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Section 1 - Corporations Governed by Chapter; Services Received in Nonparticipating Hospital; Substitution of Benefits in Nursing Homes - Section 1. Any corporation organized under the laws of the...
Section 1a - Right to Become Subscriber; Open Enrollment Periods - Section 1A. Any person residing in the commonwealth shall have...
Section 1b - Medicare Supplemental Group Coverage; Medical Assistance Recipients - Section 1B. A nonprofit hospital service corporation governed by this...
Section 1c - Retroactive Premium Rate Increase - Section 1C. For purposes of this section, retroactive premium rate...
Section 1d - Contracts of Reinsurance - Section 1D. Any corporation subject to this chapter may make...
Section 2 - Incorporators; Directors; Certificate of Organization; Commissioner's Examination Report - Section 2. Persons desiring to form such a non-profit hospital...
Section 3 - Certificate of Compliance; Examination by Commissioner - Section 3. No non-profit hospital service corporation shall make or...
Section 3a - Discrimination Against Abuse Victims in Terms of Hospital Service Plans - Section 3A. No corporation subject to this chapter, and no...
Section 3b - Medical Service Plans; Genetic Tests; Discrimination Based on Genetic Information - Section 3B. For the purposes of this section the following...
Section 4 - Accounting System; Accountant, Claim Manager, Underwriter and Actuary - Section 4. Every non-profit hospital service corporation shall use a...
Section 5 - Joint Administration With Certain Corporations - Section 5. Any corporation subject to this chapter may contract...
Section 6 - Approval of Nongroup Contracts - Section 6. Nongroup contracts, except contracts providing supplemental coverage to...
Section 7 - Information Gathering Authority of Commissioner; Confidentiality and Privilege - Section 7. The commissioner of insurance, or any person authorized...
Section 8 - Conditions to Issuance or Delivery of Contract - Section 8. No contract between the subscriber and the corporation...
Section 81/2 - Sale of Group Non-Profit Hospital Service Contracts - Section 81/2. A corporation organized under this chapter may only...
Section 8a - Mental Illness Expenses; Inclusion in Contracts as Benefits; Biologically-Based Mental Disorders; Rape-Related Mental Disorders; Non-Biologically-Based Mental Disorders for Children and Adolescents Under Age 19 - Section 8A. (a) A contract between a subscriber and the...
Section 8a3/4 - Retroactive Claims Denials for Behavioral Health Services - Section 8A3/4. (a) For the purposes of this section, the...
Section 8b - Dependent Coverage for Newborn Infants or Adoptive Children; Inclusion in Contracts - Section 8B. Any contract, which provides for dependent coverage, between...
Section 8c - Refusal to Contract With Blind or Deaf Persons; Prohibition - Section 8C. No corporation subject to this chapter shall refuse...
Section 8d - Limited Extension of Benefits - Section 8D. Whenever a subscriber of a group non-profit hospital...
Section 8e - Diethylstilbestrol Exposure; Discrimination - Section 8E. No contract between a subscriber and the corporation...
Section 8f - Divorced or Separated Spouses; Continuation of Eligibility for Benefits - Section 8F. (a) In the event of the granting of...
Section 8g - Cardiac Rehabilitation Expense Benefits - Section 8G. Any contract, except contracts providing supplemental coverage to...
Section 8h - Prenatal, Childbirth and Postpartum Care Benefits; Minimum Coverage for In-Patient Care - Section 8H. Any contract, except contracts providing supplemental coverage to...
Section 8i - Home Care Benefits - Section 8I. Any subscription certificate under a group nonprofit hospital...
Section 8j - Minimum Requirements for Cytologic Screening and Mammographic Examination Expense Benefits - Section 8J. Any contract, except contracts providing supplemental coverage to...
Section 8k - Infertility Diagnosis and Treatment Benefits - Section 8K. Any contract, except contracts providing supplemental coverage to...
Section 8l - Nonprescription Enteral Formulas for Home Use - Section 8L. Any contract between a subscriber and the corporation...
Section 8m - Standardized Claim Form - Section 8M. The commissioner of insurance is hereby directed to...
Section 8n - Off-Label Drug Use; Cancer - Section 8N. Any contract between a subscriber and the corporation...
