Connecticut General Statutes
Chapter 698a - Health Care and Related Service Groups
Section 38a-176. (Formerly Sec. 33-179b). - Applicable statutes. Activities and purposes of health care center.

(a) Each health care center shall be governed by sections 38a-175 to 38a-194, inclusive, and by the other applicable laws of the state to the extent not inconsistent with the provisions of said sections.

(b) (1) The nature of the activities to be conducted and the purposes to be carried out by a health care center include, but are not limited to: (A) Establishing, maintaining and operating facilities whereby health care may be provided at the expense of the health care center; and (B) providing health care (i) directly by its health care center employees who, when required by law, shall be duly licensed to render such service, or (ii) by agreement or by indemnity arrangement with any hospital, hospital service corporation, medical service corporation, medical group clinic or person qualified and licensed to render any health care service, or (iii) by both methods set forth in subparagraphs (B)(i) and (B)(ii) of this subdivision.
(2) For a health care center that provides medical and surgical services other than or in addition to dental services, the nature of the activities to be conducted and the purposes to be carried out by such health care center, in addition to those set forth in subdivision (1) of this subsection, include, but are not limited to: (A) Entering into agreements with any governmental agency, or any provider for the training of personnel under the direction of persons licensed to practice any healing art; (B) establishing, operating and maintaining a medical service center, clinic or any such other facility as shall be necessary for the prevention, study, diagnosis and treatment of human ailments and injuries and to promote medical, surgical, dental and general health education, scientific education, research and learning; (C) marketing, enrolling and administering a health care plan; (D) contracting with insurers licensed in this state, including hospital service corporations and medical service corporations; (E) offering, in addition to health services, benefits covering out-of-area or emergency services; (F) providing health services not included in the health care plan on a fee-for-service basis; and (G) entering into contracts in furtherance of the purposes of sections 38a-175 to 38a-194, inclusive.
(3) A health care center that provides only dental services shall not be required to conduct activities set forth in subdivision (2) of this subsection.
(1971, P.A. 445, S. 2; P.A. 82-415, S. 2, 18; P.A. 90-68, S. 2, 16; P.A. 16-213, S. 21; P.A. 17-198, S. 16.)
History: P.A. 82-415 expanded the activities and purposes of health care centers by adding Subdivs. (5) to (9), inclusive, and specified that health care centers are governed by applicable laws outside of chapter rather than by “the provisions of the nonstock corporation act”; P.A. 90-68 expanded the nature of the activities to be conducted and the purposes to be carried out by a health care center and included clinics in provision re negotiation of indemnity agreements in forming a health care arrangement and substituted “provider” for hospitals or individuals licensed to practice healing arts to refer to those entities providing a health care service; Sec. 33-179b transferred to Sec. 38a-176 in 1991; P.A. 16-213 amended Subsec. (a) by replacing “38a-192” with “38a-194”, amended Subsec. (b) by designating existing provisions re activities and purposes to be carried out by health care center as Subdiv. (1), redesignating existing Subdivs. (1) and (2) as Subparas. (A) and (B), designating existing provisions re entering into agreements, establishing, operating and maintaining a medical service center, clinic or other facility, marketing, enrolling and administering health care plan, contracting with insurers, offering benefits covering out-of-area or emergency services, providing health care services not included in health care plan and entering into contracts as new Subdiv. (2) and amending same to add provision re application to health care center that provides medical and surgical services other than or in addition to dental services, redesignating existing Subdivs. (3) to (9) as Subparas. (A) to (G) and adding Subdiv. (3) re health care center that provides only dental services, and made technical and conforming changes, effective July 1, 2017; P.A. 17-198 amended Subsec. (b)(2)(G) by replacing reference to Sec. 38a-192 with reference to Sec. 38a-194, effective July 1, 2017.

Structure Connecticut General Statutes

Connecticut General Statutes

Title 38a - Insurance

Chapter 698a - Health Care and Related Service Groups

Section 38a-175. (Formerly Sec. 33-179a). - Definitions.

Section 38a-176. (Formerly Sec. 33-179b). - Applicable statutes. Activities and purposes of health care center.

Section 38a-177. (Formerly Sec. 33-179c). - Manner of providing health care.

Section 38a-178. (Formerly Sec. 33-179e). - Organization.

