Non-Profit Hospital Service Corporations

  1. Law
  2. Massachusetts General Laws
  3. Administration of the Government
  4. Corporations
  5. Non-Profit Hospital Service Corporations

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Section
1

Corporations Governed by Chapter; Services Received in Nonparticipating Hospital; Substitution of Benefits in Nursing Homes

Section
1a

Right to Become Subscriber; Open Enrollment Periods

Section
1b

Medicare Supplemental Group Coverage; Medical Assistance Recipients

Section
1c

Retroactive Premium Rate Increase

Section
1d

Contracts of Reinsurance

Section
2

Incorporators; Directors; Certificate of Organization; Commissioner's Examination Report

Section
3

Certificate of Compliance; Examination by Commissioner

Section
3a

Discrimination Against Abuse Victims in Terms of Hospital Service Plans

Section
3b

Medical Service Plans; Genetic Tests; Discrimination Based on Genetic Information

Section
4

Accounting System; Accountant, Claim Manager, Underwriter and Actuary

Section
5

Joint Administration With Certain Corporations

Section
6

Approval of Nongroup Contracts

Section
7

Information Gathering Authority of Commissioner; Confidentiality and Privilege

Section
8

Conditions to Issuance or Delivery of Contract

Section
8a

Mental Illness Expenses; Inclusion in Contracts as Benefits; Biologically-Based Mental Disorders; Rape-Related Mental Disorders; Non-Biologically-Based Mental Disorders for Children and Adolescents Under Age 19

Section
8a.75

Retroactive Claims Denials for Behavioral Health Services

Section
8a1/2

Repealed, 2000, 80, Sec. 5

Section
8aa

Coverage of Prosthetic Devices and Repairs

Section
8b

Dependent Coverage for Newborn Infants or Adoptive Children; Inclusion in Contracts

Section
8bb

Coverage for Eligible Dependents Under 26 Years of Age

Section
8c

Refusal to Contract With Blind or Deaf Persons; Prohibition

Section
8cc

Coverage for Medically Necessary Hypodermic Syringes or Needles

Section
8d

Limited Extension of Benefits

Section
8dd

Coverage for Diagnosis and Treatment of Autism Spectrum Disorder

Section
8e

Diethylstilbestrol Exposure; Discrimination

Section
8ee

Coverage for Children Under Age 18 for Cleft Lip and Cleft Palate

Section
8f

Divorced or Separated Spouses; Continuation of Eligibility for Benefits

Section
8ff

Coverage for Orally Administered Anticancer Medications

Section
8g

Cardiac Rehabilitation Expense Benefits

Section
8gg

Coverage for Abuse Deterrent Opioid Drug Products

Section
8h

Prenatal, Childbirth and Postpartum Care Benefits; Minimum Coverage for In-Patient Care

Section
8hh

Preauthorization for Substance Abuse Treatment Not to Be Required

Section
8i

Home Care Benefits

Section
8ii

Coverage for Medically Necessary Acute Treatment or Clinical Stabilization Services

Section
8j

Minimum Requirements for Cytologic Screening and Mammographic Examination Expense Benefits

Section
8jj

Coverage for Long-Term Antibiotic Therapy for Patients With Lyme Disease

Section
8k

Infertility Diagnosis and Treatment Benefits

Section
8kk

Coverage for Medical or Drug Treatments to Correct or Repair Disturbances of Body Composition Caused by HIV Associated Lipodystrophy Syndrome

Section
8l

Nonprescription Enteral Formulas for Home Use

Section
8ll

Filling of Remaining Portion of Prescription for Covered Drug That Is a Narcotic Substance Earlier Filled in Lesser Quantity

Section
8m

Standardized Claim Form

Section
8mm

Pain Management Access Plans

Section
8n

Off-Label Drug Use; Cancer

Section
8nn

Coverage for Tobacco Use Cessation Counseling and Tobacco Cessation Products

Section
8o

Hospital Service Plan Benefits for Bone Marrow Transplants

Section
8p

Items Medically Necessary for Diagnosis and Treatment of Diabetes

Section
8q

HIV/AIDS Treatment; Off-Label Prescription Drug Coverage

Section
8r

Coverage of Hospice Services for Terminally Ill Patients

Section
8s

Nurse Anesthetist and Nurse Practitioner Services

Section
8t

Scalp Hair Prostheses Necessary Due to Cancer or Leukemia Treatment

Section
8u

Emergency Services Provided to Insureds for Emergency Medical Conditions

Section
8v

Coverage for Human Leukocyte or Histocompatibility Locus Antigen Testing

Section
8w

Outpatient Services; Hormone Replacement Therapy for Peri and Post Menopausal Women; Contraceptive Services; Approved Prescription Contraceptive Drugs and Devices; Exception

Section
8x

Coverage for Patient Care Services Under Qualified Clinical Trials

Section
8y

Diagnosis and Treatment of Speech, Hearing and Language Disorders

Section
8z

Repealed, 2008, 451, Sec. 136

Section
9

Repealed, 1996, 297, Sec. 11

Section
10

Group Hospital Service Plan; Approval or Disapproval of Contracts and Rates; Filing

Section
10a

Preferred Provider Arrangements

Section
11

Officers; Duties

Section
12

Publication of Assets and Liabilities

Section
13

Hospitalization and Medical Service for Officers and Employees of Corporation

Section
14

Misrepresentation of Terms of Subscriber's Contract

Section
14a

[There Is No 176a:14a.]

Section
14b

Disclosure of Information; Mental or Nervous Conditions; Exceptions

Section
15

Costs of Solicitation of Subscribers and Administration

Section
16

Acquisition of Real Estate; Leases; Tax Exemption; Limit; Approval of Investments, Sales, Loans and Places of Deposit

Section
17

Submission of Disputes and Controversies

Section
18

Annual Statement of Condition; Verification, Filing, Form, Violations; Applicability of Chapter 176v

Section
18a

Financial Statements; Inclusion of Electronic Data Processing Equipment as Asset

Section
19

Tax Exemption

Section
20

Filing of Amendment of By-Laws

Section
21

Submission of Advertising Matter to Commissioner

Section
22

Filing of Riders, Endorsements and Applications With Commissioner

Section
23

Grounds for Enjoining Transaction of Business; Rehabilitation Proceedings; Duties of Receiver; Distribution of Assets

Section
24

Special Contingent Reserve Fund

Section
25

Licensing of Agents

Section
26

Salaries, Compensation or Emoluments Paid by Corporation

Section
27

Payroll Deductions for Governmental Employees

Section
27a

Repealed, 1955, 628, Sec. 3

Section
28

Violations; Penalties

Section
29

Application

Section
30

Savings Clause

Section
31

Contracts for Administrative or Other Services; Loans and Investments

Section
32

Payment of Sums Owed to Subscriber's Estate

Section
33

Insolvency of Health Maintenance Organization; Replacement Coverage

Section
34

Report of Individuals Provided With Creditable Coverage

Section
35

[There Is No 176a:35.]

Section
36

Attribution of Members to a Primary Care Provider

Section
37

Disclosure of Patient-Level Data and Contracted Prices of Individual Health Care Services by Carriers to Providers

Section
81/2

Sale of Group Non-Profit Hospital Service Contracts