Section 8o - Hospital Service Plan Benefits for Bone Marrow Transplants - Section 8O. Any contract between a subscriber and the corporation...
Section 8p - Items Medically Necessary for Diagnosis and Treatment of Diabetes - Section 8P. A contract between a subscriber and the corporation...
Section 8q - HIV/AIDS Treatment; Off-Label Prescription Drug Coverage - Section 8Q. Any contract between a subscriber and the corporation...
Section 8r - Coverage of Hospice Services for Terminally Ill Patients - Section 8R. Any contract between a subscriber and the corporation...
Section 8s - Nurse Anesthetist and Nurse Practitioner Services - Section 8S. Any contract between a subscriber and the corporation...
Section 8t - Scalp Hair Prostheses Necessary Due to Cancer or Leukemia Treatment - Section 8T. (a) For the purpose of this section, the...
Section 8u - Emergency Services Provided to Insureds for Emergency Medical Conditions - Section 8U. (a) As used in this section, the following...
Section 8v - Coverage for Human Leukocyte or Histocompatibility Locus Antigen Testing - Section 8V. Any contract between a subscriber and the corporation...
Section 8w - Outpatient Services; Hormone Replacement Therapy for Peri and Post Menopausal Women; Contraceptive Services; Approved Prescription Contraceptive Drugs and Devices; Exception - Section 8W. (a) Any contract between a subscriber and the...
Section 8x - Coverage for Patient Care Services Under Qualified Clinical Trials - Section 8X. Any contract between a subscriber and the corporation...
Section 8y - Diagnosis and Treatment of Speech, Hearing and Language Disorders - Section 8Y. Any contract between a subscriber and the corporation...
Section 8aa - Coverage of Prosthetic Devices and Repairs - Section 8AA. (a) A contract between a subscriber and the...
Section 8bb - Coverage for Eligible Dependents Under 26 Years of Age - Section 8BB. Any subscription certificate under an individual or group...
Section 8cc - Coverage for Medically Necessary Hypodermic Syringes or Needles - Section 8CC. No contract between a subscriber and the corporation...
Section 8dd - Coverage for Diagnosis and Treatment of Autism Spectrum Disorder - Section 8DD. (a) As used in this section the following...
Section 8ee - Coverage for Children Under Age 18 for Cleft Lip and Cleft Palate - Section 8EE. A contract between a subscriber and the corporation...
Section 8ff - Coverage for Orally Administered Anticancer Medications - Section 8FF. Any contract between a subscriber and the corporation...
Section 8gg - Coverage for Abuse Deterrent Opioid Drug Products - Section 8GG. Any contract between a subscriber and the corporation...
Section 8hh - Preauthorization for Substance Abuse Treatment Not to Be Required - Section 8HH. For the purposes of this section the term...
Section 8ii - Coverage for Medically Necessary Acute Treatment or Clinical Stabilization Services - Section 8II. For the purposes of this section the following...
Section 8jj - Coverage for Long-Term Antibiotic Therapy for Patients With Lyme Disease - [ Text of section added by 2016, 183, Sec. 2...
Section 8kk - Coverage for Medical or Drug Treatments to Correct or Repair Disturbances of Body Composition Caused by HIV Associated Lipodystrophy Syndrome - Section 8KK. Any contract between a subscriber and the corporation...
Section 8ll - Filling of Remaining Portion of Prescription for Covered Drug That Is a Narcotic Substance Earlier Filled in Lesser Quantity - Section 8LL. Any contract between a subscriber and the corporation...
Section 8mm - Pain Management Access Plans - Section 8MM. (a) Any contract between a subscriber and the...
Section 8nn - Coverage for Tobacco Use Cessation Counseling and Tobacco Cessation Products - [Text of section applicable to policies, contracts and subscription certificates...
Section 8oo - Coverage for Treatment of Pediatric Autoimmune Neuropsychiatric Disorders Associated With Streptococcal Infections and Pediatric Acute-Onset Neuropsychiatric Syndrome - [Text of section applicable to contracts that take effect or...
Section 8pp - Coverage for Long-Term Antibiotic Therapy for Lyme Disease; Experimental Drugs - [ Text of section added by 2021, 29, Sec. 22...
