(a) Not later than January 1, 2012, and annually thereafter until January 1, 2014, the chief executive officer of the exchange shall report, in accordance with section 11-4a, to the Governor and the General Assembly on a plan, and any revisions or amendments to such plan, to establish a health insurance exchange in the state. Such report shall address:
(1) Whether to establish two separate exchanges, one for the individual health insurance market and one for the small employer health insurance market, or to establish a single exchange;
(2) Whether to merge the individual and small employer health insurance markets;
(3) Whether to revise the definition of “small employer” from not more than fifty employees to not more than one hundred employees;
(4) Whether to allow large employers to participate in the exchange beginning in 2017;
(5) Whether to require qualified health plans to provide the essential health benefits package, as described in Section 1302(a) of the Affordable Care Act, or include additional state mandated benefits;
(6) Whether to list dental benefits separately on the exchange's Internet web site where a qualified health plan includes dental benefits;
(7) The relationship of the exchange to insurance producers;
(8) The capacity of the exchange to award Navigator grants pursuant to section 38a-1087;
(9) Ways to ensure that the exchange is financially sustainable by 2015, as required by the Affordable Care Act including, but not limited to, assessments or user fees charged to carriers;
(10) Methods to independently evaluate consumers' experience, including, but not limited to, hiring consultants to act as secret shoppers; and
(11) The status of the implementation and administration of the all-payer claims database program established under section 19a-755a.
(b) Not later than January 1, 2012, and annually thereafter, the chief executive officer of the exchange shall report, in accordance with section 11-4a, to the Governor and the General Assembly on:
(1) Any private or federal funds received during the preceding calendar year and, if applicable, how such funds were expended;
(2) The adequacy of federal funds for the exchange prior to January 1, 2015;
(3) The amount and recipients of any grants awarded; and
(4) The current financial status of the exchange.
(P.A. 11-53, S. 12; P.A. 13-247, S. 142; June Sp. Sess. P.A. 17-2, S. 165.)
History: P.A. 11-53 effective July 1, 2011; P.A. 13-247 amended Subsec. (a) by adding Subdiv. (11) re report on status of implementation and administration of all-payer claims database program, effective June 19, 2013; June Sp. Sess. P.A. 17-2 amended Subsec. (a)(11) by replacing “38a-1091” with “19a-755a”, effective October 31, 2017.