Print Print
  • PART I ADMINISTRATION OF THE GOVERNMENT
  • TITLE XXII CORPORATIONS
  • CHAPTER 176J SMALL GROUP HEALTH INSURANCE

Section 1 - Definitions

Section 2 - Application of chapter

Section 3 - Health benefit plan premiums for eligible small businesses

Section 4 - Carriers to make health benefit plans available; renewal of plans

Section 5 - Exclusion of eligible employees; preexisting conditions; waiting periods

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