Massachusetts General Laws
Chapter 32a - Contributory Group General or Blanket Insurance for Persons in the Service of the Commonwealth
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 8. For policies of group life insurance and accidental death and dismemberment insurance, and group health insurance purchased by the commission in accordance with the provisions of sections four, five and ten C, the commonwealth, on behalf of active and retired employees and their dependents, shall contribute no less than seventy-five per cent of the total monthly premium or rate applicable to said coverages and the active and retired employees on behalf of themselves or themselves and their dependents shall contribute the remaining twenty-five per cent of the total monthly premium or rate, except, that upon approval by way of an annual, or more frequent appropriation act, the commonwealth may contribute more than seventy-five per cent but less than the entire total monthly premium or rate. Each appropriation act as may be applicable, shall provide the necessary sum based upon the estimated monthly cost as required by section four and shall describe the ratio of contribution to be paid by the commonwealth and by the active and retired employees insured under the aforesaid sections. The description of the ratio may include a condition that if, as a result of a change in the total monthly premium or rate which occurs during the current or ensuing fiscal year from a change in a contract between the commission and the insurance carrier or carriers, the amount of the contribution paid by the active and retired employee and dependents is to remain unchanged and the difference in the amount thus paid and the total monthly premium or rate as changed is to be added to, or deducted from as the case may be, the contribution by the commonwealth. The aforesaid ratio shall continue until changed by a subsequent appropriation act and the aforesaid sum shall also include the commonwealth's contribution of the total monthly premium or rate required for coverages contained in other sections of this chapter as such contribution is provided in said sections.
With respect to any period of insurance authorized by this chapter which is in effect for an active employee and dependent, there shall be withheld from each payment of salary or wages no more than twenty-five per cent of the aforesaid total monthly premium or rate, or, there shall be a lesser amount as provided in the most recent applicable appropriation act. With respect to any period of insurance authorized by this chapter which is in effect for a retired employee and dependent, there shall be withheld from each payment of pension or retirement allowance no more than twenty-five per cent of the aforesaid total monthly premium, or, there shall be withheld a lesser amount as provided in the most recent applicable appropriation act. The commonwealth shall contribute a share of any additional premium which may be required for coverage of an employee's dependent child who is nineteen years of age or over and mentally or physically incapable of earning his own living, such share equalling the same ratio as that paid on behalf of an active or retired employee and dependent.
If an employee is entitled to receive, during a calendar month, salary, wages or other compensation and the premium has not been withheld from said salary, wages or other compensation, he may continue his insurance in effect by paying directly to the commission the premium which would otherwise have been deducted from his salary, wages or other compensation. If an employee is not entitled to receive salary, wages or other compensation for a calendar month, he shall for the purposes of this chapter be deemed to have been granted a leave of absence without pay and shall make payment for the entire total monthly premium or rate of his insurance to the commission as aforesaid and there shall be no contribution by the commonwealth for such employee's insurance. If an employee has been granted a military leave of absence because said employee is a member of the army national guard or air national guard, or a reservist in the armed forces of the United States called to active service in the armed forces of the United States subsequent to August second, nineteen hundred and ninety, for purposes of this chapter he shall be deemed to have been granted leave without pay, and subject to the rules and regulations of the commission, said employee shall make payment of the portion of the total monthly premium or rate that would otherwise have been deducted from his salary, wages or other compensation. If an employee is not entitled to receive salary, wages or other compensation for any calendar month, due to illness of such employee and not because of illness of his immediate family, for purposes of this chapter he shall be deemed to have been granted sick leave without pay, and subject to the rules and regulations of the commission, said employee shall make payment of the portion of the total monthly premium or rate that would have otherwise been deducted from his salary, wages or other compensation. For purposes of this section, the term ''active service'' shall not include active duty for training in the army national guard or air national guard or as a reservist in the armed forces of the United States.
All amounts withheld from an employee's salary or wages as provided in this section and all amounts withheld from pensions or retirement allowances under the provisions of section 19 of chapter 32 shall be forwarded by the department, institution, or other agency responsible for the payment of employee salaries and wages or pensions and retirement allowances to the commission. All amounts withheld from the optional retirement plans of participating retirees pursuant to section 40 of chapter 15A shall be forwarded directly to the commission by the optional retirement program plan providers. The commission may place all such amounts withheld or paid directly in interest bearing accounts. Any current and future interest earned on such amounts shall be deposited by the commission in the group insurance commission trust fund and maintained separately as a special account subject to the terms of investment and expenditure as provided in section 9A. Such interest shall not be classified under section 9 as a dividend, its equivalent or other refund or rate credits. A statement of all funds so placed, any current and future interest earned thereon, and the purposes for which such interest is expended shall be included in the annual report of the commission as required by section 3. The Massachusetts Parking Authority, the metropolitan area planning council, the Montachusett regional planning commission, the central Massachusetts regional planning district commission, the Massachusetts State College Building Authority, Worcester county, the county cooperative extension service of Suffolk county, local housing authorities and redevelopment authorities, and all other non-state-funded agencies and authorities shall reimburse the commonwealth for all contributions made on behalf of their employees and retirees including the applicable administrative expense as determined by the commission. The commission, from funds appropriated therefor, may empower the executive director to authorize payment of the contribution of the commonwealth as provided above, which, together with the employee and retiree payments, shall be paid at least once each month to the carrier or carriers entitled to the total monthly premium.
Every department, board, or agency of the commonwealth shall, on or before August first of each year, file with the commission a true copy of all existing contracts or agreements of every nature and description with the commonwealth or a political subdivision of federal, trust and any other nonstate funds. For contracts or agreements entered into on and after July first of each year, true copies shall be filed with the commission no later than sixty calendar days from the effective date thereof. If a secretariat, department, board or agency fails to file a copy of such contract, or fails to respond to a reasonable inquiry by said commission, the commission shall provide a fair hearing to the head of the operating agency to determine the justification for noncompliance. Upon continued failure by the secretariat, department, board or agency head to provide the requested data and information, the commission may vote to withhold payment of the commonwealth's share of the insurance premium applicable to the insured employees of the agency and all such employees only for purposes of payment of insurance premiums, shall be deemed to be absent without pay and shall make payment of the required premiums as provided in this section.

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