SENATE DOCKET, NO. 747        FILED ON: 1/14/2025

SENATE  .  .  .  .  .  .  .  .  .  .  .  .  .  .  No.         

 

The Commonwealth of Massachusetts

_________________

PRESENTED BY:

Cynthia Stone Creem

_________________

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:

Cynthia Stone Creem

Norfolk and Middlesex


SENATE DOCKET, NO. 747        FILED ON: 1/14/2025

SENATE  .  .  .  .  .  .  .  .  .  .  .  .  .  .  No.         

[Pin Slip]

 

[SIMILAR MATTER FILED IN PREVIOUS SESSION
SEE SENATE, NO. 602 OF 2023-2024.]

 

The Commonwealth of Massachusetts

 

_______________

In the One Hundred and Ninety-Fourth General Court
(2025-2026)

_______________

 

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:
 

Chapter 176O, as appearing in the 2022 Official Edition, is hereby amended by striking out section 19 and inserting in place thereof the following section:-

Section 19. (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 the commissioner of insurance.