Sec. 38a-492. (Formerly Sec. 38-174i). Coverage for accidental ingestion or consumption of controlled drugs. Benefits prescribed.
Sec. 38a-492. (Formerly Sec. 38-174i). Coverage for accidental ingestion or
consumption of controlled drugs. Benefits prescribed. No individual health insurance
policy providing coverage of the type specified in subdivisions (1), (2), (4), (6), (10)
and (11) of section 38a-469 shall be delivered, issued for delivery or renewed in this
state, or amended to substantially alter or change benefits or coverage, on or after July
1, 1975, unless persons covered under such policy will be eligible for benefits for expenses of emergency medical care arising from accidental ingestion or consumption of
a controlled drug, as defined by subdivision (8) of section 21a-240, which are at least
equal to the following minimum requirements: (1) In the case of benefits based upon
confinement as an inpatient in a hospital, whether or not operated by the state, the period
of confinement for which benefits shall be payable shall be at least thirty days in any
calendar year. (2) For covered expenses incurred by the insured while other than an
inpatient in a hospital, benefits shall be available for such expenses during any calendar
year up to a maximum of five hundred dollars. For purposes of this section, the term
"covered expenses" means the reasonable charges for treatment deemed necessary under
generally accepted medical standards.
(P.A. 75-512, S. 1, 2; P.A. 85-613, S. 73, 154; P.A. 90-243, S. 82.)
History: P.A. 85-613 made technical change; P.A. 90-243 substituted reference to "health insurance policy" for reference
to hospital and medical expense policies or contracts, specified applicability to individual policies only, and replaced
alphabetic Subdiv. indicators with numeric ones; Sec. 38-174i transferred to Sec. 38a-492 in 1991; (Revisor's note: In
2001, a reference to "subsection (a) of" Sec. 38a-469 was deleted editorially by the Revisors for accuracy).
See Sec. 38a-518 for similar provisions re group policies.