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Bill

SB 341

AN ACT CONCERNING ASSESSMENTS AND USER FEES CHARGED TO HEALTH CARRIERS BY THE CONNECTICUT HEALTH INSURANCE EXCHANGE.

2025 Regular Session Introduced by Rob Sampson

SB 341 regulates health insurance carrier assessments and user fees charged by Connecticut's health insurance exchange to control marketplace operational costs.

REF. TO JOINT COMM. ON Insurance and Real Estate
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Bill Summary · SB 341

Legislative bill overview

SB 341 would regulate assessments and user fees that the Connecticut Health Insurance Exchange (Connecticut's ACA marketplace) charges to health insurance carriers. The bill addresses the financial mechanisms by which the exchange operates, specifically how it collects revenue from insurers to fund its operations and administrative functions.

Why is this important

The fees insurers pay to operate on the exchange are ultimately reflected in insurance premiums paid by consumers. How these fees are structured, capped, or regulated directly affects the cost of health insurance for individuals and families purchasing coverage through the marketplace. Connecticut's exchange serves as a critical access point for subsidized coverage, making operational efficiency relevant to affordability.

Potential points of contention

  • Fee Structure Transparency: Whether current fees are reasonable and how they compare to other state exchanges, versus whether new restrictions could limit exchange functionality
  • Carrier Cost-Shifting: Whether regulated fee caps would force carriers to absorb costs (potentially raising premiums elsewhere) or whether current fees are excessive
  • Exchange Viability: Whether stricter fee limitations could underfund essential exchange operations like consumer assistance, plan reviews, and quality oversight

Compiled from official sources — confirm details with the bill’s official record.

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