Chapter 32A: CONTRIBUTORY GROUP GENERAL OR BLANKET INSURANCE FOR PERSONS IN THE SERVICE OF THE COMMONWEALTH
- Section 1 Purpose of chapter
- Section 2 Definitions
- Section 3 Group insurance commission
- Section 3A Employees' advisory committee
- Section 3B Applicability of chapter to Commonwealth charter schools and education collaboratives
- Section 4 Purchase of insurance policies by commission
- Section 4A Administrative services contracts
- Section 4B Retroactive claims denials for behavioral health services
- Section 5 Insurance and medicare benefits of state employees
- Section 6 Amounts of insurance and benefits; determination; alterations or reductions; separability
- Section 7 Information furnished commission by employees
- Section 8 Contributions for premiums by commonwealth and active or retired employees and dependents; ratio; withholding; direct payment; reimbursement by certain agencies; filing copies of contracts and agreements
- Section 8A Employees on leaves of absence for more than one year; insurance costs charged to employing agency
- Section 9 Dividends, refunds, rate credits; deposit in special funds; transfer of reserves
- Section 9A Investment committee; investment and deposit of funds by state treasurer
- Section 10 Retirement or termination of employment; effect on policy; conversion of insurance
- Section 10A Additional insurance
- Section 10B Insurance for elderly government retirees and their dependents
- Section 10C Optional medicare extension
- Section 10D Disability insurance; withholding payment of premiums
- Section 10E Insurance for commonwealth employee granted leave to care for dependent child
- Section 11 Death of employee or retired employee; continuation of insurance by spouse or dependent
- Section 11A Divorced or separated spouses; continuation of insurance coverage
- Section 12 Retired teachers; life and health insurance; agreements; contributions; withholding of premiums; reimbursement of premiums and expenses; dividends; rules and regulations
- Section 13 Approval of applications by political subdivisions for life and health insurance covering retired teachers
- Section 14 Optional insurance for services of health care organizations
- Section 15 Catastrophic illness coverage; contracts; premiums; dividends; conversion; rules and regulations
- Section 16 Election to continue insurance coverages; notice
- Section 17 Dental and vision expenses; reimbursement of employees
- Section 17A Coverage for nonprescription enteral formulas for home use
- Section 17B Hospice services for commonwealth employees insured under group insurance commission
- Section 17C Required coverage for abortion, abortion-related care, prenatal care, childbirth, and postpartum care
- Section 17D Coverage for bone marrow transplants
- Section 17E Scalp hair prostheses necessary due to cancer or leukemia treatment
- Section 17F Newborn hearing screening test; group insurance commission coverage
- Section 17G Items medically necessary for the diagnosis or treatment of diabetes; group insurance commission coverage
- Section 17H Coverage for human leukocyte or histocompatibility locus antigen testing
- Section 17I Prosthetic devices and repairs; group insurance commission coverage
- Section 17J Coverage for children under age 18 for cleft lip and cleft palate
- Section 17K Coverage for orally administered anticancer medications
- Section 17L Coverage for abuse deterrent opioid drug products
- Section 17M Preauthorization for substance abuse treatment not to be required
- Section 17N Coverage for medically necessary acute treatment and clinical stabilization services; preauthorization not to be required; notice to carrier of admission and initial treatment plan
- Section 17O Coverage for medical or drug treatments to correct or repair disturbances of body composition caused by HIV associated lipodystrophy syndrome
- Section 17P Filling of remaining portion of prescription for covered drug that is a narcotic substance earlier filled in lesser quantity
- Section 17Q Pain management access plan
- Section 17R Coverage for treatment of pediatric autoimmune neuropsychiatric disorders associated with streptococcal infections and pediatric acute-onset neuropsychiatric syndrome
- Section 17S Coverage for medically necessary mental health acute treatment, community-based acute treatment and intensive community-based acute treatment
- Section 17T Coverage for standard fertility preservation services
- Section 17U Coverage for postpartum depression and major depressive disorder screenings conducted pursuant to section 247 of chapter 111
- Section 17V Coverage for the provision of medically necessary pasteurized donor human milk and donor human milk-derived products
- Section 17W Coverage for universal postpartum home visiting services in accordance with operational standards set by the department of public health pursuant to section 248 of chapter 111
- Section 17X Coverage for prescribed, ordered or dispensed opioid antagonists; reimbursement
- Section 17Y Coverage for recovery coaches
- Section 17Z Coverage for identified generic and brand name drug used to treat diabetes, asthma, and certain heart conditions
- Section 18 Medicare health benefits supplement plan, mandatory transfer; payment of penalty
- Section 19 Release from insurance coverage; payment; reinstatement of coverage
- Section 20 Charges or collections of excess compensation
- Section 21 Health care services evaluation; vendor quality improvement program; annual report
- Section 22 Diagnosis and treatment of certain biologically-based mental disorders; mental disorders of victims of rape; non-biologically-based mental disorders of children and adolescents under age 19; group insurance commission coverage
- Section 22A Coverage for mental health or substance use disorder services delivered through the psychiatric collaborative care model
- Section 22B Implement and enforcement of mental health parity provisions of the federal Paul Wellstone and Pete Domenici Mental Health Parity and Addiction Equity Act of 2008; federal guidance and regulations and state mental health parity laws and regulations; annual report
- Section 23 Coverage for speech, hearing and language disorders
- Section 24 State Retiree Benefits Trust Fund
- Section 24A State Retiree Benefits Trust Fund board of trustees; membership; powers and duties
- Section 25 Insurance coverage for diagnosis and treatment of autism spectrum disorder
- Section 25A Coverage for treatment of Down syndrome through speech therapy, occupational therapy, physical therapy and applied behavior analysis services
- Section 26 Wellness program
- Section 27 Toll-free telephone number and website providing customers with estimated or maximum allowed amount or charge for proposed admission, procedure or service
- Section 28 Coverage for certain services and contraceptive methods
- Section 29 Tobacco cessation
- Section 30 Coverage for telehealth services
- Section 31 Benefits for medically necessary emergency services programs to be provided on nondiscriminatory basis
- Section 32 Coverage for annual mental health wellness examination
- Section 33 Federally-defined preventive services
- Section 34 Medical expense coverage for screening mammograms; diagnostic exams for breast cancer, digital breast tomosynthesis screening, MRIs and ultrasounds