Section 10. The connector seal of approval shall be assigned to health benefit plans or stand-alone vision or stand-alone dental plans, as applicable, that the board determines: (i) meet the requirements of subsection (d) of section 5; (ii) provide good value to consumer; (iii) offer high quality; and (iv) are offered through the connector.
Section 11. When an eligible individual, eligible child or eligible small group is enrolled in the connector by a producer licensed in the commonwealth, the health plan or stand-alone vision or stand-alone dental plan chosen by each eligible individual, eligible child or eligible small group shall pay the producer a commission that shall be determined […]
Section 12. (a) The connector may apply a surcharge to all health benefit plans or stand-alone vision or stand-alone dental plans which shall be used only to pay for administrative and operational expenses of the connector; provided, however, that any such surcharge shall be applied uniformly to all health benefit plans or uniformly to all […]
Section 13. (a) All expenses incurred in carrying out this chapter shall be payable solely from funds provided under the authority of this chapter and no liability or obligations shall be incurred by the connector hereunder beyond the extent to which monies shall have been provided under this chapter. (b) The connector shall be liable […]
Section 14. The connector shall keep an accurate account of all its activities and of all its receipts and expenditures and shall annually make a report thereof as of the end of its fiscal year to its board, to the governor, to the general court, and to the state auditor, such reports to be in […]
Section 15. No later than 2 years after the connector begins operation and every year thereafter, the connector shall conduct a study of the connector and the persons enrolled in the connector and shall submit a written report to the governor, the president of the senate, the speaker of the house of representatives, the chairs […]
Section 15A. There shall be a special commission to investigate and study the role of the connector in providing access to health insurance products. The commission shall examine the connector’s utilization of private sector entities, including insurance brokers, and shall investigate ways to promote efficient enrollment of uninsured individuals into health insurance and prevent unnecessary […]
Section 16. The connector may adopt regulations to implement this chapter.
Section 2. (a) There shall be a body politic and corporate and a public instrumentality to be known as the commonwealth health insurance connector authority, which shall be an independent public entity not subject to the supervision and control of any other executive office, department, commission, board, bureau, agency or political subdivision of the commonwealth […]
Section 3. The purpose of the board of the connector shall be to implement the commonwealth health insurance connector. The goal of the board is to facilitate the purchase of health care insurance products through the connector at an affordable price by eligible individuals and eligible small groups. For these purposes, the board is authorized […]
Section 4. (a) The connector shall only offer health benefit plans or stand-alone vision or stand-alone dental plans to eligible individuals, eligible children and eligible small groups. Subconnectors may offer all health benefit plans that the connector may offer. (b) An eligible individual or small group’s participation in the connector shall cease if coverage is […]
Section 5. (a) Only health insurance plans and stand-alone vision or stand-alone dental plans that have been authorized by the commissioner and underwritten by a carrier may be offered through the connector. (b) Each health plan or stand-alone vision or stand-alone dental plans offered through the connector shall contain a detailed description of benefits offered, […]
Section 6. Eligible small groups seeking to be a participating institution shall, as a condition of participation in the connector, enter in a binding agreement with the connector which, at a minimum, shall stipulate the following:— (a) that the employer agrees that, for the term of agreement, the employer will not offer to eligible individuals […]
Section 7A. (a) There shall be a small group wellness incentive pilot program to expand the prevalence of employee wellness initiatives by small businesses. The program shall be administered by the board, in consultation with the department of public health. The program shall provide subsidies and technical assistance for eligible small groups to implement evidence-based […]
[ Text of section effective until July 1, 2021. For text effective July 1, 2021, see below.] Section 8. (a) The connector shall enter into interagency agreements with the department of revenue, the executive office of health and human services, the department of public health, the executive office of labor and workforce development, the registry […]
