NOTICE TO ALL

HEALTH INSURANCE COMPANIES, HEALTH CARE CENTERS, HOSPITAL SERVICE CORPORATIONS, AND MEDICAL SERVICE CORPORATIONS

THAT DELIVER OR ISSUE INDIVIDUAL OR GROUP HEALTH INSURANCE POLICIES IN CONNECTICUT

CONCERNING

PUBLIC ACT 22-47, SECTIONS 71 TO 73, INCLUSIVE

Sections 71-73, inclusive, of Public Act 22-47, An Act Concerning Children’s Mental Health, made amendments to sections of the Insurance Statutes (specifically, Conn. Gen. Stat. §§ 38a-591d, 38a-591e, and 38a-591f).  The amendments, which become effective on January 1, 2023, require certain information on adverse determination notices to be prominently displayed on the notice’s first page or cover sheet and that such language be approved by the Office of the Healthcare Advocate (OHA).

The Connecticut Insurance Department has advised all health insurance companies, health care centers, hospital service corporations, and medical service corporations, that OHA, consistent with Public Act 22-47, has published on its website the following approved language:

For initial adverse determinations (C.G.S. §38a-591d)

Additional information regarding your appeal rights is available in the section of this notice labeled “[insert applicable section heading]”

 For appeal denials (C.G.S. §38a-591e & §38a-591f)

Additional information regarding your rights is available in the section of this notice labeled “[insert applicable section heading]”