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Mass. General Laws c.176J

Small group health insurance

This page links to the current, accurate version of each section of G.L. c.176J.

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§ 1 Definitions 
§ 2 Application of chapter 
§ 3 Individual and small group plans; group base premium rate; filing plan with connector; investigation of deviations from group base premium rate 
§ 4 Carriers to make health benefit plans available; renewal of plans 
§ 5 Exclusion of eligible individuals 
§ 6 Approval of health insurance policies; eligibility criteria; submission of information; approval of changes to small group product base rates or rating factors 
§ 7 Disclosure by carriers 
§ 8 Transitional reinsurance program 
§ 9 Continuous coverage 
§ 10 Young adult health benefit plans; coverage requirements; premiums 
§ 11 Reduced or selective network plans; tiered network plans; smart tiering plans 
§ 11A Continuing coverage for active course of treatment for serious disease begun prior to enrollment in reduced or selective network plan or tiered network plan 
§ 12 Small business group purchasing cooperatives; regulations governing establishment, oversight and certification 
§ 13 Filing of health benefit plan proposals for consideration upon request of group purchasing cooperative 
§ 14 Coverage of medically necessary and covered services otherwise unavailable within carrier's provider network 
§ 15 Display by insurer offering tiered network plan of cost-sharing differences for enrollees in various tiers in promotional and agreement material 
§ 16 Attribution of members to a primary care provider 
§ 17 Disclosure of patient-level data and contracted prices of individual health care services by carriers to providers 

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