Massachusetts General Laws
Chapter 32a - Contributory Group General or Blanket Insurance for Persons in the Service of the Commonwealth
Section 10 - Retirement or Termination of Employment; Effect on Policy; Conversion of Insurance

Section 10. The commission shall require that, upon retirement of an employee, the policy or policies of insurance as set forth in section six, except the optional group life insurance referred to therein, shall provide that the five thousand dollars of group life insurance, the five thousand dollars of group accidental death and dismemberment insurance and the group general or blanket insurance providing hospital, surgical, medical, dental and other health insurance, as provided under sections five and ten C, as may be applicable, shall be continued, provided said retiree makes application to the commission on a form prescribed by the rules and regulations of the commission. The retired employee shall make payment of an amount of the total monthly premium as provided in section eight and the commonwealth shall contribute the remaining amount of the total monthly premium said total being the average group premium as determined by the commission for such group life and accidental death and dismemberment insurance as well as the average group premium as determined by the commission for the hospital, surgical, medical and other health insurance for such retired employee or for such retired employee and his dependents. For services of a health care organization as provided under section fourteen, the retired employee shall pay the remainder of the total monthly premium after deducting the amount contributed by the commonwealth to the extent provided in section eight. The contribution by the commonwealth for services of a health care organization shall be equal to and shall not exceed the contribution of the commonwealth for group or blanket health insurance as provided under section five or section ten C.
Prior to retirement, an insured employee who terminates his service with the commonwealth and who has a right to retire but whose retirement is deferred as provided in section ten of chapter thirty-two shall for the purposes of this chapter only be deemed to have been granted a leave of absence without pay, and may continue all insurance coverages to which he would have been entitled if he had not terminated his services; provided he files an application therefor with the commission, and makes payment for the entire cost of such insurance, with no contribution by the commonwealth, to the commission in such manner as it may prescribe. Any National Guard technician in the service of the United States who is eligible and makes application for a pension or annuity allowance and whose application is approved by the state retirement board in accordance with the provisions of chapter thirty-two shall be entitled to be insured under this chapter as a retired employee without regard to waiting periods for benefits or medical qualification as if said retiree had been in the service of the commonwealth; but, if a National Guard technician eligible for coverage under this chapter dies prior to becoming insured as aforesaid, his surviving spouse shall be eligible for coverage as provided in section eleven.
Any policy or policies issued under this chapter shall provide that, on termination of employment, an employee shall be entitled to convert his insurance to an individual type of policy, subject to the provisions of section one hundred and thirty-four of chapter one hundred and seventy-five with respect to life insurance, and subject to the requirements of the commission with respect to the other insurance coverages provided in this chapter, except that with respect to the services of a health care organization, the contract made under section fourteen may provide for extension or continuation of coverage in lieu of the right to convert. No employee will be permitted to convert his insurance or extend or continue coverage for services of a health care organization on separation from service more than one time, if such converted or extended insurance would result in a greater amount of insurance than is provided in section six or section fourteen respectively.

Structure Massachusetts General Laws

Massachusetts General Laws

Part I - Administration of the Government

Title IV - Civil Service, Retirements and Pensions

Chapter 32a - Contributory Group General or Blanket Insurance for Persons in the Service of the Commonwealth

Section 1 - Purpose of Chapter

Section 2 - Definitions

Section 3 - Group Insurance Commission

Section 3a - Employees' Advisory Committee

Section 3b - Applicability of Chapter to Commonwealth Charter Schools and Education Collaboratives

Section 4 - Purchase of Insurance Policies by Commission

Section 4a - Administrative Services Contracts

Section 4b - Retroactive Claims Denials for Behavioral Health Services

Section 5 - Insurance and Medicare Benefits of State Employees

Section 6 - Amounts of Insurance and Benefits; Determination; Alterations or Reductions; Separability

Section 7 - Information Furnished Commission by Employees

Section 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

Section 8a - Employees on Leaves of Absence for More Than One Year; Insurance Costs Charged to Employing Agency

Section 9 - Dividends, Refunds, Rate Credits; Deposit in Special Funds; Transfer of Reserves

