Code of Massachusetts Regulations
957 CMR - CENTER FOR HEALTH INFORMATION AND ANALYSIS
Title 957 CMR 10.00 - HEALTH CARE PAYERS PREMIUMS AND CLAIMS DATA REPORTING REQUIREMENTS
Section 10.03 - Reporting Requirements

(1) Payer Membership Reporting Requirements. All Payers shall provide aggregate Member Months data for the previous three Calendar Years for all Private Commercial Plans by but not limited to the following classifications:

(2) Payer Financial Reporting Requirements. All Payers shall provide aggregate financial data for the previous three Calendar Years by Insurance Funding Type, Product Type, and Benefit Design Type classifications for all Private Commercial Plans, including but not limited to the following:

(3) Payers Subject to Reporting Requirements. A Payer is subject to the reporting requirements in 957 CMR 10.00 if the Payer, includiing Affiliated Payers, had at least 50,000 Massachusetts Private Commercial Plan members for the latest quarter as reported in the Center's most recently published Enrollment Trends report as of February 1st of the Reporting Year and posted on the Center's website. If a Payer is subject to the reporting requirements of 957 CMR 10.00, it shall file the required data for all of its Private Commercial Plans, clients, and Affiliated Payers.

(4) Use of Existing Data. Where feasible, the Center may use currently reported and available data in addition to, or in place of, data elements that Payers must submit in accordance with 957 CMR 10.03(1) or (2).