General Laws of Massachusetts - Chapter 176A Non-profit Hospital Service Corporations

• Massachusetts General Laws - Corporations governed by chapter; services received in nonparticipating hospital; substitution of benefits in nursing homes - Chapter 176A, Section 1
  Any corporation organized under the laws of the commonwealth for the purpose of establishing, maintaining and operating a non-profit hospital service plan whereby hospital care...
• Massachusetts General Laws - Right to become subscriber; open enrollment periods - Chapter 176A, Section 1A
  Any person residing in the commonwealth shall have the right to become a subscriber of a nonprofit hospital service corporation if the qualifications of such...
• Massachusetts General Laws - Medicare supplemental group coverage; medical assistance recipients - Chapter 176A, Section 1B
  A nonprofit hospital service corporation governed by this chapter shall offer medicare supplemental group coverage to that group of medical assistance recipients designated from time...
• Massachusetts General Laws - Retroactive premium rate increase - Chapter 176A, Section 1C
  For purposes of this section, retroactive premium rate increase shall mean any premium rate increase based upon an actual approved rate which is assessed to...
• Massachusetts General Laws - Contracts of reinsurance - Chapter 176A, Section 1D
  Any corporation subject to this chapter may make contracts of reinsurance relating to the providing of medical or other health services or reimbursement thereof, but...
• Massachusetts General Laws - Incorporators; directors; certificate of organization; commissioner’s examination report - Chapter 176A, Section 2
  Persons desiring to form such a non-profit hospital service corporation shall incorporate as provided in section three of chapter one hundred and eighty. The board...
• Massachusetts General Laws - Certificate of compliance; examination by commissioner - Chapter 176A, Section 3
  No non-profit hospital service corporation shall make or issue any contract to provide hospital care and reimbursement for other health services until it has obtained...
• Massachusetts General Laws - Discrimination against abuse victims in terms of hospital service plans - Chapter 176A, Section 3A
  No corporation subject to this chapter, and no officer or agent thereof, shall cancel, refuse to issue or renew, or in any way make or...
• Massachusetts General Laws - Medical service plans; genetic tests; discrimination based on genetic information - Chapter 176A, Section 3B
  For the purposes of this section the following words shall have the following meanings:— “Genetic information”, a written recorded individually identifiable result of a genetic...
• Massachusetts General Laws - Accounting system; accountant, claim manager, underwriter and actuary - Chapter 176A, Section 4
  Every non-profit hospital service corporation shall use a proper system of accounting, and employ either full time, or on a consulting basis, a competent accountant,...
• Massachusetts General Laws - Joint administration with certain corporations - Chapter 176A, Section 5
  Any corporation subject to this chapter may contract with corporations formed under chapter one hundred and seventy-six B for the joint administration of their business...
• Massachusetts General Laws - Approval of nongroup contracts - Chapter 176A, Section 6
  Nongroup contracts, except contracts providing supplemental coverage to medicare subject to the provisions of chapter one hundred and seventy-six K, issued and rates charged by...
• Massachusetts General Laws - Information gathering authority of commissioner - Chapter 176A, Section 7
  The commissioner of insurance, or any person authorized by him to make examinations or investigations or to conduct hearings provided for by this chapter, shall...
• Massachusetts General Laws - Conditions to issuance or delivery of contract - Chapter 176A, Section 8
  No contract between the subscriber and the corporation shall be issued or delivered in the commonwealth which provides full room and board benefits in an...
• Massachusetts General Laws - Sale of group non-profit hospital service contracts - Chapter 176A, Section 81/2
  A corporation organized under this chapter may only contract to sell a group non-profit hospital service contract to an employer if the group non-profit hospital...
• Massachusetts General Laws - Mental illness expenses; inclusion in contracts as benefits; biologically-based mental disorders; rape-related mental disorders; non-biologically-based mental disorders for children and adolescents under age 19 - Chapter 176A, Section 8A
  (a) A contract between a subscriber and the corporation under an individual or group hospital service plan which is issued or renewed within or without...
