Connecticut Seal

General Assembly

File No. 449

    January Session, 2015

Senate Bill No. 1085

Senate, April 2, 2015

The Committee on Insurance and Real Estate reported through SEN. CRISCO of the 17th Dist., Chairperson of the Committee on the part of the Senate, that the bill ought to pass.

This act shall take effect as follows and shall amend the following sections:

Section 1

January 1, 2016


Sec. 2

January 1, 2016



Joint Favorable


Agency Affected


FY 16 $

FY 17 $

State Comptroller - Fringe Benefits (State Employee Active and Retiree Health Accounts)

GF, TF - Cost

See Below

See Below

The State


See Below

See Below



FY 16 $

FY 17 $

Various Municipalities


See Below

See Below


State of Connecticut Benefit Plan Document as of January 1, 2015


Office of the State Comptroller


Dept. of Social Services Website (Public Program Reimbursement Rates)







1 The state employee and retiree health plan is a self-insured health plan. Pursuant to federal law, self-insured health plans are exempt from state health mandates. However, the state has traditionally adopted all state health mandates.

2 Estimate is based on FY 14 paid claims experience for coverage provided for the state health plan by Oxford and assumes a per member per month (PMPM) of $0.51 for the portion of the state plan population covered by Anthem.

3 The estimated cost is based on the PMPM impact of $0.02. The cost estimate for the state employee plan is based on the plan membership as of January 2015.

4 Grandfathered plans include most group insurance plans and some individual health plans created or purchased on or before March 23, 2010.

5 The state's health exchange, Access Health CT, opened its marketplace for Connecticut residents to purchase QHPs from carriers, with coverage starting January 1, 2014.

6 The state's benchmark plan is the Connecticare HMO plan with supplemental coverage for pediatric dental and vision care as required by the ACA.

7 Source: Dept. of Health and Human Services. Frequently Asked Questions on Essential Health Benefits Bulletin (February 21, 2012).