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3 | 3 | | LCO No. 546 1 of 2 |
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5 | 5 | | General Assembly Proposed Bill No. 5338 |
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6 | 6 | | January Session, 2021 |
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7 | 7 | | LCO No. 546 |
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9 | 9 | | |
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10 | 10 | | Referred to Committee on INSURANCE AND REAL ESTATE |
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12 | 12 | | |
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13 | 13 | | Introduced by: |
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14 | 14 | | REP. PAVALOCK-D'AMATO, 77th Dist. |
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15 | 15 | | REP. PERILLO, 113th Dist. |
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19 | 19 | | |
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20 | 20 | | AN ACT CONCERNING THE STATE EMPLOYEE, PARTNERSHIP AND |
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21 | 21 | | MUNICIPAL EMPLOYEE HEALTH INSURANCE PLANS. |
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22 | 22 | | Be it enacted by the Senate and House of Representatives in General |
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23 | 23 | | Assembly convened: |
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24 | 24 | | |
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25 | 25 | | That the general statutes be amended to: (1) Direct the Comptroller 1 |
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26 | 26 | | to ensure that the state employee and partnership plans are (A) 2 |
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27 | 27 | | examined by (i) certified actuaries, and (ii) the Auditors of Public 3 |
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28 | 28 | | Accounts, and (B) secured by stop-loss coverage; (2) subject the state 4 |
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29 | 29 | | employee and partnership plans to (A) the same requirements that 5 |
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30 | 30 | | apply to other group health plans, including, but not limited to, (i) prior 6 |
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31 | 31 | | rate review and approval by the Insurance Department for the 7 |
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32 | 32 | | partnership plan, and (ii) a required medical loss ratio of at least eighty 8 |
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33 | 33 | | per cent, and (B) the Finance Advisory Committee process for any 9 |
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34 | 34 | | transfer of state funds to support any losses incurred by the state 10 |
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35 | 35 | | employee or partnership plan; and (3) require the Auditors of Public 11 |
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36 | 36 | | Accounts to report, at least annually, to the Office of Policy and 12 |
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37 | 37 | | Management, the Insurance Department and the Office of Health 13 |
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38 | 38 | | Strategy (A) regarding the financial solvency of the state employee, 14 |
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39 | 39 | | partnership and municipal employee health insurance plans, and (B) the 15 Proposed Bill No. 5338 |
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41 | 41 | | |
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42 | 42 | | LCO No. 546 2 of 2 |
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43 | 43 | | |
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44 | 44 | | name of, services rendered by and financial arrangements with any 16 |
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45 | 45 | | consultant engaged by the Comptroller to support the state employee, 17 |
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46 | 46 | | partnership and municipal employee health insurance plans. 18 |
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47 | 47 | | Statement of Purpose: |
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48 | 48 | | To: (1) Direct the Comptroller to ensure that the state employee and |
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49 | 49 | | partnership plans are (A) examined by (i) certified actuaries, and (ii) the |
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50 | 50 | | Auditors of Public Accounts, and (B) secured by stop-loss coverage; (2) |
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51 | 51 | | subject the state employee and partnership plans to (A) the same |
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52 | 52 | | requirements that apply to other group health plans, including, but not |
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53 | 53 | | limited to, (i) prior rate review and approval by the Insurance |
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54 | 54 | | Department for the partnership plan, and (ii) a required medical loss |
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55 | 55 | | ratio of at least eighty per cent, and (B) the Finance Advisory Committee |
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56 | 56 | | process for any transfer of state funds to support any losses incurred by |
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57 | 57 | | the state employee or partnership plan; and (3) require the Auditors of |
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58 | 58 | | Public Accounts to report, at least annually, to the Office of Policy and |
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59 | 59 | | Management, the Insurance Department and the Office of Health |
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60 | 60 | | Strategy (A) regarding the financial solvency of the state employee, |
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61 | 61 | | partnership and municipal employee health insurance plans, and (B) the |
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62 | 62 | | name of, services rendered by and financial arrangements with any |
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63 | 63 | | consultant engaged by the Comptroller to support the state employee, |
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64 | 64 | | partnership and municipal employee health insurance plans. |
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