Massachusetts General Laws
Chapter 176j - Small Group Health Insurance
Section 8 - Transitional Reinsurance Program

Section 8. The commissioner may study the implementation of, establish, if warranted, and supervise a transitional reinsurance program pursuant to section 1341 of the federal Affordable Care Act or, if the commissioner believes that such program is not appropriate for the commonwealth, to apply for any appropriate waiver from the requirement to implement such program. The commissioner may promulgate regulations to enforce this section; provided, however, that before a waiver is sought or a transitional reinsurance program is to be implemented, the commissioner shall provide a report on the decision and the details of any proposed program to the clerks of the senate and house of representatives and the senate and house committee on ways and means.

Structure Massachusetts General Laws

Massachusetts General Laws

Part I - Administration of the Government

Title XXII - Corporations

Chapter 176j - Small Group Health Insurance

Section 1 - Definitions

Section 2 - Application of Chapter

Section 3 - Individual and Small Group Plans; Group Base Premium Rate; Filing Plan With Connector; Investigation of Deviations From Group Base Premium Rate

Section 4 - Carriers to Make Health Benefit Plans Available; Renewal of Plans

Section 5 - Exclusion of Eligible Individuals

Section 6 - Approval of Health Insurance Policies; Eligibility Criteria; Submission of Information; Approval of Changes to Small Group Product Base Rates or Rating Factors

Section 7 - Disclosure by Carriers

Section 8 - Transitional Reinsurance Program

Section 9 - Continuous Coverage

Section 10 - Young Adult Health Benefit Plans; Coverage Requirements; Premiums

Section 11 - Reduced or Selective Network Plans; Tiered Network Plans; Smart Tiering Plans

Section 11a - Continuing Coverage for Active Course of Treatment for Serious Disease Begun Prior to Enrollment in Reduced or Selective Network Plan or Tiered Network Plan

Section 12 - Small Business Group Purchasing Cooperatives; Regulations Governing Establishment, Oversight and Certification

Section 13 - Filing of Health Benefit Plan Proposals for Consideration Upon Request of Group Purchasing Cooperative

Section 14 - Coverage of Medically Necessary and Covered Services Otherwise Unavailable Within Carrier's Provider Network

Section 15 - Display by Insurer Offering Tiered Network Plan of Cost-Sharing Differences for Enrollees in Various Tiers in Promotional and Agreement Material

Section 16 - Attribution of Members to a Primary Care Provider

Section 17 - Disclosure of Patient-Level Data and Contracted Prices of Individual Health Care Services by Carriers to Providers