Sec. 38a-483b. Time limits for coverage determinations. Notice requirements. - Connecticut Statutes

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Statutes > Connecticut > Title38a > Chap700c > Sec38a-483b

      Sec. 38a-483b. Time limits for coverage determinations. Notice requirements. Except as otherwise provided in this title, each insurer, health care center, hospital and medical service corporation or other entity delivering, issuing for delivery, renewing or amending any individual health insurance policy in this state on or after January 1, 2000, providing coverage of the type specified in subdivisions (1), (2), (4), (11) and (12) of section 38a-469 shall complete any coverage determination with respect to such policy and notify the insured or the insured's health care provider of its decision not later than forty-five days after a request for such determination is received by the insurer, health care center, hospital and medical service corporation or other entity. In the case of a denial of coverage, such entity shall notify the insured and the insured's health care provider of the reasons for such denial.

      (P.A. 99-284, S. 12.)

      See Sec. 38a-513a for similar provisions re group policies.

State Codes and Statutes

Statutes > Connecticut > Title38a > Chap700c > Sec38a-483b

      Sec. 38a-483b. Time limits for coverage determinations. Notice requirements. Except as otherwise provided in this title, each insurer, health care center, hospital and medical service corporation or other entity delivering, issuing for delivery, renewing or amending any individual health insurance policy in this state on or after January 1, 2000, providing coverage of the type specified in subdivisions (1), (2), (4), (11) and (12) of section 38a-469 shall complete any coverage determination with respect to such policy and notify the insured or the insured's health care provider of its decision not later than forty-five days after a request for such determination is received by the insurer, health care center, hospital and medical service corporation or other entity. In the case of a denial of coverage, such entity shall notify the insured and the insured's health care provider of the reasons for such denial.

      (P.A. 99-284, S. 12.)

      See Sec. 38a-513a for similar provisions re group policies.

State Codes and Statutes

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State Codes and Statutes

Statutes > Connecticut > Title38a > Chap700c > Sec38a-483b

      Sec. 38a-483b. Time limits for coverage determinations. Notice requirements. Except as otherwise provided in this title, each insurer, health care center, hospital and medical service corporation or other entity delivering, issuing for delivery, renewing or amending any individual health insurance policy in this state on or after January 1, 2000, providing coverage of the type specified in subdivisions (1), (2), (4), (11) and (12) of section 38a-469 shall complete any coverage determination with respect to such policy and notify the insured or the insured's health care provider of its decision not later than forty-five days after a request for such determination is received by the insurer, health care center, hospital and medical service corporation or other entity. In the case of a denial of coverage, such entity shall notify the insured and the insured's health care provider of the reasons for such denial.

      (P.A. 99-284, S. 12.)

      See Sec. 38a-513a for similar provisions re group policies.