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Bill

Bill

SB 1001

AN ACT CONCERNING THE REGULATION OF STOP LOSS INSURANCE.

2025 Regular Session Introduced by Matt Lesser

SB 1001 establishes Connecticut regulatory standards for stop loss insurance purchased by self-insured employers to cap their healthcare claim liability.

REF. TO JOINT COMM. ON Insurance and Real Estate
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Bill Summary · SB 1001

Legislative bill overview

SB 1001 establishes new regulatory frameworks for stop loss insurance in Connecticut, a specialized product typically purchased by self-insured employers to protect against catastrophic employee healthcare claims. The bill aims to define coverage parameters, disclosure requirements, and consumer protections for this insurance category. Currently, stop loss insurance operates with minimal state oversight compared to traditional health insurance.

Why is this important

Stop loss insurance is a critical financial tool for mid-sized and large self-insured employers managing healthcare costs, affecting thousands of Connecticut workers and their families indirectly through employer benefit stability. Inadequate regulation can lead to claim denials, unfair exclusions, or market instability when carriers experience unexpected losses. Proper oversight protects employers from predatory pricing while ensuring carriers remain solvent to pay legitimate claims.

Potential points of contention

  • Employer vs. employee interests: Stricter regulations may increase premiums for self-insured employers, potentially reducing the competitiveness of self-insurance versus traditional group health plans
  • Market availability and affordability: New requirements could reduce the number of carriers willing to write stop loss policies in Connecticut, limiting employer options
  • Scope ambiguity: The bill's specific provisions are unclear from this information; regulators and insurers may dispute which practices should be restricted versus permitted

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

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