Part Ia - HEALTH INSURANCE: MANAGED CARE

Section 38a-478 - Definitions
Section 38a-478a - Commissioner's report to the Governor and the General Assembly
Section 38a-478b - Penalty for managed care organization's failure to file data and reports. Commissioner's report to the Governor and the General Assembly on organizations that fail to file data and reports
Section 38a-478c - Managed care organization's report to the commissioner: Data, reports and information required
Section 38a-478d - Provider directory. Notification to enrollee of termination or withdrawal of enrollee's primary care provider
Section 38a-478e - Medical protocols. Procedure prior to change. Physician input. Notification of change
Section 38a-478f - Provider profile development requirements
Section 38a-478g - Managed care contract requirements. Plan description requirements
Section 38a-478h - Contract requirements and notice for removal or departure of provider. Retaliatory action prohibited
Section 38a-478i - Limitation on enrollee rights prohibited
Section 38a-478j - Coinsurance and deductible payments based on negotiated discounts
Section 38a-478k - Gag clauses prohibited
Section 38a-478l - Consumer report card required. Content. Data analysis by commissioner
Section 38a-478m and 38a-478n - [Repealed]
Section 38a-478o - Confidentiality and antidiscrimination procedures required
Section 38a-478p - [Repealed]
Section 38a-478q - Use of laboratories covered by plan required
Section 38a-478r - Emergency rooms. Prudent layperson standard. Presenting symptoms or final diagnosis as basis for coverage. Mandatory coverage for medically necessary health care services for emergency medical conditions
Section 38a-478s - Nonapplicability to self-insured employee welfare benefit plans and workers' compensation plans
Section 38a-478t - Commissioner of Public Health to receive data
Section 38a-478u - Regulations
Section 38a-478v - Applicability of Unfair and Prohibited Insurance Practices Act. Examination by Insurance Commissioner. Regulations
Section 38a-478w - Credit for any discount provided or payment made by a third party by nanaged care organization
Section 38a-479 - Definitions. Access to fee schedules. Fee information to be confidential
Section 38a-479a - Physicians and managed care organizations to discuss issues relative to contracting between such parties
Section 38a-479b - Material changes to fee schedules. Return of payment by provider. Appeals. Filing of claim by provider under other applicable insurance coverage. Certain clauses, covenants and agreements prohibited. Exception
Section 38a-479c to 38a-479z - Reserved for future use