State Codes and Statutes

Statutes > Connecticut > Title38a > Chap700c > Sec38a-527

      Sec. 38a-527. Mandatory coverage for partners, sole proprietors and corporate officers for work-related injuries. (a) Notwithstanding any other provision of the general statutes to the contrary, no group health insurance policy providing coverage of the type specified in subdivisions (1), (2), (4), (6), (11) and (12) of section 38a-469 delivered, issued for delivery, amended or renewed on or after October 1, 1984, in this state may exclude coverage for a bodily injury solely because it was caused by an accident arising out of and in the course of employment to a covered individual who is: (1) A sole proprietor or business partner who is not covered by the provisions of chapter 568 or who accepts the provisions of said chapter 568 pursuant to subdivision (6) of section 31-275; or (2) an employee of a corporation and who is a corporate officer, regardless of any election by such individual to be excluded from coverage under said chapter 568 pursuant to subparagraph (E) of subdivision (5) of section 31-275. The provisions of this section shall also apply to all such policies in this state as of the first anniversary date of such policy on or after October 1, 1984. The payment of benefits pursuant to this section shall be subject to any policy provisions which apply to a claim not resulting from bodily injury caused by an accident arising out of and in the course of employment.

      (b) Whenever any such covered individual who receives benefits for any such injury under such policy has a right of recovery or reimbursement against any person or organization, any carrier that has paid such benefits to or for the individual shall be subrogated to all such rights of recovery or reimbursement to the extent of its payment. Such carrier shall also have a lien on the proceeds of any award or approval of any compromise made by a workers' compensation commissioner pursuant to the individual's workers' compensation claim, in accordance with the provisions of section 38a-470.

      (P.A. 90-243, S. 111.)

      See Sec. 38a-500 for similar provisions re individual policies.

State Codes and Statutes

Statutes > Connecticut > Title38a > Chap700c > Sec38a-527

      Sec. 38a-527. Mandatory coverage for partners, sole proprietors and corporate officers for work-related injuries. (a) Notwithstanding any other provision of the general statutes to the contrary, no group health insurance policy providing coverage of the type specified in subdivisions (1), (2), (4), (6), (11) and (12) of section 38a-469 delivered, issued for delivery, amended or renewed on or after October 1, 1984, in this state may exclude coverage for a bodily injury solely because it was caused by an accident arising out of and in the course of employment to a covered individual who is: (1) A sole proprietor or business partner who is not covered by the provisions of chapter 568 or who accepts the provisions of said chapter 568 pursuant to subdivision (6) of section 31-275; or (2) an employee of a corporation and who is a corporate officer, regardless of any election by such individual to be excluded from coverage under said chapter 568 pursuant to subparagraph (E) of subdivision (5) of section 31-275. The provisions of this section shall also apply to all such policies in this state as of the first anniversary date of such policy on or after October 1, 1984. The payment of benefits pursuant to this section shall be subject to any policy provisions which apply to a claim not resulting from bodily injury caused by an accident arising out of and in the course of employment.

      (b) Whenever any such covered individual who receives benefits for any such injury under such policy has a right of recovery or reimbursement against any person or organization, any carrier that has paid such benefits to or for the individual shall be subrogated to all such rights of recovery or reimbursement to the extent of its payment. Such carrier shall also have a lien on the proceeds of any award or approval of any compromise made by a workers' compensation commissioner pursuant to the individual's workers' compensation claim, in accordance with the provisions of section 38a-470.

      (P.A. 90-243, S. 111.)

      See Sec. 38a-500 for similar provisions re individual policies.


State Codes and Statutes

State Codes and Statutes

Statutes > Connecticut > Title38a > Chap700c > Sec38a-527

      Sec. 38a-527. Mandatory coverage for partners, sole proprietors and corporate officers for work-related injuries. (a) Notwithstanding any other provision of the general statutes to the contrary, no group health insurance policy providing coverage of the type specified in subdivisions (1), (2), (4), (6), (11) and (12) of section 38a-469 delivered, issued for delivery, amended or renewed on or after October 1, 1984, in this state may exclude coverage for a bodily injury solely because it was caused by an accident arising out of and in the course of employment to a covered individual who is: (1) A sole proprietor or business partner who is not covered by the provisions of chapter 568 or who accepts the provisions of said chapter 568 pursuant to subdivision (6) of section 31-275; or (2) an employee of a corporation and who is a corporate officer, regardless of any election by such individual to be excluded from coverage under said chapter 568 pursuant to subparagraph (E) of subdivision (5) of section 31-275. The provisions of this section shall also apply to all such policies in this state as of the first anniversary date of such policy on or after October 1, 1984. The payment of benefits pursuant to this section shall be subject to any policy provisions which apply to a claim not resulting from bodily injury caused by an accident arising out of and in the course of employment.

      (b) Whenever any such covered individual who receives benefits for any such injury under such policy has a right of recovery or reimbursement against any person or organization, any carrier that has paid such benefits to or for the individual shall be subrogated to all such rights of recovery or reimbursement to the extent of its payment. Such carrier shall also have a lien on the proceeds of any award or approval of any compromise made by a workers' compensation commissioner pursuant to the individual's workers' compensation claim, in accordance with the provisions of section 38a-470.

      (P.A. 90-243, S. 111.)

      See Sec. 38a-500 for similar provisions re individual policies.