TO: Commercial Health insurers, Blue Cross and Blue Shield of Massachusetts (BCBSMA), Health Maintenance Organizations (HMOs)
FROM: Linda Ruthardt, Commissioner of Insurance
DATE: August 16, 1995
RE: 211 CMR 37.00, New Infertility Mandated Benefits

This is a reminder that on March 23, 1995, 211 CMR 37.00, the regulation which mandates coverage of certain infertility procedures, was amended to include two new non-experimental infertility procedures. They are:

  1. Intracytoplasmic Sperm injection (ICSI) for the treatment of male factor infertility (211 CMR 37.05(5)); and
  2. Zygote Intrafallopian Transfer (ZIFT) (211 CMR 37.05(6)).

The effective date of these mandates is March 23, 1995. Therefore, all policies. certificates, evidences of coverage and contracts must provide coverage for the benefits as of March 23, 1995 and must be amended according to the above noted laws. Also, policyholders, subscribers and members must be informed of the immediate availability of the benefits and their effective dates.

Any questions regarding this bulletin should be directed to the Health Policy Unit at (617) 521-7349.