Health Insurance Prior Authorization Practices
Mental Health Parity Limited Scope Examination Reports - 2022 Data Year – Issued 2025
- 4 Ever Life Insurance Company - Market Conduct Mental Health Parity Report - Adoption Order - December 8, 2025
- 4 Ever Life Insurance Company - Market Conduct Mental Health Parity Report - December 8, 2025
- Aetna Life Insurance Company, Aetna Health Inc, Aetna Health Insurance Company - Market Conduct Mental Health Parity Report - Adoption Order - December 8, 2025
- Aetna Life Insurance Company, Aetna Health Inc, Aetna Health Insurance Company - Market Conduct Mental Health Parity Report - December 8, 2025
- BCBS of MA HMO Blue, Inc and BCBS of MA, Inc - Market Conduct Mental Parity Report - Adoption Order - December 8, 2025
- BCBS of MA HMO Blue, Inc and BCBS of MA, Inc - Market Conduct Mental Parity Report - December 8, 2025
- Boston Medical Center Health Plan, Inc - Market Conduct Mental Health Parity Report - Adoption Order - December 8, 2025
- Boston Medical Center Health Plan, Inc - Market Conduct Mental Health Parity Report - December 8, 2025
- Cigna Health and Life Insurance Company - Market Conduct Mental Health Parity Report - Adoption Order - December 8, 2025
- Cigna Health and Life Insurance Company - Market Conduct Mental Health Parity Report - December 8, 2025
- ConnectiCare Of Massachusetts, Inc - Market Conduct Mental Health Parity Report - Adoption Order - December 8, 2025
- ConnectiCare Of Massachusetts, Inc - Market Conduct Mental Health Parity Report - December 8, 2025
- Fallon Community Health Plans, Inc - Market Conduct Mental Health Parity Report - Adoption Order - December 8, 2025
- Fallon Community Health Plans, Inc - Market Conduct Mental Health Parity Report - December 8, 2025
- Health New England, Inc - Market Conduct Mental Health Parity Report - Adoption Order - December 8, 2025
- Health New England, Inc - Market Conduct Mental Health Parity Report - December 8, 2025
- Mass General Brigham Health Plan Inc, and Mass General Brigham Health Ins Co - Market Conduct Mental Health Parity Report - Adoption Order - December 8, 2025
- Mass General Brigham Health Plan Inc, and Mass General Brigham Health Ins Co - Market Conduct Mental Health Parity Report - December 8, 2025
- Point32Health - Market Conduct Mental Health Parity Report - Adoption Order - December 8, 2025
- Point32Health - Market Conduct Mental Health Parity Report - December 8, 2025
- United States Fire Insurance Company - Market Conduct Mental Health Parity Report - Adoption Order - December 8, 2025
- United States Fire Insurance Company - Market Conduct Mental Health Parity Report - December 8, 2025
- Wellfleet Insurance Company - Market Conduct Mental Health Parity Report - Adoption Order - December 8, 2025
- Wellfleet Insurance Company - Market Conduct Mental Health Parity Report - December 8, 2025
2023 Market Conduct Examination Reports
- The Savings Bank Mutual Life Insurance Company of Massachusetts Market Conduct Examination Report – Adoption Order - February 6, 2026
- The Savings Bank Mutual Life Insurance Company of Massachusetts Market Conduct Examination Report - February 6, 2026
- Safety Insurance Group Market Conduct Examination Report-Adoption Order - November 25, 2025
- Safety Insurance Group Market Conduct Examination Report - November 25, 2025
- Safety Insurance Group Market Conduct Regulatory Settlement Agreement - November 25, 2025
- Point32Health, Inc Market Conduct Examination Report - Adoption Order - June 6, 2024
- Point32Health, Inc Market Conduct Examination Report - June 6, 2024
2022 Market Conduct Examination Reports
- Massachusetts Mutual Life Insurance Company Market Conduct Report - Adoption Order - July 15, 2025
- Massachusetts Mutual Life Insurance Company - Market Conduct Report - July 15, 2025
- Bay State Insurance Company, Cambridge Mutual Fire Insurance Company, Merrimack Mutual Fire Insurance Company Market Conduct Report - Adoption Order - August 19, 2024
- Bay State Insurance Company, Cambridge Mutual Fire Insurance Company, Merrimack Mutual Fire Insurance Company - Market Conduct Report - August 19, 2024
2021 Market Conduct Examination Reports
- Barnstable Group Comprehensive Market Conduct Examination Report - Adoption Order - July 15, 2024
- Barnstable Group Comprehensive Market Conduct Examination Report - July 15, 2024
- Berkshire Life Ins Co of America Market Conduct Examination Report - Adoption Order - December 14, 2023
- Berkshire Life Ins Co of America Market Conduct Examination Report - December 14, 2023
- Arbella Insurance Group Market Conduct Examination Report - Adoption Order - May 16, 2023
- Arbella Insurance Group Market Conduct Examination Report - May 16, 2023
2020 Market Conduct Examination Reports
- Liberty Mutual Insurance Company Market Conduct Examination - Adoption Order - September 5, 2024
- Liberty Mutual Insurance Company Market Conduct Examination Report - September 5, 2024
- Liberty Mutual Insurance Company Market Conduct Examination - Regulatory Settlement Agreement
