Connecticut 2017 Regular Session Status: In Committee

SB 20 — AN ACT REQUIRING THE INSURANCE COMMISSIONER TO CONSIDER AFFORDABILITY IN REVIEWING INDIVIDUAL AND GROUP HEALTH INSURANCE POLICY PREMIUM RATE FILINGS.

Last action — REF. TO JOINT COMM. ON Insurance and Real Estate

  1. ✓
    Introduced
  2. 2
    In Committee
  3. 3
    Passed Senate
  4. 4
    Passed House
  5. 5
    To Executive
  6. 6
    Enacted

This bill died with 2017 Regular Session. It reached “In Committee” and never advanced before the session ended, so it can no longer move — a new version would have to be reintroduced in the current session.

This bill is no longer active — its legislative session has ended, so there is no live prognosis. It would have to be reintroduced in the current session to move again.

Bill Text

What changed in the latest version

23 added · 7 removed

Plain-language change summary

The updated bill now requires the Insurance Commissioner to consider affordability when reviewing individual and group health insurance policy premium rate filings. This change adds "unaffordable" to the standards by which rates can be disapproved. Additionally, it specifies that premium rates must be approved by the commissioner and be deemed affordable, which influences the review process for health insurance policy approvals. These amendments establish clearer guidelines for assessing the affordability of health insurance rates.

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AN ACT CONCERNING THE FACTORS TO BE CONSIDERED BY THE INSURANCE DEPARTMENT IN A HEALTH INSURANCE PREMIUM RATE FILING REVIEW.
AN ACT REQUIRING THE INSURANCE COMMISSIONER TO CONSIDER AFFORDABILITY IN REVIEWING INDIVIDUAL AND GROUP HEALTH INSURANCE POLICY PREMIUM RATE FILINGS.
General Assembly   Proposed Bill No.
General Assembly   Committee Bill No.
20   January Session, 2017   LCO No.
20 January Session, 2017   LCO No.
828   *00828* Referred to Committee on INSURANCE AND REAL ESTATE   Introduced by:
4630   *04630SB00020INS* Referred to Committee on INSURANCE AND REAL ESTATE   Introduced by:
  SEN.
  (INS)   AN ACT REQUIRING THE INSURANCE COMMISSIONER TO CONSIDER AFFORDABILITY IN REVIEWING INDIVIDUAL AND GROUP HEALTH INSURANCE POLICY PREMIUM RATE FILINGS.
LOONEY, 11th Dist.
  AN ACT CONCERNING THE FACTORS TO BE CONSIDERED BY THE INSURANCE DEPARTMENT IN A HEALTH INSURANCE PREMIUM RATE FILING REVIEW.
That title 38a of the general statutes be amended to include affordability as a factor the Insurance Department shall consider when reviewing health insurance premium rate filings and to establish standards for such factor.
Section 1.
Statement of Purpose:
Subsection (b) of section 38a-481 of the general statutes is repealed and the following is substituted in lieu thereof (Effective October 1, 2017):
To include affordability as a factor the Insurance Department shall consider when reviewing health insurance premium rate filings and to establish standards for such factor.
(b) No rate filed under the provisions of subsection (a) of this section shall be effective until it has been approved by the commissioner in accordance with regulations adopted pursuant to this subsection.
The commissioner shall adopt regulations, in accordance with the provisions of chapter 54, to prescribe standards to ensure that such rates shall not be excessive, inadequate, [or] unfairly discriminatory or unaffordable.
The commissioner may disapprove such rate if it fails to comply with such standards, except that no rate filed under the provisions of subsection (a) of this section for any Medicare supplement policy shall be effective unless approved in accordance with section 38a-474.
Sec.
2.
Subsection (a) of section 38a-513 of the general statutes is repealed and the following is substituted in lieu thereof (Effective October 1, 2017):
(a) (1) No group health insurance policy, as defined by the commissioner, or certificate shall be delivered or issued for delivery in this state unless a copy of the form for such policy or certificate has been submitted to and approved by the commissioner under the regulations adopted pursuant to this section.
The commissioner shall adopt regulations, in accordance with the provisions of chapter 54, concerning the provisions, submission and approval of such policies and certificates and establishing a procedure for reviewing such policies and certificates.
The commissioner shall disapprove the use of such form at any time if it does not comply with the requirements of law, or if it contains a provision or provisions that are unfair or deceptive or that encourage misrepresentation of the policy.
The commissioner shall notify, in writing, the insurer that has filed any such form of the commissioner's disapproval, specifying the reasons for disapproval, and ordering that no such insurer shall deliver or issue for delivery to any person in this state a policy on or containing such form.
The provisions of section 38a-19 shall apply to such order.
(2) No group health insurance policy or certificate for a small employer, as defined in section 38a-564, shall be delivered or issued for delivery in this state unless the premium rates have been submitted to and approved by the commissioner, and are, in the opinion of the commissioner, affordable.
Premium rate filings shall include an actuarial memorandum that includes, but is not limited to, pricing assumptions and claims experience, and premium rates and loss ratios from the inception of the policy.
As used in this subdivision, "loss ratio" means the ratio of incurred claims to earned premiums by the number of years of policy duration for all combined durations.
(3) No group health insurance policy, as defined by the commissioner, or certificate shall be delivered or issued for delivery in this state unless the premium rates have been submitted to and approved by the commissioner, and are, in the opinion of the commissioner, affordable.
This act shall take effect as follows and shall amend the following sections:
Section 1 October 1, 2017 38a-481(b) Sec.
2 October 1, 2017 38a-513(a) Statement of Purpose:
To require the Insurance Commissioner to consider affordability as a factor in reviewing individual and group health insurance policy premium rate filings.
[Proposed deletions are enclosed in brackets.
Proposed additions are indicated by underline, except that when the entire text of a bill or resolution or a section of a bill or resolution is new, it is not underlined.] Co-Sponsors:
SEN.
LOONEY, 11th Dist.
S.B.
20
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Action History

  1. REF. TO JOINT COMM. ON Insurance and Real Estate

  2. DRAFTED BY COMMITTEE

  3. Vote to Draft

  4. PUBLIC HEARING 0207

  5. Reserved for Subject Matter Public Hearing

  6. REF. TO JOINT COMM. ON Insurance and Real Estate

Sponsors

  • Martin M.' b'Looney · Primary

Sponsorship breakdown

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1 sponsors · 0 co-sponsors · 186 not signed on

Sponsors (1)

  • b'Looney, Martin M.'

Co-sponsors (0)

None.

Not signed on (186)

186 members have not signed on to this bill.

Show all 186 →

"Not signed on" means a member has not sponsored or co-sponsored this bill — it does not imply opposition. Members flagged Voted No have a recorded No vote on this bill.

Whip count is in markup. Polling the chamber and every recorded vote this session. Only the first open is slow. It’s instant for you after this. Calling the roll · Tallying · Engrossing

Subjects

healthcare health-insurance
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Frequently asked questions

Who sponsors SB 20?
SB 20 is sponsored by b'Looney, Martin M.'.
What is the current status of SB 20?
This bill died with 2017 Regular Session. It reached “In Committee” and never advanced before the session ended, so it can no longer move — a new version would have to be reintroduced in the current session.
Where can I track SB 20?
Track SB 20 free on One Click Politics — get push/email alerts when it moves.

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