Code of Massachusetts Regulations
956 CMR - COMMONWEALTH HEALTH INSURANCE CONNECTOR AUTHORITY
Title 956 CMR 8.00 - Student Health Insurance Program
Section 8.08 - Oversight and Enforcement
Current through Register 1531, September 27, 2024
(1) Investigation, Review and Audit Procedures. The Connector may periodically investigate, review or audit the efforts of a School in compliance with 956 CMR 8.00. A School must make available to the Connector all records required to be maintained by the School under 956 CMR 8.05 and 956 CMR 8.06 and such other records, information and data that the Connector deems pertinent. Upon or soon after the completion of its investigation, review or audit, the Connector will confer with the School to describe the investigation, review or audit process itself, to discuss any conclusions and recommendations under consideration by the Connector and to offer or obtain additional pertinent information. Upon completion of its written report, the Connector will forward a copy to the School.
(2) Enforcement Process. If the Connector determines, after investigation, review or audit, that a School has failed to comply with 956 CMR 8.00 and that a sanction authorized under 956 CMR 8.11 should be imposed, the Connector must issue a Notice of Action. The Notice of Action must specify the facts relied upon in making this determination, cite any statute or regulation which authorizes the Connector to take the action, and inform the School of its right to an adjudicatory hearing. An adjudicatory hearing under 956 CMR 8.00 is governed by the rules of practice and procedure set forth in 801 CMR 1.01: Formal Rules and 1.03: Miscellaneous Provisions Applicable to All Adjudicatory Proceedings.