Connecticut General Statutes
Chapter 698a - Health Care and Related Service Groups
Section 38a-188. (Formerly Sec. 33-179p). - Applicability of certain insurance statutes. Regulations re evaluation of financial condition. Exemption from certain taxes.

(a) Each health care center governed by sections 38a-175 to 38a-194, inclusive, shall be exempt from the provisions of the general statutes relating to insurance in the conduct of its operations under said sections and in such other activities as do constitute the business of insurance, unless expressly included therein, and except for the following: Sections 38a-11, 38a-14a, 38a-17, 38a-51, 38a-52, 38a-56, 38a-57, 38a-58a, 38a-129 to 38a-140, inclusive, 38a-147 and 38a-815 to 38a-819, inclusive, provided a health care center shall not be deemed in violation of sections 38a-815 to 38a-819, inclusive, solely by virtue of such health care center selectively contracting with certain providers in one or more specialties, and sections 38a-80, 38a-492b, 38a-518b, 38a-543, 38a-702j, 38a-703 to 38a-718, inclusive, 38a-731 to 38a-735, inclusive, 38a-741 to 38a-745, inclusive, 38a-769, 38a-770, 38a-772 to 38a-776, inclusive, 38a-786, 38a-790, 38a-792 and 38a-794, provided a health care center organized as a nonprofit, nonstock corporation shall be exempt from sections 38a-146, 38a-702j, 38a-703 to 38a-718, inclusive, 38a-731 to 38a-735, inclusive, 38a-741 to 38a-745, inclusive, 38a-769, 38a-770, 38a-772 to 38a-776, inclusive, 38a-786, 38a-790, 38a-792 and 38a-794. If a health care center is operated as a line of business, the foregoing provisions shall, where possible, be applied only to that line of business and not to the organization as a whole.

(b) The commissioner may adopt regulations, in accordance with chapter 54, stating the circumstances under which the resources of a person that controls a health care center, or operates a health care center as a line of business, will be considered in evaluating the financial condition of a health care center. Such regulations, if adopted, shall require as a condition to the consideration of the resources of such person that controls a health care center, or operates a health care center as a line of business, to provide satisfactory assurances to the commissioner that such person will assume the financial obligations of the health care center. During the period prior to the effective date of regulations issued under this section, the commissioner shall, upon request, consider the resources of a person that controls a health care center, or operates a health care center as a line of business, if the commissioner receives satisfactory assurances from such person that it will assume the financial obligations of the health care center and determines that such person meets such other requirements as the commissioner determines are necessary.
(c) A health care center organized as a nonprofit, nonstock corporation shall be exempt from the sales and use tax and all property of each such corporation shall be exempt from state, district and municipal taxes. Each corporation governed by sections 38a-175 to 38a-194, inclusive, shall be subject to the provisions of sections 38a-903 to 38a-961, inclusive. Nothing in this section shall be construed to override contractual and delivery system arrangements governing a health care center's provider relationships.
(1971, P.A. 445, S. 16; P.A. 81-101, S. 5; P.A. 82-415, S. 11, 18; P.A. 86-154, S. 1; P.A. 88-364, S. 97; P.A. 90-68, S. 11, 16; 90-243, S. 171; P.A. 01-113, S. 25, 42; P.A. 04-49, S. 1; P.A. 12-145, S. 4; P.A. 15-144, S. 9; P.A. 16-213, S. 7; P.A. 17-198, S. 26; P.A. 18-68, S. 4.)
History: P.A. 81-101 required that the Insurers Supervision, Rehabilitation and Liquidation Act (Ch. 694) be applicable to health care centers; P.A. 82-415 limited the exemption from taxes to centers organized as nonprofit, nonstock corporations, where previously exemption applied to all centers; P.A. 86-154 listed certain sections of the general statutes relating to insurance which shall be applicable to health care centers and specified that nothing in section overrides contractual and delivery system arrangements governing a health care center's provider relationships; P.A. 88-364 added reference to Sec. 38-174gg; P.A. 90-68 allowed the health care center an exemption from the insurance provisions of the general statutes, established a provision that health care centers shall not be in violation of the unfair practices provisions of the insurance statutes by selectively contracting with certain providers in a variety of specialties and added a provision by which the commissioner may adopt regulations regarding the evaluation of the resources of an owner or operator of a health care center in determining the financial condition of the health care center; P.A. 90-243 made technical changes for statutory consistency; Sec. 33-179p transferred to Sec. 38a-188 in 1991; P.A. 01-113 deleted references to Secs. 38a-702 and 38a-795, and substituted “section 38a-702j” for “section 38a-783”, effective September 1, 2002; P.A. 04-49 added references to Secs. 38a-492b and 38a-518b and made technical changes; P.A. 12-145 replaced references to Sec. 38a-777 with references to Sec. 38a-776, effective June 15, 2012; P.A. 15-144 added reference to Sec. 38a-14a and made technical changes, effective July 1, 2015; P.A. 16-213 designated existing provisions re health care center exempt from provisions of statutes relating to insurance as Subsec. (a) and amended same by adding reference to Sec. 38a-58a, designated existing provisions re adoption of regulations as Subsec. (b), designated existing provisions re health care center exempt from certain taxes as Subsec. (c), and made technical changes, effective July 1, 2016; P.A. 17-198 amended Subsecs. (a) and (c) by replacing references to Sec. 38a-192 with references to Sec. 38a-194, effective July 1, 2017; P.A. 18-68 made technical changes in Subsec. (b).

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...