Section 38a-179. (Formerly Sec. 33-179g). - Management of domestic health care center. Directors.

Section 38a-180. (Formerly Sec. 33-179h). - Clinics. Liability of practitioners to reprimand or discipline. Choice in selection of practitioner.

Section 38a-181. (Formerly Sec. 33-179i). - Acceptance of payments, grants and loans for cost of operation.

Section 38a-182. (Formerly Sec. 33-179j). - Agreements with subscribers. Agreement requirements. Evidence of coverage.

Section 38a-183. (Formerly Sec. 33-179k). - Approval of rates to be paid by subscribers and agreements. Capital Reserve Fund. Prescription drug rebates.

Section 38a-184. (Formerly Sec. 33-179l). - Expenditure of funds.

Section 38a-185. (Formerly Sec. 33-179m). - Appeal from commissioner. Resolution of dispute between community member and corporation.

Section 38a-186. (Formerly Sec. 33-179n). - Disposition of property on termination. Prohibitions re stock transactions and mergers.

Section 38a-187. (Formerly Sec. 33-179o). - Investments. Use of ancillary equipment and facilities.

Section 38a-188. (Formerly Sec. 33-179p). - Applicability of certain insurance statutes. Regulations re evaluation of financial condition. Exemption from certain taxes.

Section 38a-189. (Formerly Sec. 33-179q). - Workers' Compensation Act not affected.

Section 38a-190. (Formerly Sec. 33-179r). - Inapplicability of other laws.

Section 38a-191. (Formerly Sec. 33-179s). - Authority of insurance companies not affected.

Section 38a-192. (Formerly Sec. 33-179u). - Regulations by Insurance Commissioner.

Section 38a-193. - Protection against insolvency.

Section 38a-193a. - Uncovered expenditures insolvency deposit by health care center. Requirements. Withdrawal of deposit. Regulations.

Section 38a-194. - Enrollment period. Replacement coverage in the event of insolvency.

Section 38a-199. (Formerly Sec. 33-157). - Definition. Powers. Exemption from insurance laws. Reserves.

Section 38a-200. (Formerly Sec. 33-158). - Incorporation. Representation of policyholders on board of directors.

Section 38a-201. (Formerly Sec. 33-159). - Form of contract.

Section 38a-202. (Formerly Sec. 33-160). - Reports and examinations.

Section 38a-203. (Formerly Sec. 33-161). - Investments.

Section 38a-204. (Formerly Sec. 33-162). - Liquidation or rehabilitation. Mergers.

Section 38a-205. (Formerly Sec. 33-163). - Workers' compensation law not affected.

Section 38a-206. (Formerly Sec. 33-164). - Fraternal benefit societies and life or accident insurance companies not affected.

Section 38a-207. (Formerly Sec. 33-165). - Exemption from taxation.

Section 38a-208. (Formerly Sec. 33-166). - Approval of rates to be paid by subscribers and contracts.

Section 38a-209. (Formerly Sec. 33-167). - Appeal.

Section 38a-214. (Formerly Sec. 33-168). - Definition. Powers. Exemption from insurance laws. Reserves.

Section 38a-215. (Formerly Sec. 33-169). - Formation.

Section 38a-216. (Formerly Sec. 33-170). - Incorporation. Representation of policyholders on board of directors.

Section 38a-217. (Formerly Sec. 33-171). - Form of contract.

Section 38a-218. (Formerly Sec. 33-172). - Approval of rates to be paid by subscribers and contracts.

Section 38a-219. (Formerly Sec. 33-173). - Reports and examinations. Insurance Commissioner's supervision.

Section 38a-220. (Formerly Sec. 33-174). - Investments.

Section 38a-221. (Formerly Sec. 33-175). - Liquidation or rehabilitation. Mergers.

Section 38a-222. (Formerly Sec. 33-176). - Workers' compensation law not affected.

Section 38a-223. (Formerly Sec. 33-177). - Fraternal benefit societies and life or accident insurance companies not affected.

Section 38a-224. (Formerly Sec. 33-178). - Exemption from taxation.

Section 38a-225. (Formerly Sec. 33-179). - Appeal.

Section 38a-226 to 38a-226d. - Definitions. Annual licensure; fees; complaints re utilization review companies; certification and release of information; compliance. Violations; notice and hearing; penalties; appeal. Utilization review company minimu...