Connecticut General Statutes
Chapter 698a - Health Care and Related Service Groups
Section 38a-177. (Formerly Sec. 33-179c). - Manner of providing health care.

A health care center may provide health care (1) directly or by its employees or contractors licensed by this state to render such services, or by contract or by indemnity arrangement with any hospital, hospital service corporation, medical service corporation or person qualified and licensed to render any health care service or by both methods; or (2) by other methods to the extent permitted under the Federal Health Maintenance Organization Act and the regulations adopted thereunder from time to time unless otherwise determined by the commissioner in regulations adopted in accordance with the provisions of chapter 54. A health care center may also enter into agreements with hospitals or individuals approved by their respective state regulating board, licensed to practice any of the healing arts, for the training of personnel under the direction of persons licensed to practice the profession or healing art. A health care center may also maintain a clinic or clinics for the prevention, study, diagnosis and treatment of human ailments and injuries by licensed persons and to promote medical, surgical, dental or scientific research and learning.

(1971, P.A. 445, S. 3; P.A. 90-68, S. 3, 16; P.A. 16-213, S. 22; P.A. 17-198, S. 5.)
History: P.A. 90-68 added a provision allowing the federal health maintenance organization act through preemption or the insurance commissioner through regulations to establish the method or the manner in which health care is provided; Sec. 33-179c transferred to Sec. 38a-177 in 1991; P.A. 16-213 replaced “Health care may be provided” with “A health care center may provide health care”, redesignated existing Subsecs. (a) and (b) as Subdivs. (1) and (2), replaced “medical, surgical, dental and scientific” with “medical, surgical, dental or scientific” and made a conforming change, effective July 1, 2017; P.A. 17-198 replaced “; and (2)” with “; or (2)” re manner of providing health care and added reference to Ch. 54 re adoption of regulations, 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...