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Mass. Gen. Laws ch. 176J – Small Group Health Insurance | Midpage
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Massachusetts General Laws
Part I
Title XXII
Chapter 176J
Mass. Gen. Laws ch. 176J
Small Group Health Insurance
1
Definitions
2
Application of chapter
3
Individual and small group plans; group base premium rate; filing plan with connector; investigation of deviations from group base premium rate
4
Carriers to make health benefit plans available; renewal of plans
5
Exclusion of eligible individuals
6
Approval of health insurance policies; eligibility criteria; submission of information; approval of changes to small group product base rates or rating factors
7
Disclosure by carriers
8
Transitional reinsurance program
9
Continuous coverage
10
Young adult health benefit plans; coverage requirements; premiums
11
Reduced or selective network plans; tiered network plans; smart tiering plans
11A
Continuing coverage for active course of treatment for serious disease begun prior to enrollment in reduced or selective network plan or tiered network plan
12
Small business group purchasing cooperatives; regulations governing establishment, oversight and certification
13
Filing of health benefit plan proposals for consideration upon request of group purchasing cooperative
14
Coverage of medically necessary and covered services otherwise unavailable within carrier's provider network
15
Display by insurer offering tiered network plan of cost-sharing differences for enrollees in various tiers in promotional and agreement material
16
Attribution of members to a primary care provider
17
Disclosure of patient-level data and contracted prices of individual health care services by carriers to providers