Merged Market Health Insurance Rates
Health Care Coverage Information
Standard Prior Authorization Forms
Prior authorization forms when reviewing requests for service according to M.G.L. c. 176O, 25(c).
- Standard Prior Authorization Form for ABA Services
- Oncology Prior Authorization Form
- Behavioral Health Disorders - Level of Care Request Form
- Repetitive Transcranial Magnetic Simulation Request Form
- Psychological and Neuropsychological Assessment Supplemental Form
- Massachusetts Standard Form for Medication Prior Authorization Request
- Cardiac Imaging Prior Authorization Form to be used with Myocardial Perfusion Imaging (MPI); Stress Echocardiogram; Multiple Gated Acquisition Scan (MUGA); Transthoracic Echocardiogram (TTE); Transesophageal Echocardiogram (TEE)
- PET - PET CT Prior Authorization Form
- CT/CTA/MRI/MRA Prior Authorization Form
- Massachusetts Standard Form for Hepatitis C Medication Prior Authorization Requests
- Non-OB Ultrasound Authorization Form
- Massachusetts Standard Form for SYNAGIS Prior Authorization Requests
Annual Comprehensive Financial Statements
Financial Summary of the Market for Health Insurance Annual Reports
The 2010-2018 Annual Comprehensive Financial Statements for each health carrier can be viewed at the Division’s Public Document Room. The summaries of 2010-2018 are shown below.
- 2018 Annual Comprehensive Financial Statement Summary Report
- 2017 Annual comprehensive Financial Statement Summary Report
- 2016 Annual Comprehensive Financial Statement Summary Report
- 2015 Annual Comprehensive Financial Statement Summary Report
- 2014 Annual Comprehensive Financial Statement Summary Report
- 2013 Annual Comprehensive Financial Statement Summary Report
- 2012 Annual Comprehensive Financial Statement Summary Report
- 2011 Annual Comprehensive Financial Statement Summary Report
- 2010 Annual Comprehensive Financial Statement Summary Report
- Comparison 2010 - 2011 Annual Comprehensive Financial Statement Summary Reports
Summary of Certifications of Compliance with MHPAEA
- Summary of 2021 Certifications of Compliance with MHPAEA
- Summary of 2020 Certifications of Compliance with MHPAEA
- Summary of 2019 Certifications of Compliance with MHPAEA
- Summary of 2018 Certifications of Compliance with MHPAEA
- Summary of 2017 Certifications of Compliance with MHPAEA
- Summary of 2016 Certifications of Compliance with MHPAEA
- Summary of 2015 Certifications of Compliance with MHPAEA
- Summary of 2014 Certifications of Compliance with MHPAEA
- Summary of 2013 Certifications of Compliance with MHPAEA
- Summary of 2012 Certifications of Compliance with MHPAEA
- Special Examination of Carriers Compliance with Certain MHPAEA Provisions
Reports and Publications
- 2022 Report of Insured Dental Coverage in Massachusetts
- The Catalogue of Carrier Coverage of Inpatient, Outpatient and Community Behavioral Health Services 11/10/17
- Contraceptive Coverage by Carrier Survey Results 5/31/16
- Tobacco Cessation Product Coverage by Carrier - Survey Results 11/10/15
- 2010 Accident-Only Insurance Survey Results
- 2010 Disability Income Insurance Survey Results
- 2010 Hospital Indemnity Insurance Survey Results
- 2010 Long Term Care Insurance Survey Results
- Analysis of Wellness and Health Management Programs
- Gorman Actuarial's Long-Term Care Insurance Survey Report
- Medical Malpractice Insurance In The Massachusetts Market Report
- Compendium of Testimony & Related Information - Investigation and Study of the Costs of Medical Malpractice Insurance for Health Care Providers
- Analysis of Administrative Expenses for Health Insurance Companies in Massachusetts
- Trends in Health Claims for Fully-Insured, Health Maintenance Organizations in Massachusetts, 2002-2006
- Mercer's National Survey of Employer-Sponsored Health Plans For the Massachusetts Division of Insurance 2007
- Impact of Merging the Massachusetts Non-Group and Small Group Health Insurance Markets