Chapter 176J: SMALL GROUP HEALTH INSURANCE
- Section 1 Definitions
- Section 2 Application of chapter
- Section 3 Individual and small group plans; group base premium rate; filing plan with connector; investigation of deviations from group base premium rate
- Section 4 Carriers to make health benefit plans available; renewal of plans
- Section 5 Exclusion of eligible individuals
- Section 6 Approval of health insurance policies; eligibility criteria; submission of information; approval of changes to small group product base rates or rating factors
- Section 7 Disclosure by carriers
- Section 8 Transitional reinsurance program
- Section 9 Continuous coverage
- Section 10 Young adult health benefit plans; coverage requirements; premiums
- Section 11 Reduced or selective network plans; tiered network plans; smart tiering plans
- Section 11A Continuing coverage for active course of treatment for serious disease begun prior to enrollment in reduced or selective network plan or tiered network plan
- Section 12 Small business group purchasing cooperatives; regulations governing establishment, oversight and certification
- Section 13 Filing of health benefit plan proposals for consideration upon request of group purchasing cooperative
- Section 14 Coverage of medically necessary and covered services otherwise unavailable within carrier's provider network
- Section 15 Display by insurer offering tiered network plan of cost-sharing differences for enrollees in various tiers in promotional and agreement material
- Section 16 Attribution of members to a primary care provider
- Section 17 Disclosure of patient-level data and contracted prices of individual health care services by carriers to providers