Code of Massachusetts Regulations
956 CMR - COMMONWEALTH HEALTH INSURANCE CONNECTOR AUTHORITY
Title 956 CMR 8.00 - Student Health Insurance Program
Section 8.07 - Reporting
Universal Citation: 956 MA Code of Regs 956.8
Current through Register 1531, September 27, 2024
(1) By May 1st of each year, each School must report to the Connector, in a manner specified by the Connector, the following information:
(a) the total number of Students enrolled in
the School who are required to participate in their School's Student Health
Insurance Program or in a Health Benefit Plan with comparable coverage for the
current School Year;
(b) from the
total number reported in 956 CMR 8.07(1)(a), the number who have waived
participation in their School's Student Health Insurance Program pursuant to
956 CMR
8.05 for the current School Year;
and
(c) performance metrics, such
as medical and administrative costs, the number of claim denials and
grievances, medical loss ratios, and other administration and performance
measures as specified by the Connector, pertaining to the Student Health
Insurance Program for the previous School Year.
(d) the following information for the current
School Year:
1. the name of the Carrier
underwriting the School's Student Health Insurance Program;
2. the premium cost per Student per year for
the School's Student Health Insurance Program;
3. any other health-related charges or fees
assessed to Students; and
4. a
description of the benefits, benefit levels, exclusions, limitations, and other
important terms and conditions of the School's Student Health Insurance Program
through the submission of marketing materials and the Evidence of Coverage for
the School's Student Health Insurance Program, provided that the Evidence of
Coverage has been approved by the Division of Insurance, and submission of the
benefit information. If the Evidence of Coverage has not been approved by the
Division of Insurance, the School must submit the Evidence of Coverage within
seven days of receiving approval from the Division of Insurance.
(2) Each School shall provide to the Connector such additional information, data and materials as the Connector may request from time to time in connection with implementation of 956 CMR 8.00.
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