• Massachusetts General Laws - Repealed, 2000, 80, Sec. 5 - Chapter 176A, Section 8A1/2
  Repealed, 2000, 80, Sec.
• Massachusetts General Laws - Repealed, 2000, 80, Sec. 5 - Chapter 176A, Section 8A1/2
  Repealed, 2000, 80, Sec.
• Massachusetts General Laws - Dependent coverage for newborn infants or adoptive children; inclusion in contracts - Chapter 176A, Section 8B
  Any contract, which provides for dependent coverage, between a subscriber and the corporation under an individual or group hospital service plan which shall be delivered...
• Massachusetts General Laws - Refusal to contract with blind or deaf persons; prohibition - Chapter 176A, Section 8C
  No corporation subject to this chapter shall refuse for the reason of blindness or deafness, to contract with a subscriber an individual hospital service plan.
• Massachusetts General Laws - Limited extension of benefits - Chapter 176A, Section 8D
  Whenever a subscriber of a group non-profit hospital service contract, other than one authorized under the provisions of chapter thirty-two A or chapter thirty-two B,...
• Massachusetts General Laws - Diethylstilbestrol exposure; discrimination - Chapter 176A, Section 8E
  No contract between a subscriber and the corporation under an individual or group hospital service plan which shall be delivered or issued in the commonwealth...
• Massachusetts General Laws - Divorced or separated spouses; continuation of eligibility for benefits - Chapter 176A, Section 8F
  (a) In the event of the granting of a judgment absolute of divorce or of separate support to which a subscriber of a group nonprofit...
• Massachusetts General Laws - Cardiac rehabilitation expense benefits - Chapter 176A, Section 8G
  Any contract, except contracts providing supplemental coverage to medicare or other governmental programs, between a subscriber and the corporation under an individual or group hospital...
• Massachusetts General Laws - Prenatal, childbirth and postpartum care benefits; minimum coverage for in-patient care - Chapter 176A, Section 8H
  Any contract, except contracts providing supplemental coverage to medicare or other governmental programs, between a subscriber and the corporation under an individual or group hospital...
• Massachusetts General Laws - Home care benefits - Chapter 176A, Section 8I
  Any subscription certificate under a group nonprofit hospital service agreement, except certificates which provide supplemental coverage to medicare or other governmental programs which shall be...
• Massachusetts General Laws - Minimum requirements for cytologic screening and mammographic examination expense benefits - Chapter 176A, Section 8J
  Any contract, except contracts providing supplemental coverage to medicare or other governmental programs, between a subscriber and the corporation under an individual group hospital service...
• Massachusetts General Laws - Infertility diagnosis and treatment benefits - Chapter 176A, Section 8K
  Any contract, except contracts providing supplemental coverage to medicare or other governmental programs, between a subscriber and the corporation under an individual or group hospital...
• Massachusetts General Laws - Nonprescription enteral formulas for home use - Chapter 176A, Section 8L
  Any contract between a subscriber and the corporation under an individual or group hospital service plan that shall be delivered, issued or renewed in the...
• Massachusetts General Laws - Standardized claim form - Chapter 176A, Section 8M
  The commissioner of insurance is hereby directed to produce a standardized claim form to be utilized by all health insurance companies licensed to do business...
• Massachusetts General Laws - Off-label drug use; cancer - Chapter 176A, Section 8N
  Any contract between a subscriber and the corporation under an individual or group hospital service plan that shall be delivered, issued or renewed in the...
• Massachusetts General Laws - Hospital service plan benefits for bone marrow transplants - Chapter 176A, Section 8O
  Any contract between a subscriber and the corporation under an individual or group hospital service plan that shall be delivered, issued or renewed in the...
• Massachusetts General Laws - Items medically necessary for diagnosis and treatment of diabetes - Chapter 176A, Section 8P
  A contract between a subscriber and the corporation under an individual or group hospital service plan which provides hospital expense and surgical expense insurance, except...
• Massachusetts General Laws - HIV/AIDS treatment; off-label prescription drug coverage - Chapter 176A, Section 8Q
  Any contract between a subscriber and the corporation under an individual or group hospital service plan that shall be delivered, issued or renewed in the...
