HOUSE DOCKET, NO. 1274        FILED ON: 1/18/2023

HOUSE  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  No. 937

 

The Commonwealth of Massachusetts

_________________

PRESENTED BY:

Ruth B. Balser

_________________

To the Honorable Senate and House of Representatives of the Commonwealth of Massachusetts in General
Court assembled:

The undersigned legislators and/or citizens respectfully petition for the adoption of the accompanying bill:

An Act relative to transparency of consumer health insurance rights.

_______________

PETITION OF:

 

Name:

District/Address:

Date Added:

Ruth B. Balser

12th Middlesex

1/18/2023


HOUSE DOCKET, NO. 1274        FILED ON: 1/18/2023

HOUSE  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  No. 937

By Representative Balser of Newton, a petition (accompanied by bill, House, No. 937) of Ruth B. Balser relative to the display of information on enrollment cards of health plans.  Financial Services.

 

[SIMILAR MATTER FILED IN PREVIOUS SESSION
SEE HOUSE, NO. 1042 OF 2021-2022.]

 

The Commonwealth of Massachusetts

 

_______________

In the One Hundred and Ninety-Third General Court
(2023-2024)

_______________

 

An Act relative to transparency of consumer health insurance rights.

 

Be it enacted by the Senate and House of Representatives in General Court assembled, and by the authority of the same, as follows:
 

SECTION 1.  Chapter 176O, is hereby amended by striking out section 19 and inserting in place thereof the following section:-

Section 19. Display of information on enrollment cards of carrier

(a) A carrier shall state prominently on the front or back of its enrollment cards the following:

(1) The statement “This health plan is fully-insured, subject to all Massachusetts insurance laws.”

(2) The name of the carrier, and the name of the insured’s specific health plan, including any numbers or other information necessary to identify the insured’s plan.

(3) A toll-free telephone number for the member services department of the carrier.

(4) The name and toll-free telephone number of the member services department of any third party that administers behavioral health, prescription drug, or other benefits.

(5) The amount of any copayment under the plan for preventive care visits, office visits, emergency department visits and prescription drugs.

(6) Whether the plan has a deductible, and the amount of any deductible under the plan.

(7) Any other information required by commissioner of insurance.