LCO No. 546 1 of 2
General Assembly Proposed Bill No. 5338
January Session, 2021
LCO No. 546
Referred to Committee on INSURANCE AND REAL ESTATE
Introduced by:
REP. PAVALOCK-D'AMATO, 77th Dist.
REP. PERILLO, 113th Dist.
AN ACT CONCERNING THE STATE EMPLOYEE, PARTNERSHIP AND
MUNICIPAL EMPLOYEE HEALTH INSURANCE PLANS.
Be it enacted by the Senate and House of Representatives in General
Assembly convened:
That the general statutes be amended to: (1) Direct the Comptroller 1
to ensure that the state employee and partnership plans are (A) 2
examined by (i) certified actuaries, and (ii) the Auditors of Public 3
Accounts, and (B) secured by stop-loss coverage; (2) subject the state 4
employee and partnership plans to (A) the same requirements that 5
apply to other group health plans, including, but not limited to, (i) prior 6
rate review and approval by the Insurance Department for the 7
partnership plan, and (ii) a required medical loss ratio of at least eighty 8
per cent, and (B) the Finance Advisory Committee process for any 9
transfer of state funds to support any losses incurred by the state 10
employee or partnership plan; and (3) require the Auditors of Public 11
Accounts to report, at least annually, to the Office of Policy and 12
Management, the Insurance Department and the Office of Health 13
Strategy (A) regarding the financial solvency of the state employee, 14
partnership and municipal employee health insurance plans, and (B) the 15 Proposed Bill No. 5338
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name of, services rendered by and financial arrangements with any 16
consultant engaged by the Comptroller to support the state employee, 17
partnership and municipal employee health insurance plans. 18
Statement of Purpose:
To: (1) Direct the Comptroller to ensure that the state employee and
partnership plans are (A) examined by (i) certified actuaries, and (ii) the
Auditors of Public Accounts, and (B) secured by stop-loss coverage; (2)
subject the state employee and partnership plans to (A) the same
requirements that apply to other group health plans, including, but not
limited to, (i) prior rate review and approval by the Insurance
Department for the partnership plan, and (ii) a required medical loss
ratio of at least eighty per cent, and (B) the Finance Advisory Committee
process for any transfer of state funds to support any losses incurred by
the state employee or partnership plan; and (3) require the Auditors of
Public Accounts to report, at least annually, to the Office of Policy and
Management, the Insurance Department and the Office of Health
Strategy (A) regarding the financial solvency of the state employee,
partnership and municipal employee health insurance plans, and (B) the
name of, services rendered by and financial arrangements with any
consultant engaged by the Comptroller to support the state employee,
partnership and municipal employee health insurance plans.