- Centre Life Insurance Company Market Conduct Examination Report - Adoption Order - May 27, 2022
- Centre Life Insurance Company Market Conduct Examination Report - May 27, 2022
2019 Market Conduct Examination Reports
2018 Market Conduct Examination Reports
- Hospitality Mutual Insurance Company Market Conduct Report - Adoption Order - August 4, 2022
- Hospitality Mutual Insurance Company Market Conduct Report - August 4, 2022
- New England Life Insurance Company Market Conduct Report - Adoption Order - July 11, 2022
- New England Life Insurance Company Market Conduct Report - July 11, 2022
- Boston Mutual Life Insurance Company Market Conduct Report - Adoption Order - July 11, 2022
- Boston Mutual Life Insurance Company Market Conduct Report - July 11, 2022
- Electric Insurance Company - Adoption Order - January 25, 2022
- Electric Insurance Company - January 25, 2022
- Hingham Mutual Fire Insurance Company / Danbury Insurance Company - Adoption Order - April 6, 2021
- Hingham Mutual Fire Insurance Company / Danbury Insurance Company - April 6, 2021
- Paul Revere Life Insurance Company - Adoption Order - April 6, 2021
- Paul Revere Life Insurance Company - April 6, 2021
- Plymouth Rock Comprehensive Market Conduct Examination Report - Adoption Order - March 4, 2021
- Plymouth Rock Comprehensive Market Conduct Examination Report - March 4, 2021
- The Savings Bank Mutual Life Insurance Company of Massachusetts Market Conduct Examination Report - Adoption Order - January 14, 2021
- The Savings Bank Mutual Life Insurance Company of Massachusetts Market Conduct Examination Report - January 14, 2021
- The Commerce Insurance Company and Citation Insurance Company Market Conduct Examination Report - Adoption Order - July 29, 2020
- The Commerce Insurance Company and Citation Insurance Company Market Conduct Examination Report - July 29, 2020
- Safety Insurance Company; Safety Indemnity Insurance Company; Safety Property and Casualty Insurance Company Market Conduct Examination Report - December 31, 2018
2015 Market Conduct Examination Reports
- Commonwealth Annuity and Life Insurance Company and First Allmerica Financial Life Insurance Company - December 31, 2015
- USAA Limited Scope Exam Report - December 31, 2015
- Berkshire Life Insurance Company of America - December 31, 2015
- Arbella Mutual Insurance Company; Arbella Protection Insurance Company; Arbella Indemnity Insurance Company - December 31, 2015
- Barnstable County Mutual Insurance Company; Barnstable County Insurance Company - December 31, 2015
- The Premier Insurance Company of Massachusetts - December 31, 2015
- Centre Life Insurance Company - December 31, 2015
- Encompass Insurance Company - December 31, 2015
2014 Market Conduct Examination Reports
- Quincy Mutual Fire Insurance Company; New England Mutual Insurance Company - December 2014
- Quincy Mutual Fire Insurance Company Regulatory Settlement Agreement Massachusetts Mutual Life Insurance Company - December 2014
- Merrimack Mutual Fire Insurance Company; Cambridge Mutual Fire Insurance Company; Bay State Insurance Company - December 2014
- Multistate Targeted Market Conduct Examination Massachusetts Property Insurance Underwriting Association - September 2014
- John Hancock Life and Health Insurance Company - December 2014
- Merrimack Mutual Fire Insurance Company; Cambridge Mutual Fire Insurance Company; Bay State Insurance Company - December 2014
- Norfolk & Dedham Mutual Fire Insurance Company; Dorchester Mutual Insurance Company; Fitchburg Mutual Insurance Company - December 2014
2013 Market Conduct Examination Reports
- Liberty Mutual Insurance Company - December 31, 2013
- Liberty Mutual Insurance Company - Appendix B: Regulatory Settlement Agreement
- Cigna Group Settlement - May 2013
- Hingham Mutual Fire Insurance Company Danbury Insurance Company - December 31, 2013
- The Paul Revere Life Insurance Company and The Paul Revere Variable Annuity Insurance Company - December 31, 2013
- Progressive Direct Insurance Company Progressive Casualty Insurance Company - December 31, 2013
- Safety Insurance Company, Safety Indemnity Insurance Company and Safety Property and Casualty Insurance Company
- Commerce Insurance Company Citation Insurance Company
2012 Market Conduct Examination Reports
- Massachusetts Homeland Insurance Company and Tower National Insurance Company
- NGM Insurance Company Main Street America Assurance Company - December 31, 2012
- NGM Exam Report - Appendix B (Settlement Agreement)
- Plymouth Rock Assurance Corporation, Pilgrim Insurance Co. and Bunker Hill Insurance Co. - December 31, 2012
Standard Coding and Claim Formats Exams
- Blue Cross and Blue Shield of Massachusetts
- Boston Medical Center Health Plan, Inc.
- CeltiCare Health Plan of Massachusetts, Inc.
- ConnectiCare of Massachusetts, Inc.
- Fallon Community Health Plan, Inc.
- Harvard Pilgrim Health Care, Inc.
- Health New England, Inc.
- Neighborhood Health Plan, Inc.
- Network Health, LLC
- Tufts Associated Health Maintenance Organization, Inc.
- UnitedHealthcare