Regulations of Connecticut State Agencies (Last Updated: June 14,2023) |
Title38a Insurance Department |
SubTitle38a-192-1_38a-192-3. High Deductible Health Plans for Health Care Centers |
Sec.38a-192-1. Definitions
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As used in Sections 38a-192-1 to 38a-192-3 inclusive:
(1) "Annual" means any 12 month period as determined by the contract;
(2) "Commissioner" means the Insurance Commissioner;
(3) "Copay" means a flat fee that an enrollee or member is required to pay each time a specified service is rendered;
(4) "Deductible" means the amount of covered expenses which must be accumulated annually before benefits become payable as additional covered expenses incurred;
(5) "Enrollee" means "enrollee" as defined in section 38a-175(14) of the Connecticut General Statutes;
(6) "Health Care Center" means "health care center" as defined in section 38a-175(9) of the Connecticut General Statutes;
(7) "High Deductible Plan" means a contract for health care services that has an annual deductible for individuals of not less than $1,500 for in-network services and an annual deductible for families of not less than $3,000;
(8) "Member" means "member" as defined in section 38a-175(14) of the Connecticut General Statutes; and
(9) "Provider" means "provider" as defined in section 38a-175(19) of the Connecticut General Statutes.
(Adopted effective September 3, 2008)