Bill aired for framing CT health exchange

An early version of a bill outlining the framework for Connecticut’s mandatory health insurance exchange calls for the creation of a 13-member quasi-public agency that would include representatives from business, labor, and the health care industry.

The bill has been raised in the Insurance and Real Estate Committee and goes to a public hearing Monday.

The draft measure calls for the creation of The Connecticut Health Insurance exchange that would have 13 unpaid voting members who would organize the exchange and hire a CEO to administer its programs and activities.

Four of those board members would be appointed by the governor and must include a representative from small employers, labor, consumers and health care providers.

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The commissioners of public health and insurance, along with the secretary of the office of policy and management would also get a seat on the board.

The federal health care reform law requires states to set up, no later than Jan. 1 2014, insurance exchanges where individuals or small businesses can obtain coverage from an array of insurers competing for consumers.

Other highlights from Connecticut’s proposed exchange include:

·         Establishing a Small Business Health Options Program (SHOP) Exchange that would allow employers to access coverage for their employees and allow an employer to specify a level of coverage

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·         Assigning a quality rating to each health plan offered through the exchange based on the health plan’s level of coverage

·         Maintaining a web site that contains standardized comparative information on all offered health plans

·         Requiring all plans to provide at least a bronze level of coverage, which means benefits that are actuarially equivalent to 60 percent of the full value of benefits under the plan.

See a copy of the bill here.

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