OFFICE OF FISCAL ANALYSIS
Legislative Office Building, Room 5200
Hartford, CT 06106 (860) 240-0200
http://www.cga.ct.gov/ofa
HB-5013
AN ACT CONCERNING MANDATED HEALTH INSURANCE
BENEFIT REVIEW.
AMENDMENT
LCO No.: 9943
File Copy No.: 328
House Calendar No.: 244
Primary Analyst: MP 6/4/21
Contributing Analyst(s): ()
OFA Fiscal Note
State Impact:
Agency Affected Fund-Effect FY 22 $ FY 23 $
Insurance Dept. IF -
Indeterminate
Potential Potential
Note: IF=Insurance Fund
Municipal Impact: None
Explanation
The amendment strikes the underlying bill and its associated fiscal
impact and results in the fiscal impact described below.
The amendment may result in a change in costs and an equally sized
change in revenue to the Insurance Department (DOI) associated with
the Health Benefit Review Program (HBRP). Unchanged by the bill,
costs of the program are reimbursed by domestic carriers, so there is no
anticipated net fiscal impact to the state.
To the extent that the program modifications in relation to qualified
health plans result in additional referrals to the HBRP, DOI will incur
more contract costs to analyze mandate proposals. The most recent
review was conducted in FY 15 at a cost of $536,029.
On a per-review basis, the bill's provisions are likely to result in 2021HB-05013-R00LCO09943-FNA.DOCX Page 2 of 2
savings compared to current law. Specifically, limits to the number and
type of mandates, changes to the criteria that must be evaluated, and the
potential for competitive bidding may result in contract cost savings
when reviews are conducted.
The amendment also requires health carriers and third-party
administrators that issue insurance cards to indicate on the card
whether the coverage is fully-insured or self-insured and allows the
Insurance Commissioner to adopt implementing regulations.
Additionally, it requires certain agency heads to testify at public
hearings on proposed insurance legislation. These provisions have no
anticipated fiscal impact.
The preceding Fiscal Impact statement is prepared for the benefit of the members of the General Assembly, solely
for the purposes of information, summarization and explanation and does not represent the intent of the General
Assembly or either chamber thereof for any purpose. In general, fiscal impacts are based upon a variety of
informational sources, including the analyst’s professional knowledge. Whenever applicable, agency data is
consulted as part of the analysis, however final products do not necessarily reflect an assessment from any
specific department.
Sources: Connecticut Insurance Department