• Massachusetts General Laws - Coverage of hospice services for terminally ill patients - Chapter 176A, Section 8R
  Any contract between a subscriber and the corporation under an individual or group hospital service plan that shall be delivered, issued or renewed in the...
• Massachusetts General Laws - Nurse anesthetist and nurse practitioner services - Chapter 176A, Section 8S
  Any contract between a subscriber and the corporation under an individual or group hospital service plan delivered, issued or renewed in the commonwealth shall provide,...
• Massachusetts General Laws - Scalp hair prostheses necessary due to cancer or leukemia treatment - Chapter 176A, Section 8T
  (a) For the purpose of this section, the following words shall have the following meanings: “Prosthesis”, an artificial appliance used to replace a lost natural...
• Massachusetts General Laws - Emergency services provided to insureds for emergency medical conditions - Chapter 176A, Section 8U
  (a) As used in this section, the following words shall have the following meanings:- “Attending physician”, the emergency physician or consultant physician who actively treats...
• Massachusetts General Laws - Coverage for human leukocyte or histocompatibility locus antigen testing - Chapter 176A, Section 8V
  Any contract between a subscriber and the corporation under an individual or group hospital service plan, except contracts providing supplemental coverage to Medicare or to...
• Massachusetts General Laws - Outpatient services; hormone replacement therapy for peri and post menopausal women; contraceptive services; approved prescription contraceptive drugs and devices; exception - Chapter 176A, Section 8W
  (a) Any contract between a subscriber and the corporation under an individual or group hospital service plan that is delivered, issued or renewed within or...
• Massachusetts General Laws - Coverage for patient care services under qualified clinical trials - Chapter 176A, Section 8X
  Any contract between a subscriber and the corporation under an individual or group hospital service plan delivered or issued or renewed within the commonwealth shall...
• Massachusetts General Laws - Diagnosis and treatment of speech, hearing and language disorders - Chapter 176A, Section 8Y
  Any contract between a subscriber and the corporation under an individual or group hospital service plan that provides hospital expense and surgical expense insurance, delivered,...
• Massachusetts General Laws - Repealed, 2008, 451, Sec. 136 - Chapter 176A, Section 8Z
  Repealed, 2008, 451, Sec.
• Massachusetts General Laws - Coverage of prosthetic devices and repairs - Chapter 176A, Section 8AA
  (a) A contract between a subscriber and the corporation under an individual or group hospital service plan which provides hospital expense and surgical expense insurance,...
• Massachusetts General Laws - Coverage for persons under age 26 or for 2 years after end of calendar year in which persons last qualified as dependents - Chapter 176A, Section 8BB
  [ Text of section effective until January 1, 2014. For text effective January 1, 2014, see below.]Any subscription certificate under a group nonprofit hospital service...
• Massachusetts General Laws - Coverage for medically necessary hypodermic syringes or needles - Chapter 176A, Section 8CC
  No contract between a subscriber and the corporation under an individual or group hospital service plan which is delivered, issued or renewed in the commonwealth...
• Massachusetts General Laws - Coverage for diagnosis and treatment of autism spectrum disorder - Chapter 176A, Section 8DD
  (a) As used in this section the following words shall, unless the context clearly requires otherwise, have the following meanings:— “Actuary”, a person who is...
• Massachusetts General Laws - Coverage for children under age 18 for cleft lip and cleft palate - Chapter 176A, Section 8EE
  [Text of section applicable as provided by 2012, 234, Sec. 8.] A contract between a subscriber and the corporation under an individual or group hospital...
• Massachusetts General Laws - Coverage for orally administered anticancer medications - Chapter 176A, Section 8FF
  [Text of section applicable as provided by 2012, 403, Sec. 6.] Any contract between a subscriber and the corporation under an individual or group hospital...
• Massachusetts General Laws - Repealed, 1996, 297, Sec. 11 - Chapter 176A, Section 9
  Repealed, 1996, 297, Sec.