Section 8qq - Coverage for Prescription Eye Drops - [ Text of section added by 2021, 29, Sec. 22...
Section 10 - Group Hospital Service Plan; Approval or Disapproval of Contracts and Rates; Filing - Section 10. Any plan whereby such a corporation agrees with...
Section 10a - Preferred Provider Arrangements - Section 10A. Other provisions of this chapter and chapter one...
Section 11 - Officers; Duties - Section 11. The president, vice-president, if any, the secretary, assistant...
Section 12 - Publication of Assets and Liabilities - Section 12. When any such non-profit hospital service corporation publishes...
Section 13 - Hospitalization and Medical Service for Officers and Employees of Corporation - Section 13. Any non-profit hospital service corporation may provide for...
Section 14 - Misrepresentation of Terms of Subscriber's Contract - Section 14. No non-profit hospital service corporation, or any officer...
Section 14b - Disclosure of Information; Mental or Nervous Conditions; Exceptions - Section 14B. No nonprofit hospital service corporation may, without the...
Section 15 - Costs of Solicitation of Subscribers and Administration - Section 15. Acquisition costs in connection with the solicitation of...
Section 16 - Acquisition of Real Estate; Leases; Tax Exemption; Limit; Approval of Investments, Sales, Loans and Places of Deposit - Section 16. With the approval of the commissioner of insurance,...
Section 17 - Submission of Disputes and Controversies - Section 17. Any dispute arising between a corporation subject to...
Section 18 - Annual Statement of Condition; Verification, Filing, Form, Violations; Applicability of Chapters 176v and 176w - Section 18. Every such corporation subject to this chapter shall...
Section 18a - Financial Statements; Inclusion of Electronic Data Processing Equipment as Asset - Section 18A. In an account of its financial condition, a...
Section 19 - Tax Exemption - Section 19. Every corporation subject to this chapter is hereby...
Section 20 - Filing of Amendment of By-Laws - Section 20. Every non-profit hospital service corporation shall, within thirty...
Section 21 - Submission of Advertising Matter to Commissioner - Section 21. The commissioner of insurance may require any non-profit...
Section 22 - Filing of Riders, Endorsements and Applications With Commissioner - Section 22. All provisions of this chapter relative to the...
Section 23 - Grounds for Enjoining Transaction of Business; Rehabilitation Proceedings; Duties of Receiver; Distribution of Assets - Section 23. If the commissioner of insurance, in this section...
Section 24 - Special Contingent Reserve Fund - Section 24. Every such corporation shall set aside at the...
Section 25 - Licensing of Agents - Section 25. Upon written notice by a non-profit hospital service...
Section 26 - Salaries, Compensation or Emoluments Paid by Corporation - Section 26. No corporation subject to this chapter shall pay...
Section 27 - Payroll Deductions for Governmental Employees - Section 27. The pertinent provisions of section one hundred and...
Section 28 - Violations; Penalties - Section 28. Whoever violates any provision of this chapter for...
Section 29 - Application - Section 29. The provisions of this chapter shall be applicable...
Section 30 - Savings Clause - Section 30. The invalidity of any section or provision of...
Section 31 - Contracts for Administrative or Other Services; Loans and Investments - Section 31. Any corporation subject to this chapter may contract...
Section 32 - Payment of Sums Owed to Subscriber's Estate - Section 32. A nonprofit hospital service corporation which, upon the...
Section 33 - Insolvency of Health Maintenance Organization; Replacement Coverage - Section 33. (a) For purposes of this section, the following...
Section 34 - Report of Individuals Provided With Creditable Coverage - Section 34. Pursuant to section 8B of chapter 62C, any...
Section 36 - Attribution of Members to a Primary Care Provider - Section 36. To the maximum extent possible, every non-profit hospital...
Section 37 - Disclosure of Patient-Level Data and Contracted Prices of Individual Health Care Services by Carriers to Providers - Section 37. To the extent permissible under applicable state and...
Section 38 - Coverage for Health Care Services Delivered via Telehealth by a Contracted Health Care Provider - Section 38. (a) For the purposes of this section, the...