Sec. 38a-516a. Coverage for birth-to-three program.
Sec. 38a-516a. Coverage for birth-to-three program. Each group health insurance policy providing coverage of the type specified in subdivisions (1), (2), (4), (11)
and (12) of section 38a-469 delivered, issued for delivery or renewed in this state on or
after July 1, 1996, shall provide coverage for medically necessary early intervention
services provided as part of an individualized family service plan pursuant to section
17a-248e. Such policy shall provide (1) coverage for such services provided by qualified
personnel, as defined in section 17a-248, for a child from birth until the child's third
birthday, and (2) a maximum benefit of three thousand two hundred dollars per child
per year and an aggregate benefit of nine thousand six hundred dollars per child over
the total three-year period. No payment made under this section shall be applied by the
insurer, health care center or plan administrator against any maximum lifetime or annual
limits specified in the policy or health benefits plan.
(P.A. 96-185, S. 7, 16; June 30 Sp. Sess. P.A. 03-3, S. 8.)
History: P.A. 96-185 effective July 1, 1996; June 30 Sp. Sess. P.A. 03-3 deleted provision re coverage for at least $5,000
annually, added Subdivs. (1) and (2) re coverage and benefits to be provided by policy and made technical changes, effective
August 20, 2003.
See Sec. 38a-490a for similar provisions re individual policies.