Massachusetts General Laws
Chapter 32a - Contributory Group General or Blanket Insurance for Persons in the Service of the Commonwealth
Section 9 - Dividends, Refunds, Rate Credits; Deposit in Special Funds; Transfer of Reserves

Section 9. Any dividend, its equivalent or other refunds or rate credits, accepted by the commission from the carrier or carriers, shall be deposited by the commission with the state treasurer and shall be maintained in a separate fund to be known as the group insurance commission trust fund. Using the net premium paid to the carrier or carriers as a basis of computation, the commission shall determine the pro rata share of such dividend, other refunds or rate credits which shall be allocable (1) to the commonwealth's net share of the premium paid, and (2) to the federal or other funds contributed in the place of the commonwealth's gross share of the premium cost, after deducting the pro rata administrative cost. The commission shall compute the pro rata administrative cost by determining the total administrative cost to the commonwealth of the entire insurance program authorized by this chapter which is applicable to the period for which the dividend, other refunds or rate credits have been received, and by using the commonwealth's gross share of the premium cost as a basis, shall apply that portion of the total administrative cost which is applicable to federal or other funds contributed in place of the commonwealth's gross share of the premium cost.
If, after applying the above formula, it is determined that the administrative cost allocable to the commonwealth is greater than the dividend, other refund or rate credits received, the entire amount thus received shall, upon authorization by the commission, be paid by the state treasurer into the General Fund, and the commission shall charge those departments, divisions and political subdivisions which have federal or other funds allocated to them for this purpose with said excess administrative cost.
Whenever the pro rata share of the dividend allocable to the federal or other funds contributed in place of the commonwealth's gross share of the premium cost is in excess of the applicable administrative cost, the state treasurer, upon authorization by the commission, shall make payment to said funds of the amount of said excess dividend.
Whenever the pro rata share of the dividend allocable to the commonwealth's net share of the premium paid is in excess of the total administrative cost plus the excess dividend, computed on the ratio of the net premium paid by the commonwealth to the total net premium paid to the carrier or carriers such sum shall, upon authorization by the commission, be paid by the state treasurer into the General Fund. The balance of the excess dividend which is the ratio of the net premium paid by the insured employees and retired employees to the total net premium paid to the carrier or carriers shall be retained in the group insurance commission trust fund to be invested on behalf of the insured employees and retired employees as authorized by the investment committee established in section nine A or disbursed on behalf of the insured employees and retired employees as determined by the commission.
Where the terms and conditions of a policy or policies of group life and accidental death and dismemberment insurance and group general or blanket hospital, surgical, medical, dental and other health insurance as authorized by this chapter provide for the establishment, revival or continuance of a special claims or rate stabilization reserve customarily developed by an insurance carrier on behalf of the commission from one or more periods of experience accounting and therefore not classified under this section as a dividend, its equivalent or other refund or rate credit, the commission, upon conclusion of the period of the contract or termination of such policy or policies, may transfer said reserve to the new policy or policies with the same or different insurance carrier or carriers, or, the commission may require the transfer of such reserves to its own custody and control in which event said reserves shall be deposited by the commission in the group insurance commission trust fund and maintained separately as a special claims or rate stabilization reserve subject to the conditions of investment and expenditure as provided in section nine A.

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