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

Section 3. Upon acceptance of this chapter as hereinafter provided, the appropriate public authority of the governmental unit shall negotiate with and purchase, on such terms as it deems to be in the best interest of the governmental unit and its employees, from one or more insurance companies, savings banks or non-profit hospital, medical, dental or other, service corporations, a policy or policies of group life and accidental death and dismemberment insurance covering employees, and group general or blanket insurance providing hospital, surgical, medical and dental benefits covering employees and their dependents as provided under section eleven and section eleven A if applicable and shall execute all agreements or contracts pertaining to said policies or any amendments thereto for and on behalf and in the name of such governmental unit. Said policy, or policies, including policies purchased under authority of sections three A and sixteen, shall contain a requirement that the insurance company, savings bank, nonprofit hospital, medical, dental or other service corporations, other intermediary or health care organizations, shall furnish the governmental unit, or its designee, all nonconfidential claims without diagnosis on a form satisfactory to the governmental unit including, but not limited to, computer tape, disc or unlined paper reports. Said insurer may, pursuant to a contract between said insurer and said governmental unit, charge the governmental unit a reasonable fee to cover the costs of providing the nonconfidential claims in the form requested by the governmental unit. Prior to the purchase of said insurance, and execution of all such agreements or contracts within the limits established by said sections, the appropriate public authority shall consult with an advisory committee for the purpose of securing the written recommendations of a majority of the membership of said committee. Said committee shall consist of eight members as follows: seven persons to be duly elected or appointed to membership on such committee by organizations of the employees affected, and one person who shall be a retiree of a governmental unit who shall be duly appointed to membership on said committee by the appropriate public authority. If the appropriate public authority finds that the committee's recommendations in whole or in part cannot be included within the aforementioned agreements or contracts, at the written request of any member of said committee within thirty days from the effective date of the agreements or contracts, the appropriate public authority shall submit to said member, in writing, the reasons for the rejection of any or all of the recommendations and a copy shall be filed with the commission. The appropriate public authority may execute said agreements or contracts for a period not exceeding five years; provided, however, that the portion of the cost of the premium per month to be borne by the governmental unit shall not exceed the estimated monthly cost for which funds have been appropriated for the then current fiscal year. If a town or district having accepted the provisions of section ten accepts any other section of this chapter but fails to appropriate the funds necessary to implement said provisions, the selectmen, in the case of a town, or the prudential committee or district commissioner, in the case of a district, shall certify the cost to the town or district, as the case may be, in carrying out the provisions of this chapter to the board of assessors who shall include the amount so certified in the determination of the tax rate of that year. If a city accepts the provisions of this chapter as provided under section ten and as further provided under sections seven A and nine E, the annual budget shall include sums necessary to implement said provisions. Arrangements may be made with the carrier or carriers issuing such policy or policies purchased under this chapter to reinsure, by reinsurance agreement, under conditions approved by the appropriate public authority, portions of the total amount of such insurance with such other carriers as may elect to participate in such insurance.
For the purposes of this chapter, any non-profit hospital service corporation or non-profit medical corporation organized under chapter one hundred and seventy-six A or one hundred and seventy-six B and any dental service corporation organized under chapter one hundred and seventy-six E shall be and is hereby authorized to enter into a reinsurance agreement as herein provided in the same manner as any other insurance company.

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