Amendment #29 to H4100

Relative to Rate Filing Procedures

Mr. Nangle of Lowell moves to amend the bill by adding the following section:

“SECTION XX Section 6 of chapter 176J, as amended by Section 29 of Chapter 288 of the Laws of 2010, is hereby amended by adding the following sentence: “For the purposes of rate development and for calculating the aggregate medical loss ratio for rate filings under this section, a carrier may calculate projected and reported Per Member Per Month revenues and projected and reported claim costs for small group health plans subject to M.G.L. c. 176J on an aggregated basis for all affiliated companies within a parent corporation or holding company that offer such plans.”

Section 6 of chapter 176J, as amended by Section 30 of Chapter 288 of the Laws of 2010, is hereby further amended by adding the following sentence: “For the purposes of rate development and for calculating the aggregate medical loss ratio for rate filings under this section, a carrier may calculate projected and reported Per Member Per Month revenues and projected and reported claim costs for small group health plans subject to M.G.L. c. 176J on an aggregated basis for all affiliated companies within a parent corporation or holding company that offer such plans.”

Provided further that the fourth sentence of subsection (c) of section 6 of chapter 176J of the General Laws, as amended by section 31A of chapter 359 of the acts of 2010, is hereby amended by striking out the words “Any rates of reimbursement included in the rate filing materials submitted for review by the division shall be deemed confidential and exempt from the definition of public records in clause Twenty-sixth of section 7 of chapter 4.” and inserting in place thereof the following words:  “Any rates of reimbursement or rating factors included in the rate filing materials submitted for review by the division shall be deemed confidential and exempt from the definition of public records in clause Twenty-sixth of section 7 of chapter 4.”