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  • Acts
  • 2010
  • Chapter 471 AN ACT RELATIVE TO GROUP HEALTH INSURANCE.

Be it enacted by the Senate and House of Representatives in General Court assembled, and by the authority of the same as follows:

SECTION 1. Section 110 of chapter 175 of the General Laws, as appearing in the 2008 Official Edition, is hereby amended by inserting after the word “policy”, in lines 44 and 85, the following words:- which qualifies as creditable coverage pursuant to chapter 111M and is.

SECTION 2. Said section 110 of said chapter 175, as so appearing, is hereby further amended by inserting after the word “policy”, in lines 62, 145 and 164, the following words:- which qualifies as creditable coverage pursuant to chapter 111M and.

SECTION 3. Said section 110 of said chapter 175, as so appearing, is hereby further amended by inserting after the word “policy”, in line 164, the second time it appears, the following words:- which qualifies as creditable coverage pursuant to chapter 111M.

SECTION 4. Said section 110 of said chapter 175, as so appearing, is hereby further amended by striking out, in lines 47 and 50, the words “A policy” and inserting, in place thereof, in each instance, the following words:- Any such policy.

SECTION 5. Subdivision (A) of said section 110 of said chapter 175, as so appearing, is hereby amended by inserting after the fourth sentence the following 3 sentences:- Any general or blanket policy which does not qualify as creditable coverage pursuant to chapter 111M and is delivered or issued for delivery in the commonwealth, and any certificate and the schedule of premium charges issued in connection with that policy, shall be furnished to the commissioner upon request thereby. Any such policy on which the premiums are paid by the policyholder wholly from the employer's funds or funds contributed by him, insuring all eligible employees, shall be considered a general or blanket policy within the meaning of this section. Any such policy on which the premiums are paid by the policyholder, either partly from the employer's funds or funds contributed by him and partly from funds contributed by the insured employees, or wholly from funds contributed by the insured employees, and the benefits of which are offered to all eligible employees shall be considered a general or blanket policy within the meaning of this section.

SECTION 6. Said subdivision (A) of said section 110 of said chapter 175, as so appearing, is hereby further amended by inserting after the fifth sentence the following 2 sentences:- A policy which does not qualify as creditable coverage pursuant to chapter 111M and on which the premiums are paid by the trustees of a fund, established as described in clause (h), wholly from funds contributed by the employer or employers of the employees, or by the union or association, or by the unions or associations, or by both, or on which the premiums are paid by the trustees partly from funds contributed by the employer or employers of the employees, or by the union or unions or association or associations, or both, and partly from funds contributed by the insured persons specifically for their insurance, and insuring all eligible employees of the employer or employers or all the eligible members of the union or unions or association or associations, or all eligible employees or members of any class or classes thereof determined by conditions pertaining to their employment, or to membership in the union or unions, or association or associations, or to both, or such a policy on which the premiums are paid by the trustees partly or wholly from funds contributed by the insured persons specifically for their insurance the benefits of which are offered to all eligible employees of the employer or employers or all eligible members of the union or unions or association or associations, or all eligible employees or members of any class or classes thereof determined by conditions pertaining to their employment, or to membership in the union or unions, or association or associations, or to both, or such a policy issued to the trustees of a fund established by 1 or more employers and 1 or more trade unions or associations, the premiums on which are paid by the trustees partly from funds contributed by the employers, unions or associations, or both, and partly or wholly from funds contributed by the insured persons specifically for their insurance, and the benefits of which are offered to all eligible persons, who remit funds for premium payments to the trustees, shall also be considered a general or blanket policy within the meaning of this section. In the case of a policy which does not qualify as creditable coverage pursuant to chapter 111M and which is issued to a trade union or association under clause (g) on which the premiums are to be paid by the trade union or association, or the trade union, association and its members jointly, or wholly by its members, and the benefits of the policy are offered to all eligible members, shall also be considered a general or blanket policy within the meaning of this section.

SECTION 7. Said section 110 of said chapter 175, as so appearing, is hereby further amended by striking out the words “employees; the”, in lines 98 and 99, and inserting in place thereof the following words:- employees, former employees, the.

SECTION 8. Subdivision (C) of said section 110 of said chapter 175, as so appearing, is hereby amended by inserting after the third sentence the following sentence:- A policy which does not qualify as creditable coverage pursuant to chapter 111M and on which the premiums are paid by the members of the association and the benefits of which are offered to all of its members shall be considered to be a general or blanket policy within the meaning of this section.

SECTION 9. Subdivision (D) of said section 110 of said chapter 175, as so appearing, is hereby amended by adding the following sentence:- A policy which does not qualify as creditable coverage pursuant to chapter 111M and on which the premiums are paid by the policy holder, either partly from funds of or contributed by the policy holder and partly from funds contributed by the insured independent contractor newspaperboys or wholly from funds contributed by the newspaperboys and the benefits of which are offered to all eligible newspaperboys shall be considered to be a general or blanket policy within the meaning of this section.

Approved, January 14, 2011.