Rebate Payment
Effective Feb 1, 2013Mass. Register #1227MGL c. 176Q, § 7ACommonwealth Health Insurance Connector Authority
(1) To qualify for a Rebate Payment, an Eligible Small Employer shall:
- (a) provide to the Connector, or its designee, prior to the end of a Term, satisfactory documentation that the Eligible Small Employer and at least 33% of the Eligible Small Employer's Initially Enrolled Employees have met participation requirements for the Small Group Wellness Incentive Program as set by the Connector; and
- (b) provide to the Connector the information needed to calculate the amount of the rebate, on a form and within a time period specified by the Connector.
- (2) The Rebate Payment shall, subject to 956 CMR 7.05(5), equal up to 15% of the Eligible Small Employer's share of the amount paid to purchase a group health plan for Qualified Employees through the Connector.
- (3) The failure of an Eligible Small Group to meet the requirements of 956 CMR 7.05(1) will result in the Eligible Small Group not receiving a Rebate Payment for that Term.
- (4) A Rebate Payment shall be paid to an Eligible Small Employer by the Connector at least annually.
- (5) Rebate Payments are contingent on available funding as determined by the Connector. In the event there are insufficient funds, the Director may impose a cap on the number of Eligible Small Employers that may qualify for a Rebate Payment.
- (6) Rebate Payment is only available to an Eligible Small Employer for three Terms in which an Eligible Small Employer has qualified for a Rebate Payment in accordance with 956 CMR 7.05(1).