Bill > SB00815

This bill addresses requirements for stop-loss insurance policies used in self-funded employee health benefit plans. Stop-loss insurance is a type of coverage that protects employers who choose to self-insure their employee health plans from extremely high medical costs. The bill provides two alternative compliance paths for these insurance policies: first, they must provide coverage for essential health benefits as defined by the Affordable Care Act and include all group state-mandated coverage requirements, or second, they must have specific financial thresholds where the insurance begins to cover costs. Specifically, the policy must have a minimum individual attachment point (the dollar amount at which the insurance starts covering an individual's medical expenses) of at least $75,000 and an aggregate attachment point (the total amount the employer must pay before insurance kicks in for the entire group) of at least $250,000. This legislation aims to ensure that self-funded health plans have adequate financial protection and comprehensive coverage for employees, protecting both employers and workers from potentially catastrophic medical expenses.

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https://www.cga.ct.gov/asp/cgabillstatus/cgabillstatus.asp?selBillType=Bill&bill_num=SB00815&which_year=2025