• Massachusetts General Laws - Group hospital service plan; approval or disapproval of contracts and rates; filing - Chapter 176A, Section 10
  Any plan whereby such a corporation agrees with a group of two or more persons or with the employer, employers or representatives of a group...
• Massachusetts General Laws - Preferred provider arrangements - Chapter 176A, Section 10A
  Other provisions of this chapter and chapter one hundred and seventy-six G notwithstanding, any nonprofit hospital service corporation, either individually or by contract with a...
• Massachusetts General Laws - Officers; duties - Chapter 176A, Section 11
  The president, vice-president, if any, the secretary, assistant secretary, if any, the treasurer, and assistant treasurer, if any, shall be annually sworn and their oaths...
• Massachusetts General Laws - Publication of assets and liabilities - Chapter 176A, Section 12
  When any such non-profit hospital service corporation publishes its assets it shall in the same connection and with equal conspicuousness publish its liabilities, both computed...
• Massachusetts General Laws - Hospitalization and medical service for officers and employees of corporation - Chapter 176A, Section 13
  Any non-profit hospital service corporation may provide for the issuance to its employees of hospital service coverage, medical service coverage, and reimbursement for other health...
• Massachusetts General Laws - Misrepresentation of terms of subscriber’s contract - Chapter 176A, Section 14
  No non-profit hospital service corporation, or any officer or agent thereof, shall make, issue, circulate or use, or cause or permit to be made, issued,...
• Massachusetts General Laws - [There is no 176A:14A.] - Chapter 176A, Section 14A
  [There is no
• Massachusetts General Laws - Disclosure of information; mental or nervous conditions; exceptions - Chapter 176A, Section 14B
  No nonprofit hospital service corporation may, without the express and informed written consent of its subscriber or a covered family member of its subscriber, disclose...
• Massachusetts General Laws - Costs of solicitation of subscribers and administration - Chapter 176A, Section 15
  Acquisition costs in connection with the solicitation of subscribers, and the cost of administration shall at all times be limited to such amounts as the...
• Massachusetts General Laws - Acquisition of real estate; leases; tax exemption; limit; approval of investments, sales, loans and places of deposit - Chapter 176A, Section 16
  With the approval of the commissioner of insurance, a corporation subject to this chapter, alone or with one or more nonprofit corporations, the real estate...
• Massachusetts General Laws - Submission of disputes and controversies - Chapter 176A, Section 17
  Any dispute arising between a corporation subject to this chapter, and any hospital with which such corporation has a contract for hospital service as authorized...
• Massachusetts General Laws - Annual statement of condition; verification, filing, form, violations - Chapter 176A, Section 18
  Every such corporation subject to this chapter shall annually, on or before the first day of March, file in the office of the commissioner of...
• Massachusetts General Laws - Financial statements; inclusion of electronic data processing equipment as asset - Chapter 176A, Section 18A
  In an account of its financial condition, a non-profit hospital service corporation may include as an asset available for the payment of losses electronic data...
• Massachusetts General Laws - Tax exemption - Chapter 176A, Section 19
  Every corporation subject to this chapter is hereby declared to be a charitable and benevolent corporation and its property shall be exempt from state, city,...
• Massachusetts General Laws - Filing of amendment of by-laws - Chapter 176A, Section 20
  Every non-profit hospital service corporation shall, within thirty days after the adoption of any amendment to its by-laws, file with the commissioner of insurance for...
• Massachusetts General Laws - Submission of advertising matter to commissioner - Chapter 176A, Section 21
  The commissioner of insurance may require any non-profit hospital service corporation to submit for his inspection copies of any circular or other advertising matter issued...
• Massachusetts General Laws - Filing of riders, endorsements and applications with commissioner - Chapter 176A, Section 22
  All provisions of this chapter relative to the filing of subscriber contract forms with, and the approval of such forms by, the commissioner of insurance...
• Massachusetts General Laws - Grounds for enjoining transaction of business; rehabilitation proceedings; duties of receiver; distribution of assets - Chapter 176A, Section 23
  If the commissioner of insurance, in this section called the commissioner, is satisfied, as to any corporation subject to this chapter that (1) it has...
• Massachusetts General Laws - