual policies to individuals 189
251249 eligible for a health coverage tax credit. The coverage provided under 190
252250 this [section] subdivision may be referred to as the "Municipal 191
253251 Employee Health Insurance Plan". The Comptroller may arrange and 192
254252 procure for the employees and eligible individuals under this 193
255253 [subsection] subdivision health benefit plans that vary from the plan or 194
256254 plans procured under subsection (a) of this section. Notwithstanding 195
257255 any provision of part V of chapter 700c, the coverage provided under 196
258256 this [subsection] subdivision may be offered on either a fully 197
259257 underwritten or risk-pooled basis at the discretion of the Comptroller. 198
260258 For the purposes of this [subsection] subdivision, [(A)] (i) 199
261259 "municipality" means any town, city, borough, school district, taxing 200
262260 district, fire district, district department of health, probate district, 201
263261 housing authority, regional work force development board established 202
264262 under section 31-3k, regional emergency telecommunications center, 203
265263 tourism district established under section 32-302, flood commission or 204
266264 authority established by special act, regional council of governments, 205
267265 transit district formed under chapter 103a, or the Children's Center 206
268266 established by number 571 of the public acts of 1969; [(B)] (ii) 207
269267 "nonprofit corporation" means [(i)] (I) a nonprofit corporation 208
270268 organized under 26 USC 501 that is not a small employer and has a 209
271269 contract with the state or receives a portion of its funding from a 210
272270 municipality, the state or the federal government, or [(ii)] (II) an 211
273271 organization that is not a small employer and is tax exempt pursuant 212
274272 to 26 USC 501(c)(5); [(C)] (iii) "community action agency" means a 213
275273 community action agency, as defined in section 17b-885; [(D)] (iv) 214
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276280 "small employer" means a small employer, as defined in section 38a-215
277281 564; [(E)] (v) "eligible individuals" or "individuals eligible for a health 216
278282 coverage tax credit" means individuals who are eligible for the credit 217
279-for health insurance costs under Section 35 of the Internal Revenue 218 Raised Bill No. 1004
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283+for health insurance costs under Section 35 of the Internal Revenue 218
286284 Code of 1986, or any subsequent corresponding internal revenue code 219
287285 of the United States, as from time to time amended, in accordance with 220
288286 the Pension Benefit Guaranty Corporation; [(F)] (vi) "association for 221
289287 personal care assistants" means an organization composed of personal 222
290288 care attendants who are employed by recipients of service [(i)] (I) 223
291289 under the home-care program for the elderly under section 17b-342, 224
292290 [(ii)] (II) under the personal care assistance program under section 17b-225
293291 605a, [(iii)] (III) in an independent living center pursuant to sections 226
294292 17b-613 to 17b-615, inclusive, or [(iv)] (IV) under the program for 227
295293 individuals with acquired brain injury as described in section 17b-228
296294 260a; and [(G)] (vii) "retired members" means individuals eligible for a 229
297295 retirement benefit from the Connecticut municipal employees' 230
298296 retirement system. 231
299297 (2) Notwithstanding the provisions of subsection (a) of this section, 232
300298 the Comptroller shall provide for coverage of employees of small 233
301299 employers, and dependents of such employees, under the group 234
302300 hospitalization and medical and surgical insurance plan or plans 235
303301 procured under said subsection, provided: (A) Participation by each 236
304302 small employer and employee shall be on a voluntary basis; (B) where 237
305303 an employee organization represents employees of a small employer, 238
306304 participation in such plan or plans to be procured under said 239
307305 subsection shall be by mutual agreement of the small employer and 240
308306 the employee organization only and neither party may submit the 241
309307 issue of participation to binding arbitration except by mutual 242
310308 agreement if such binding arbitration is available; (C) no group of 243
311309 employees shall be refused entry into such plan or plans by reason of 244
312310 past or future health care costs or claim experience; (D) rates paid by 245
313311 the state for its employees under said subsection are not adversely 246
314312 affected by this subdivision; (E) administrative costs attributable to 247
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315319 coverage provided pursuant to this subdivision shall not be paid by 248
316320 the state; and (F) participation in such plan or plans in an amount 249
317321 determined by the state shall be for the duration of the period of such 250
318322 plan or plans, or for such other period as mutually agreed by the small 251
319-employer and the Comptroller. For the purposes of this subdivision, 252 Raised Bill No. 1004
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323+employer and the Comptroller. For the purposes of this subdivision, 252
326324 "small employer" means a small employer, as defined in section 38a-253
327325 564, and "dependent" means a spouse or dependent child of an 254
328326 employee unless such child has attained the age of twenty-six or is 255
329327 covered under a group health plan through such child's own 256
330328 employer. 257
331329 (j) (1) Notwithstanding any provision of law to the contrary, the 258
332330 existing rights and obligations of state employee organizations and the 259
333331 state employer under current law and contract shall not be impaired 260
334332 by the provisions of this section. (2) Other conditions of entry for any 261
335333 group into the plan or plans procured under subsection (a) of this 262
336334 section shall be determined by the Comptroller upon the 263
337335 recommendation of a coalition committee established pursuant to 264
338336 subsection (f) of section 5-278, except for such conditions referenced in 265
339337 subsection (g) of this section. (3) Additional determinations by the 266
340338 Comptroller on (A) issues generated by any group's actual or 267
341339 contemplated participation in the plan or plans, (B) modifications to 268
342340 the terms and conditions of any group's continued participation, (C) 269
343341 related matters shall be made upon the recommendation of such 270
344342 committee. (4) Notwithstanding any provision of law to the contrary, a 271
345343 municipal employer and an employee organization may upon mutual 272
346344 agreement reopen a collective bargaining agreement for the exclusive 273
347345 purpose of negotiating on the participation by such municipal 274
348346 employer or employee organization in the plan or plans offered under 275
349347 the provisions of this section. 276
350348 (k) The Comptroller shall submit annually to the General Assembly 277
351349 a review of the coverage of: [employees] (1) Employees of 278
352350 municipalities, nonprofit corporations, community action agencies [, 279
353351 small employers under subsection (i) of this section] and eligible 280
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354358 individuals under subdivision (1) of subsection (i) of this section 281
355359 beginning February 1, 2004; and (2) employees of small employers 282
356360 under subdivision (2) of said subsection beginning on February 1, 283
357361 2020. 284
358-(l) (1) Effective July 1, 1996, any deputies or special deputies 285 Raised Bill No. 1004
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362+(l) (1) Effective July 1, 1996, any deputies or special deputies 285
365363 appointed pursuant to section 6-37 of the general statutes, revision of 286
366364 1958, revised to 1999, or section 6-43, shall be allowed to participate in 287
367365 the plan or plans procured by the Comptroller pursuant to subsection 288
368366 (a) of this section. Such participation shall be voluntary and the 289
369367 participant shall pay the full cost of the coverage under such plan. 290
370368 (2) Effective December 1, 2000, any state marshal shall be allowed to 291
371369 participate in the plan or plans procured by the Comptroller pursuant 292
372370 to subsection (a) of this section. Such participation shall be voluntary 293
373371 and the participant shall pay the full cost of the coverage under such 294
374372 plan. 295
375373 (3) Effective December 1, 2000, any judicial marshal shall be allowed 296
376374 to participate in the plan or plans procured by the Comptroller 297
377375 pursuant to subsection (a) of this section. Such participation shall be 298
378376 voluntary and the participant shall pay the full cost of the coverage 299
379377 under such plan unless and until the judicial marshals participate in 300
380378 the plan or plans procured by the Comptroller under this section 301
381379 through collective bargaining negotiations pursuant to subsection (f) of 302
382380 section 5-278. 303
383381 (m) (1) Notwithstanding any provision of the general statutes, the 304
384382 Comptroller shall begin procedures to convert the group 305
385383 hospitalization and medical and surgical insurance plans set forth in 306
386384 subsection (a) of this section, including any prescription drug plan 307
387385 offered in connection with or in addition to such insurance plans, to 308
388386 self-insured plans, except that any dental plan offered in connection 309
389387 with or in addition to such self-insured plans may be fully insured. 310
390388 (2) The Comptroller may enter into contracts with third-party 311
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391395 administrators to provide administrative services only for the self-312
392396 insured plans set forth in subdivision (1) of this subsection. Any such 313
