Chapter 176J

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