Massachusetts General Laws
Chapter 32b - Contributory Group General or Blanket Insurance for Persons in the Service of Counties, Cities, Towns and Districts, and Their Dependents
Section 26 - Enrollment Audit

Section 26. An appropriate public authority of a political subdivision which has undertaken to provide health insurance coverage to its subscribers under this chapter shall conduct an enrollment audit not less than once every 2 years. The audit shall be completed in order to ensure that members are appropriately eligible for coverage.

Structure Massachusetts General Laws

Massachusetts General Laws

Part I - Administration of the Government

Title IV - Civil Service, Retirements and Pensions

Chapter 32b - Contributory Group General or Blanket Insurance for Persons in the Service of Counties, Cities, Towns and Districts, and Their Dependents

Section 1 - Purpose of Chapter

Section 2 - Definitions

Section 2a - Traffic Supervisors as Employees

Section 2b - Reserve, Permanent-Intermittent or Call Firefighters as Employees

Section 3 - Purchase of Group Life, Accidental Death, etc., Insurance Policies; Reinsurance Agreements

Section 3a - Administrative Services Contract for Payment of Claims by Political Subdivision; Claims Trust Fund; Annual Audit

Section 4 - Automatic Insurance of Employees; Election to Forego Coverage; Notice; Withdrawal

Section 5 - Amount of Employee Insurance Coverage; Schedules of Benefits; Determination; Excess Coverage, Withholding of Premium

Section 6 - Employees to Furnish Information; Certificate or Booklet of Coverage

Section 7 - Premiums; Withholding, Contribution; Direct Payment

Section 7a - Contribution and Withholding for Premiums; Subsidiary or Additional Rate; Payments in Lieu of Withholding; Acceptance of Section

Section 8 - Dividends, Refunds and Rate Credits to Inure to Benefit of Governmental Unit

Section 8a - Dividends and Refunds; Deposit in Employees' Group Insurance Trust Fund; Administrative Costs; Effective Date

Section 9 - Policy Provisions

Section 9a - Political Subdivision; Contribution for Insurance Premiums of Retired Employees

Section 9b - Death of Employee or Retired Employee; Continuation of Insurance Coverage by Spouse

Section 9c - Death of Fire Fighter; Continuation of Insurance Coverage by Spouse; Contribution by Governmental Unit; Acceptance of Provisions

Section 9c1/2 - Death of Call, Volunteer, Intermittent, Part-Time or Reserve Firefighter, Emergency Medical Services Provider or Police Officer; Continuation of Insurance Coverage by Spouse and Dependents

Section 9d - Insurance Premium Payable by Surviving Spouse; Contribution by Political Subdivisions

Section 9d1/2 - Insurance Premium Payable by Surviving Spouse; Additional Contribution by Political Subdivisions

Section 9d3/4 - Insurance Premium Payable by Surviving Spouse; Additional Contribution by Political Subdivisions Not Accepting Provisions of Secs. 9d or 9d1/2

Section 9e - Subsidiary or Additional Rate; Payment by Political Subdivisions; Premium Payment by Retired Employee; Acceptance of Section

Section 9f - Retired Local Employees; Life, Accidental Death and Dismemberment Coverage; Acceptance of Section

Section 9g - Surviving Spouse of Police Officer Killed in Line of Duty; Continuation of Group Coverage; Payment of Premiums; Acceptance of Section

Section 9h - Divorced or Separated Spouses; Continuation of Group Coverage

Section 9i - Employees on Military Leave of Absence for Active Service; Payment of Premiums; Acceptance of Section

Section 10 - Acceptance of Chapter by County, City, Town, Municipality or District

Section 10a - Purchase of Insurance by Public Authority Following Acceptance of Chapter

Section 11 - Schedules of Insurance Benefits; Establishment; Joint Participation; Administration

Section 11a - Additional Insurance; Application; Cancellation; Conversion

Section 11b - Insurance for Elderly Government Retirees

Section 11c - Optional Medicare Extension

Section 11d - Accidental Insurance for Policemen and Firefighters; Payment of Portion of Premiums by Municipalities

Section 11e - Life and Health Insurance for Retired Teachers; Appropriation of Funds Authorized; Acceptance of Section by Political Subdivisions

Section 11f - Disability Income Insurance for Nonoccupational Injury or Disease; Premiums; Cancellation; Dividends or Refunds; Acceptance of This Section

Section 12 - Joint Negotiation and Purchase of Insurance by Governmental Units; Trusts or Joint Purchase Agreements for Health Care Coverage

Section 14 - Rules and Regulations

Section 15 - Insurance Coverage for Employees of Governmental Units; Appropriation or Expenditure of Public Funds for Payment of Premiums

Section 16 - Optional Insurance for Services of Health Care Organizations

Section 17 - Election to Continue Insurance Coverages; Notice

Section 18a - Transfer of Retiree, Spouse or Dependent to Medicare Health Plan

Section 19 - Health Carriers; Contracts; Public Employee Committees; Agreements With Public Authorities; Transfer of Subscribers to Commission

Section 20 - Other Post–employment Benefits Liability Trust Fund; Sources of Funding; Custodian; Trustees; Separate Opeb Fund Board of Trustees as Investing Authority; Expenditures and Investments

Section 20a - Actuarial Valuation Report on Liabilities for Health Care and Other Post-Employment Benefits for Retired Employees; Summary Report

Section 21 - Manner of Changing Health Insurance Benefits; Estimation of Savings; Approval of Agreement; Immediate Implementation; Time for Review; Distribution of Savings; Regulations

Section 22 - Copayments, Deductibles, Tiered Provider Network Copayments and Other Cost-Sharing Plan Design Features; Increases

Section 23 - Transfer of Subscribers to Commission; Notice; Transfer to Medicare of Eligible Subscribers; Withdrawal From Commission Coverage; Group Coverage Provided by Commission; Deficit in Claims Trust Fund by Self-Insured Political Subdivision;...

Section 24 - Health Care Flexible Spending Accounts

Section 25 - Health Reimbursement Arrangements

Section 26 - Enrollment Audit

Section 27 - Historical Claims Data

Section 28 - Joint Negotiation and Purchase of Coverage

Section 29 - Annual Report on Non-Medicare and Medicare Plans With Largest Subscriber Enrollments