Sec. 38a-570. Issuance of special health care plans by the Health Reinsurance Association to small employers.
Sec. 38a-570. Issuance of special health care plans by the Health Reinsurance
Association to small employers. Notwithstanding the provisions of sections 38a-505,
38a-546 and 38a-551 to 38a-559, inclusive, the Health Reinsurance Association may
issue special health care plans to small employers with ten or fewer eligible employees,
the majority of whom are low-income eligible employees. The following provisions
shall apply to such special health care plans:
(1) Premium rates shall be promulgated by the board of directors of the Health
Reinsurance Association based on recommendations of its actuarial committee. In developing recommendations for premium rates, the actuarial committee shall consider,
in addition to other pertinent matters, the premiums that are or would be charged for
the same or similar insurance by other insurers. Except as otherwise provided in sections
38a-564 to 38a-572, inclusive, in establishing premium rates the board of directors
of the Health Reinsurance Association may consider any relevant factors impacting
premium, claims and expenses, including characteristics of small employers and insureds, that may be considered by any insurer in establishing health insurance premium
rates. The premium rates established shall be subject to the provisions of section 38a-567. The anticipated loss ratio shall not be less than eighty per cent of the premium. In
establishing premium rates the board of directors of the Health Reinsurance Association
shall administer special health care plans issued to small employers without gain or
loss; and
(2) The Health Reinsurance Association may reinsure coverage of special health
care plans with the pool.
(P.A. 90-134, S. 21, 28; P.A. 07-185, S. 21.)
History: P.A. 07-185 amended Subdiv. (1) to require board of directors of Health Reinsurance Association to administer
special health care plans issued to small employers without gain or loss, effective July 1, 2007.