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Mass. Gen. Laws ch. 32A – Contributory Group General or Blanket Insurance for Persons in the Service of the Commonwealth | Midpage
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Massachusetts General Laws
Part I
Title IV
Chapter 32A
Mass. Gen. Laws ch. 32A
Contributory Group General or Blanket Insurance for Persons in the Service of the Commonwealth
1
Purpose of chapter
2
Definitions
3
Group insurance commission
3A
Employees' advisory committee
3B
Applicability of chapter to Commonwealth charter schools and education collaboratives
4
Purchase of insurance policies by commission
4A
Administrative services contracts
4B
Retroactive claims denials for behavioral health services
5
Insurance and medicare benefits of state employees
6
Amounts of insurance and benefits; determination; alterations or reductions; separability
7
Information furnished commission by employees
8
Contributions for premiums by commonwealth and active or retired employees and dependents; ratio; withholding; direct payment; reimbursement by certain agencies; filing copies of contracts and agreements
8A
Employees on leaves of absence for more than one year; insurance costs charged to employing agency
9
Dividends, refunds, rate credits; deposit in special funds; transfer of reserves
9A
Investment committee; investment and deposit of funds by state treasurer
10
Retirement or termination of employment; effect on policy; conversion of insurance
10A
Additional insurance
10B
Insurance for elderly government retirees and their dependents
10C
Optional medicare extension
10D
Disability insurance; withholding payment of premiums
10E
Insurance for commonwealth employee granted leave to care for dependent child
11
Death of employee or retired employee; continuation of insurance by spouse or dependent
11A
Divorced or separated spouses; continuation of insurance coverage
12
Retired teachers; life and health insurance; agreements; contributions; withholding of premiums; reimbursement of premiums and expenses; dividends; rules and regulations
13
Approval of applications by political subdivisions for life and health insurance covering retired teachers
14
Optional insurance for services of health care organizations
15
Catastrophic illness coverage; contracts; premiums; dividends; conversion; rules and regulations
16
Election to continue insurance coverages; notice
17
Dental and vision expenses; reimbursement of employees
17A
Coverage for nonprescription enteral formulas for home use
17B
Hospice services for commonwealth employees insured under group insurance commission
17C
Required coverage for abortion, abortion-related care, prenatal care, childbirth, and postpartum care
17D
Coverage for bone marrow transplants
17E
Scalp hair prostheses necessary due to cancer or leukemia treatment
17F
Newborn hearing screening test; group insurance commission coverage
17G
Items medically necessary for the diagnosis or treatment of diabetes; group insurance commission coverage
17H
Coverage for human leukocyte or histocompatibility locus antigen testing
17I
Prosthetic devices and repairs; group insurance commission coverage
17J
Coverage for children under age 18 for cleft lip and cleft palate
17K
Coverage for orally administered anticancer medications
17L
Coverage for abuse deterrent opioid drug products
17M
Preauthorization for substance abuse treatment not to be required
17N
Coverage for medically necessary acute treatment and clinical stabilization services; preauthorization not to be required; notice to carrier of admission and initial treatment plan
17O
Coverage for medical or drug treatments to correct or repair disturbances of body composition caused by HIV associated lipodystrophy syndrome
17P
Filling of remaining portion of prescription for covered drug that is a narcotic substance earlier filled in lesser quantity
17Q
Pain management access plan; non-medication and nonsurgical treatment; review; educational materials
17R
Coverage for treatment of pediatric autoimmune neuropsychiatric disorders associated with streptococcal infections and pediatric acute-onset neuropsychiatric syndrome
17S
Coverage for medically necessary mental health acute treatment, community-based acute treatment and intensive community-based acute treatment
17T
Coverage for standard fertility preservation services
17U
Coverage for postpartum depression and major depressive disorder screenings conducted pursuant to section 247 of chapter 111
17V
Coverage for the provision of medically necessary pasteurized donor human milk and donor human milk-derived products
17W
Coverage for universal postpartum home visiting services in accordance with operational standards set by the department of public health pursuant to section 248 of chapter 111
17X
Coverage for prescribed, ordered or dispensed opioid antagonists; reimbursement
17Y
Coverage for recovery coaches
17Z
Coverage for identified generic and brand name drug used to treat diabetes, asthma, and certain heart conditions
18
Medicare health benefits supplement plan, mandatory transfer; payment of penalty
19
Release from insurance coverage; payment; reinstatement of coverage
20
Charges or collections of excess compensation
21
Health care services evaluation; vendor quality improvement program; annual report
22
Diagnosis and treatment of certain biologically-based mental disorders; mental disorders of victims of rape; non-biologically-based mental disorders of children and adolescents under age 19; group insurance commission coverage
22A
Coverage for mental health or substance use disorder services delivered through the psychiatric collaborative care model
22B
Implement and enforcement of mental health parity provisions of the federal Paul Wellstone and Pete Domenici Mental Health Parity and Addiction Equity Act of 2008; federal guidance and regulations and state mental health parity laws and regulations; annual report
23
Coverage for speech, hearing and language disorders
24
State Retiree Benefits Trust Fund
24A
State Retiree Benefits Trust Fund board of trustees; membership; powers and duties
25
Insurance coverage for diagnosis and treatment of autism spectrum disorder
25A
Coverage for treatment of Down syndrome through speech therapy, occupational therapy, physical therapy and applied behavior analysis services
26
Wellness program
27
Toll-free telephone number and website providing customers with estimated or maximum allowed amount or charge for proposed admission, procedure or service
28
Coverage for certain services and contraceptive methods
29
Tobacco cessation
30
Coverage for telehealth services
31
Benefits for medically necessary emergency services programs to be provided on nondiscriminatory basis
32
Coverage for annual mental health wellness examination
33
Federally-defined preventive services
34
Medical expense coverage for screening mammograms; diagnostic exams for breast cancer, digital breast tomosynthesis screening, MRIs and ultrasounds