Code of Massachusetts Regulations
211 CMR - DIVISION OF INSURANCE
Title 211 CMR 151.00 - Certified Group Purchasing Cooperatives
Section 151.17 - Carrier Filing and Reporting Requirements

Universal Citation: 211 MA Code of Regs 211.151

Current through Register 1531, September 27, 2024

(1) On or before April 1st of each year, every Carrier doing business in the Commonwealth through a certified Group Purchasing Cooperative must file with the Commissioner a report verified by at least two principal officers of the Carrier and covering its preceding calendar year. The Commissioner may at any time specify a report format.

(2) The report must contain the following information, and any other information requested by the Commissioner:

(a) The number of Health Benefit Plans offered by the Carrier through a certified Group Purchasing Cooperative during the preceding calendar year;

(b) The number of Eligible Association Members, Eligible Employees and Eligible Dependents covered by a Health Benefit Plan from the Carrier through each certified Group Purchasing Cooperative, as of the close of the preceding calendar year; and

(c) The number of total lives covered by a Health Benefit Plan from the Carrier through each certified Group Purchasing Cooperative, as of the close of the preceding calendar year.

(3) The Commissioner may issue a Finding of Neglect to a Carrier for failure to complete or to file required information in the form and/or within in the time required by 211 CMR 151.00.

(4) Upon a Finding of Neglect, the Carrier's ability to offer Health Benefit Plans to certified Group Purchasing Cooperatives may be limited at the discretion of the Commissioner.

(5) If the Commissioner determines that a threat of financial impairment exists to the Carrier, the Commissioner may require that the Carrier's report be made available prior to the April 1st deadline.

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