State Codes and Statutes

Statutes > Connecticut > Title17b > Chap319v > Sec17b-299

      Sec. 17b-299. Applications. Approval. (a) The commissioner or, at the commissioner's discretion, the single point of entry servicer shall review applications for eligibility to determine whether applicants or employers of applicants have discontinued employer-sponsored dependent coverage for the purpose of participation in the HUSKY Plan, Part B.

      (b) An application may be disapproved if it is determined that a child to be covered under the HUSKY Plan, Part B was covered by an employer-sponsored insurance within the last two months. If the commissioner determines that the time period specified in this subsection is insufficient to effectively deter applicants or employers of applicants from discontinuing employer-sponsored dependent coverage for the purpose of participation in the HUSKY Plan, Part B, the commissioner may extend such period for a maximum of an additional two months.

      (c) An application may be approved in cases where prior employer-sponsored coverage ended less than two months prior to the determination of eligibility for reasons unrelated to the availability of the HUSKY Plan, Part B, including, but not limited to:

      (1) Loss of employment due to factors other than voluntary termination;

      (2) Death of a parent;

      (3) Change to a new employer that does not provide an option for dependent coverage;

      (4) Change of address so that no employer-sponsored coverage is available;

      (5) Discontinuation of health benefits to all employees of the applicant's employer;

      (6) Expiration of the coverage periods established by the Consolidated Omnibus Budget Reconciliation Act of 1985, (P.L. 99-272) as amended from time to time, (COBRA);

      (7) Self-employment;

      (8) Termination of health benefits due to a long-term disability;

      (9) Termination of dependent coverage due to an extreme economic hardship on the part of either the employee or the employer, as determined by the commissioner; or

      (10) Substantial reduction in either lifetime medical benefits or benefit category available to an employee and dependents under an employer's health care plan.

      (October 29 Sp. Sess. P.A. 97-1, S. 11, 23; P.A. 01-137, S. 5, 9.)

      History: Oct. 29 Sp. Sess. P.A. 97-1 effective October 1, 1997; P.A. 01-137 amended Subsecs. (b) and (c) to substitute "two" months for "six" months, effective July 1, 2001.