Section 25. Upon written notice by a non-profit hospital service corporation of its appointment of a person to act as its agent whose compensation in whole or in part is computed on a commission basis, the commissioner of insurance, in this section called the commissioner shall, if he is satisfied that the appointee is a suitable and competent person of full age and intends to hold himself out and carry on business in good faith as an agent and upon payment by the corporation of a fee to be determined annually by the commissioner of administration under the provision of section three B of chapter seven, issue to him a license which shall state in substance that the person named therein is the constituted agent of the non-profit hospital service corporation in the commonwealth. Such notice shall be upon a form furnished by the commissioner, and shall be accompanied by a statement executed on oath by the appointee which shall give his name, age, residence, present occupation, his occupation for the five years next preceding the date of the notice, and such other information as the commissioner may require upon a form furnished by him. The commissioner may, at any time, for cause shown and after a hearing, revoke the license or suspend it for a period not exceeding the unexpired term thereof, and may, for cause shown and after a hearing, revoke the license while so suspended, and shall notify both the corporation and the agent in writing of such revocation or suspension. A license issued hereunder shall expire on the thirtieth day of June next after its issue, unless sooner revoked or suspended as aforesaid, or unless the corporation, by a written notice filed with the commissioner, cancels the authority of the agent to act for it. Such license may, in the discretion of the commissioner and upon payment by the corporation of said fee, be renewed for any succeeding year by a renewal certificate without requiring anew the detailed information hereinbefore specified. Every corporation shall be bound by the acts of the person named in the license within the scope of his apparent authority as its acknowledged agent while such license remains in force. Notices of hearings required by this section shall be deemed sufficient when sent postpaid by registered mail to the last business or resident address of the licensee appearing on records of the commissioner. The affidavit of the commissioner or of any person authorized by him to send such notice that such notice has been sent in accordance with this section shall be prima facie evidence that such notice was duly given. This section shall not apply to an officer of a non-profit hospital service corporation acting for such corporation in the negotiation, continuance or renewal of any subscriber's contract which it may lawfully make.
Structure Massachusetts General Laws
Part I - Administration of the Government
Chapter 176a - Non-Profit Hospital Service Corporations
Section 1a - Right to Become Subscriber; Open Enrollment Periods
Section 1b - Medicare Supplemental Group Coverage; Medical Assistance Recipients
Section 1c - Retroactive Premium Rate Increase
Section 1d - Contracts of Reinsurance
Section 2 - Incorporators; Directors; Certificate of Organization; Commissioner's Examination Report
Section 3 - Certificate of Compliance; Examination by Commissioner
Section 3a - Discrimination Against Abuse Victims in Terms of Hospital Service Plans
Section 3b - Medical Service Plans; Genetic Tests; Discrimination Based on Genetic Information
Section 4 - Accounting System; Accountant, Claim Manager, Underwriter and Actuary
Section 5 - Joint Administration With Certain Corporations
Section 6 - Approval of Nongroup Contracts
Section 7 - Information Gathering Authority of Commissioner; Confidentiality and Privilege
Section 8 - Conditions to Issuance or Delivery of Contract
Section 81/2 - Sale of Group Non-Profit Hospital Service Contracts
Section 8a3/4 - Retroactive Claims Denials for Behavioral Health Services
Section 8b - Dependent Coverage for Newborn Infants or Adoptive Children; Inclusion in Contracts
Section 8c - Refusal to Contract With Blind or Deaf Persons; Prohibition
Section 8d - Limited Extension of Benefits
Section 8e - Diethylstilbestrol Exposure; Discrimination
Section 8f - Divorced or Separated Spouses; Continuation of Eligibility for Benefits
Section 8g - Cardiac Rehabilitation Expense Benefits
Section 8h - Prenatal, Childbirth and Postpartum Care Benefits; Minimum Coverage for In-Patient Care
Section 8i - Home Care Benefits
Section 8k - Infertility Diagnosis and Treatment Benefits
Section 8l - Nonprescription Enteral Formulas for Home Use
Section 8m - Standardized Claim Form
Section 8n - Off-Label Drug Use; Cancer
Section 8o - Hospital Service Plan Benefits for Bone Marrow Transplants
Section 8p - Items Medically Necessary for Diagnosis and Treatment of Diabetes
Section 8q - HIV/AIDS Treatment; Off-Label Prescription Drug Coverage
Section 8r - Coverage of Hospice Services for Terminally Ill Patients
Section 8s - Nurse Anesthetist and Nurse Practitioner Services
Section 8t - Scalp Hair Prostheses Necessary Due to Cancer or Leukemia Treatment
Section 8u - Emergency Services Provided to Insureds for Emergency Medical Conditions
Section 8v - Coverage for Human Leukocyte or Histocompatibility Locus Antigen Testing
Section 8x - Coverage for Patient Care Services Under Qualified Clinical Trials
Section 8y - Diagnosis and Treatment of Speech, Hearing and Language Disorders
Section 8aa - Coverage of Prosthetic Devices and Repairs
Section 8bb - Coverage for Eligible Dependents Under 26 Years of Age
Section 8cc - Coverage for Medically Necessary Hypodermic Syringes or Needles
Section 8dd - Coverage for Diagnosis and Treatment of Autism Spectrum Disorder
Section 8ee - Coverage for Children Under Age 18 for Cleft Lip and Cleft Palate
Section 8ff - Coverage for Orally Administered Anticancer Medications
Section 8gg - Coverage for Abuse Deterrent Opioid Drug Products
Section 8hh - Preauthorization for Substance Abuse Treatment Not to Be Required
Section 8ii - Coverage for Medically Necessary Acute Treatment or Clinical Stabilization Services
Section 8jj - Coverage for Long-Term Antibiotic Therapy for Patients With Lyme Disease
Section 8mm - Pain Management Access Plans
Section 8nn - Coverage for Tobacco Use Cessation Counseling and Tobacco Cessation Products
Section 8pp - Coverage for Long-Term Antibiotic Therapy for Lyme Disease; Experimental Drugs
Section 8qq - Coverage for Prescription Eye Drops
Section 10 - Group Hospital Service Plan; Approval or Disapproval of Contracts and Rates; Filing
Section 10a - Preferred Provider Arrangements
Section 12 - Publication of Assets and Liabilities
Section 13 - Hospitalization and Medical Service for Officers and Employees of Corporation
Section 14 - Misrepresentation of Terms of Subscriber's Contract
Section 14b - Disclosure of Information; Mental or Nervous Conditions; Exceptions
Section 15 - Costs of Solicitation of Subscribers and Administration
Section 17 - Submission of Disputes and Controversies
Section 18a - Financial Statements; Inclusion of Electronic Data Processing Equipment as Asset
Section 20 - Filing of Amendment of By-Laws
Section 21 - Submission of Advertising Matter to Commissioner
Section 22 - Filing of Riders, Endorsements and Applications With Commissioner
Section 24 - Special Contingent Reserve Fund
Section 25 - Licensing of Agents
Section 26 - Salaries, Compensation or Emoluments Paid by Corporation
Section 27 - Payroll Deductions for Governmental Employees
Section 28 - Violations; Penalties
Section 31 - Contracts for Administrative or Other Services; Loans and Investments
Section 32 - Payment of Sums Owed to Subscriber's Estate
Section 33 - Insolvency of Health Maintenance Organization; Replacement Coverage
Section 34 - Report of Individuals Provided With Creditable Coverage
Section 36 - Attribution of Members to a Primary Care Provider