Insurance Company Assessments for Fiscal Year 2024
Division of Insurance Assessments
Each year, the Massachusetts legislature authorizes the Division of Insurance (DOI) to assess the insurers that it regulates, in order to support its operational activities and those of its departmental units, which include the Health Care Access Bureau, the State Rating Bureau, and the Medical Malpractice Analysis Bureau. The Massachusetts legislature sets the budget and the assessment amount in its General Appropriations Act in each fiscal year.
The DOI assesses all insurers that are issued a license or certificate of authority, unless specifically excluded by the legislature. The DOI also excludes the following types of companies from assessments:
| * | Fraternal Organizations | * | Home Service Contract Providers |
| * | Surplus Lines Carriers | * | Life Settlement Providers |
| * | Risk Retention Groups | * | Federal Crop Insurers |
| * | Certified Reinsurers | * | Companies in Rehabilitation |
| * | Reinsurers who are not also licensed under M.G.L. c. 175 as insurance companies in Massachusetts | ||
| * | Accredited reinsurers who are not also licensed under M.G.L. c. 175 as insurance companies in Massachusetts |
Unless otherwise noted, the DOI shall utilize the premium data reported in the insurer’s Annual Statement from the previous calendar year. Assessment payments are due within 30 days of receipt of the invoice. Please contact the DOI at DOIAssessments@mass.gov with billing or other assessment questions. At this time, we are not able to offer electronic payment of assessment invoices.
Please detach the payment stub at the top of the assessment invoice, and mail it together with the payment to the address below. There may be a delay in processing payments if companies do not detach the payment stub from the invoice before mailing the payment.
Division of Insurance - Assessments
P.O. Box 3328
Boston, MA 02241-3328
Assessments
- DOI Operations Assessment
- State Rating Bureau Medical Malpractice Unit Assessment
- Medical Malpractice Analysis Bureau Assessment
- State Rating Bureau Workers' Compensation Unit Assessment
- State Rating Bureau Assessment
- Health Care Access Bureau
- Department of Fire Services (DFS) Administration Assessment
- Merit Rating Board Assessment
- Special Maintenance (Life) Assessment
- Attorney General's Office - Automobile Fraud Assessment
- Attorney General's Office - Workers Compensation Fraud Assessment
- Attorney General's Office - Rate Setting Assessment
Please contact assessment billing at DOIAssessments@mass.gov with billing questions.
Health Insurance Products and Plans
Here find filing guidelines for Health Maintenance Organizations (HMOS), membership and utilization reports and a list of accredited health insurance carriers in Massachusetts.
Group Products and Plans
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HMO Guidelines For Reporting Membership & Utilization
Guidelines that each HMO utilizes in reporting quarterly membership after the close of each calendar quarter and semi-annual utilization statistics
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Consistent with 211 CMR 43.05(2) , the Division requests that each health maintenance organization (HMO) file detailed utilization information on a semi-annual basis.
The following reports summarize the utilization information as reported by each HMO
Financial Examination Reports
Insurance companies are statutorily required to undergo comprehensive financial examinations every five years. Financial examiners from the Division of Insurance provide on-site accounting and auditing of the financial conditions of companies. Upon completing an exam, a report is issued.
Market Conduct Reports
The Market Conduct Unit performs examinations and market analysis reviews of insurance carriers to ensure the fair treatment of policyholders. These reviews often involve several states and result in fines or consumer restitution.