Massachusetts General Laws
Title XXII - Corporations
Chapter 176j - Small Group Health Insurance

Section 1 - Definitions - Section 1. As used in this chapter the following words...

Section 2 - Application of Chapter - Section 2. Except as otherwise provided, this chapter applies to...

Section 3 - Individual and Small Group Plans; Group Base Premium Rate; Filing Plan With Connector; Investigation of Deviations From Group Base Premium Rate - Section 3. (a) (1) For every health benefit plan issued...

Section 4 - Carriers to Make Health Benefit Plans Available; Renewal of Plans - Section 4. (a)(1) Every carrier shall make available to every...

Section 5 - Exclusion of Eligible Individuals - Section 5. No policy shall exclude an eligible individual, eligible...

Section 6 - Approval of Health Insurance Policies; Eligibility Criteria; Submission of Information; Approval of Changes to Small Group Product Base Rates or Rating Factors - Section 6. (a) Notwithstanding any general or special law to...

Section 7 - Disclosure by Carriers - Section 7. (a) Every carrier shall make reasonable disclosure to...

Section 8 - Transitional Reinsurance Program - Section 8. The commissioner may study the implementation of, establish,...

Section 9 - Continuous Coverage - Section 9. (a) Subject to the limitations set forth in...

Section 10 - Young Adult Health Benefit Plans; Coverage Requirements; Premiums - Section 10. The division of insurance, with the advice and...

Section 11 - Reduced or Selective Network Plans; Tiered Network Plans; Smart Tiering Plans - Section 11. (a) A carrier that offers a health benefit...

Section 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 - Section 11A. (a) For an insured member who (1) is...

Section 12 - Small Business Group Purchasing Cooperatives; Regulations Governing Establishment, Oversight and Certification - Section 12. (a) The commissioner shall promulgate regulations governing the...

Section 13 - Filing of Health Benefit Plan Proposals for Consideration Upon Request of Group Purchasing Cooperative - Section 13. (a) As a condition of continued offer of...

Section 14 - Coverage of Medically Necessary and Covered Services Otherwise Unavailable Within Carrier's Provider Network - Section 14. If a medically necessary and covered service is...

Section 15 - Display by Insurer Offering Tiered Network Plan of Cost-Sharing Differences for Enrollees in Various Tiers in Promotional and Agreement Material - Section 15. An insurer offering a tiered network plan shall...

Section 16 - Attribution of Members to a Primary Care Provider - Section 16. To the maximum extent possible, carriers shall attribute...

Section 17 - Disclosure of Patient-Level Data and Contracted Prices of Individual Health Care Services by Carriers to Providers - Section 17. To the extent permissible under applicable state and...