Connecticut State Office of the Healthcare Advocate

NOTICE: The Office of the Healthcare Advocate is currently closed to public visitors as a protective measure for the safety of customers and staff. We will continue to provide services by email and telephone. The Office of the Healthcare Advocate may be contacted by utilizing our on-line services on our website, by calling our main number at 1-866-466-4446 or by emailing us at healthcare.advocate@ct.gov

NOTICE TO ALL

HEALTH INSURANCE COMPANIES, HEALTH CARE CENTERS, HOSPITAL SERVICE CORPORATIONS, AND MEDICAL SERVICE CORPORATIONS

THAT DELIVER OR ISSUE INDIVIDUAL OR GROUP HEALTH INSURANCE POLICIES IN CONNECTICUT

CONCERNING

PUBLIC ACT 22-47, SECTIONS 71 TO 73, INCLUSIVE

 

Sections 71-73, inclusive, of Public Act 22-47, An Act Concerning Children’s Mental Health, made amendments to sections of the Insurance Statutes (specifically, Conn. Gen. Stat. §§ 38a-591d, 38a-591e, and 38a-591f).  The amendments, which become effective on January 1, 2023, require certain information on adverse determination notices to be prominently displayed on the notice’s first page or cover sheet and that such language be approved by the Office of the Healthcare Advocate (OHA).

The Connecticut Insurance Department has advised all health insurance companies, health care centers, hospital service corporations, and medical service corporations, that OHA, consistent with Public Act 22-47, has published on its website the following approved language:

For initial adverse determinations (C.G.S. §38a-591d)

This is an insurance DENIAL.

For free help, if you don’t understand this document or want help appealing, contact the State Healthcare Advocate:

(866) 466-4446 or Healthcare.Advocate@ct.gov

Additional information regarding your appeal rights is available in the section of this notice labeled “[insert applicable section heading]”

 

 For appeal denials (C.G.S. §38a-591e & §38a-591f)

Your insurance appeal has been DENIED.

For free help, if you don’t understand this document or want help appealing further, contact the State Healthcare Advocate:

(866) 466-4446 or Healthcare.Advocate@ct.gov

Additional information regarding your rights is available in the section of this notice labeled “[insert applicable section heading]”