Section 9a - Investment Committee; Investment and Deposit of Funds by State Treasurer

Section 10 - Retirement or Termination of Employment; Effect on Policy; Conversion of Insurance

Section 10a - Additional Insurance

Section 10b - Insurance for Elderly Government Retirees and Their Dependents

Section 10c - Optional Medicare Extension

Section 10d - Disability Insurance; Withholding Payment of Premiums

Section 10e - Insurance for Commonwealth Employee Granted Leave to Care for Dependent Child

Section 11 - Death of Employee or Retired Employee; Continuation of Insurance by Spouse or Dependent

Section 11a - Divorced or Separated Spouses; Continuation of Insurance Coverage

Section 12 - Retired Teachers; Life and Health Insurance; Agreements; Contributions; Withholding of Premiums; Reimbursement of Premiums and Expenses; Dividends; Rules and Regulations

Section 13 - Approval of Applications by Political Subdivisions for Life and Health Insurance Covering Retired Teachers

Section 14 - Optional Insurance for Services of Health Care Organizations

Section 15 - Catastrophic Illness Coverage; Contracts; Premiums; Dividends; Conversion; Rules and Regulations

Section 16 - Election to Continue Insurance Coverages; Notice

Section 17 - Dental and Vision Expenses; Reimbursement of Employees

Section 17a - Coverage for Nonprescription Enteral Formulas for Home Use

Section 17b - Hospice Services for Commonwealth Employees Insured Under Group Insurance Commission

Section 17c - Required Coverage for Prenatal Care, Childbirth, and Postpartum Care

Section 17d - Coverage for Bone Marrow Transplants

Section 17e - Scalp Hair Prostheses Necessary Due to Cancer or Leukemia Treatment

Section 17f - Newborn Hearing Screening Test; Group Insurance Commission Coverage

Section 17g - Items Medically Necessary for the Diagnosis or Treatment of Diabetes; Group Insurance Commission Coverage

Section 17h - Coverage for Human Leukocyte or Histocompatibility Locus Antigen Testing

Section 17i - Prosthetic Devices and Repairs; Group Insurance Commission Coverage

Section 17j - Coverage for Children Under Age 18 for Cleft Lip and Cleft Palate

Section 17k - Coverage for Orally Administered Anticancer Medications

Section 17l - Coverage for Abuse Deterrent Opioid Drug Products

Section 17m - Preauthorization for Substance Abuse Treatment Not to Be Required

Section 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

Section 17o - Coverage for Medical or Drug Treatments to Correct or Repair Disturbances of Body Composition Caused by HIV Associated Lipodystrophy Syndrome

Section 17p - Filling of Remaining Portion of Prescription for Covered Drug That Is a Narcotic Substance Earlier Filled in Lesser Quantity

Section 17q - Pain Management Access Plan

Section 17r - Coverage for Treatment of Pediatric Autoimmune Neuropsychiatric Disorders Associated With Streptococcal Infections and Pediatric Acute-Onset Neuropsychiatric Syndrome

Section 18 - Medicare Health Benefits Supplement Plan, Mandatory Transfer; Payment of Penalty

Section 19 - Release From Insurance Coverage; Payment; Reinstatement of Coverage

Section 20 - Charges or Collections of Excess Compensation

Section 21 - Health Care Services Evaluation; Vendor Quality Improvement Program; Annual Report

Section 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

Section 23 - Coverage for Speech, Hearing and Language Disorders

Section 24 - State Retiree Benefits Trust Fund

Section 24a - State Retiree Benefits Trust Fund Board of Trustees; Membership; Powers and Duties

Section 25 - Insurance Coverage for Diagnosis and Treatment of Autism Spectrum Disorder

Section 26 - Wellness Program

Section 27 - Toll-Free Telephone Number and Website Providing Customers With Estimated or Maximum Allowed Amount or Charge for Proposed Admission, Procedure or Service

Section 28 - Coverage for Certain Services and Contraceptive Methods

Section 29 - Tobacco Cessation

Section 30 - Coverage for Telehealth Services