Health Care Benefits: Connecticut

Federal law and guidance on this subject should be reviewed together with this section.

Author: Jayne Zanglein, Western Carolina University

Summary

• Connecticut chose to establish a state-based Marketplace under the Affordable Care Act. See Health Insurance Marketplaces Under the ACA.
• Same-sex marriage is legal nationwide. Connecticut also recognizes civil unions and domestic partnerships from other states. See Same-Sex Partner Benefits.
• Connecticut health mandates apply to health insurance plans. See Scope of Mandates.
• Connecticut law ensures that certain essential health benefits are available to small employers. See Essential Health Benefits.
• Group health insurance policies must cover certain expanded benefits and services with no cost sharing for women, children and individuals aged 21 or below. See Health Benefits Without Cost Sharing.
• Group health plans cannot impose preexisting condition provisions on individuals. See Preexisting Conditions.
• Group health plans that allow dependents to enroll must include coverage for newborns, adopted children, stepchildren, unmarried children up to age 26 and children who cannot work due to disability. See Dependent Coverage.
• Group health plans must provide basic health care for children. See Basic Health Care Services - Children.
• Group health plans must cover certain women's health benefits. See Women's Health Care Services.
• Group health plans must cover prostate cancer screening and treatment for men. See Prostate Cancer Screening and Treatment.
• Group health plans must provide certain mental health benefits and parity. See Mental Health Benefits and Parity.
• Group health plans must provide coverage for diabetes. See Diabetes-Related Services and Supplies.
• Group health plans generally must provide coverage for hearing aids. See Hearing Aids.
• Group health plans must provide coverage for certain specified health providers. See Coverage for Specified Providers.
• Group health plans must provide coverage for certain illnesses, services and supplies. See Other Coverage Requirements.
• Employers that provide health insurance must conspicuously post a notice to employees. See Posting Requirement.