LCO No. 1526 1 of 1
General Assembly Proposed Bill No. 1210
January Session, 2025
LCO No. 1526
Referred to Committee on INSURANCE AND REAL ESTATE
Introduced by:
SEN. GADKAR-WILCOX, 22nd Dist.
AN ACT REQUIRING HEALTH CARRIERS TO PAY A CIVIL PENALTY
FOR ADVERSE DETERMINATION REVERSALS.
Be it enacted by the Senate and House of Representatives in General
Assembly convened:
That section 38a-591g of the general statutes be amended to require 1
that any health carrier shall pay a civil penalty, to be deposited in the 2
Insurance Fund and allocated to the Office of the Healthcare Advocate, 3
when such health carrier's adverse determination is overturned on 4
external review by an independent review organization. 5
Statement of Purpose:
To require that any health carrier shall pay a civil penalty, to be
deposited in the Insurance Fund and allocated to the Office of the
Healthcare Advocate, when such health carrier's adverse determination
is overturned on external review by an independent review
organization.