393397 third-party administrator shall be required under such contract to 314
394398 charge such third-party administrator's lowest available rate for such 315
395-services. 316 Raised Bill No. 1004
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402400 (3) (A) (i) The Comptroller shall offer nonstate public employers the 317
403401 option to purchase prescription drugs for their employees, employees' 318
404402 dependents and retirees under the purchasing authority of the state 319
405403 pursuant to section 1 of public act 09-206, subject to the provisions of 320
406404 subparagraph (E) of this subdivision. 321
407405 (ii) For purposes of this subdivision, "nonstate public employer" 322
408406 means (I) a municipality or other political subdivision of the state, 323
409407 including a board of education, quasi-public agency or public library, 324
410408 as defined in section 11-24a, or (II) the Teachers' Retirement Board. 325
411409 (B) The Comptroller shall establish procedures to determine (i) the 326
412410 eligibility requirements for, (ii) the enrollment procedures for, (iii) the 327
413411 duration of, (iv) requirements regarding payment for, and (v) the 328
414412 procedures for withdrawal from and termination of, the purchasing of 329
415413 prescription drugs for nonstate public employers under subparagraph 330
416414 (A) of this subdivision. 331
417415 (C) The Comptroller may offer to nonstate public employers that 332
418416 choose to purchase prescription drugs pursuant to subparagraph (A) 333
419417 of this subdivision the option to purchase stop loss coverage from an 334
420418 insurer at a rate negotiated by the Comptroller. 335
421419 (D) Two or more nonstate public employers may join together for 336
422420 the purpose of purchasing prescription drugs for their employees, 337
423421 employees' dependents and retirees. Such arrangement shall not 338
424422 constitute a multiple employer welfare arrangement, as defined in 339
425423 Section 3 of the Employee Retirement Income Security Act of 1974, as 340
426424 amended from time to time. 341
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427431 (E) (i) The Comptroller shall offer nonstate public employers the 342
428432 option to purchase prescription drugs through the plan set forth in the 343
429433 State Employees' Bargaining Agent Coalition's collective bargaining 344
430434 agreement with the state only if the Health Care Cost Containment 345
431435 Committee, established in accordance with the ratified agreement 346
432-between the state and said coalition pursuant to subsection (f) of 347 Raised Bill No. 1004
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436+between the state and said coalition pursuant to subsection (f) of 347
439437 section 5-278, has indicated in writing to the Comptroller that allowing 348
440438 such nonstate public employers such option is consistent with said 349
441439 coalition's collective bargaining agreement. 350
442440 (ii) Such writing shall not be required if the Comptroller establishes 351
443441 a separate prescription drugs purchasing plan for nonstate public 352
444442 employers. 353
445443 (iii) Nonstate public employers that purchase prescription drugs 354
446444 pursuant to this subdivision shall pay the full cost of their own claims 355
447445 and prescription drugs. 356
448446 Sec. 2. Subsection (b) of section 38a-556a of the general statutes is 357
449447 repealed and the following is substituted in lieu thereof (Effective 358
450448 October 1, 2019): 359
451449 (b) Said association shall, in consultation with the Insurance 360
452450 Commissioner and the Healthcare Advocate, develop, within available 361
453451 appropriations, a web site, telephone number or other method to serve 362
454452 as a clearinghouse for information about individual and small 363
455453 employer health insurance policies and health care plans that are 364
456454 available to consumers in this state, including, but not limited to, the 365
457455 HUSKY Health program, the Municipal Employee Health Insurance 366
458456 Plan set forth in subdivision (1) of subsection (i) of section 5-259, as 367
459457 amended by this act, and any individual or small employer health 368
460458 insurance policies or health care plans an insurer, health care center or 369
461459 other entity chooses to list with the Connecticut Clearinghouse. 370
460+Raised Bill No. 1004
461+
462+
463+
464+LCO No. 5179 13 of 13
465+
462466 This act shall take effect as follows and shall amend the following
463467 sections:
464468
465469 Section 1 October 1, 2019 5-259
466470 Sec. 2 October 1, 2019 38a-556a(b)
467471
468-LAB Joint Favorable
472+Statement of Purpose:
473+To enable small businesses and small business employees to
474+participate in the state employee health plan.
475+
476+[Proposed deletions are enclosed in brackets. Proposed additions are indicated by underline,
477+except that when the entire text of a bill or resolution or a section of a bill or resolution is new, it is
478+not underlined.]
469479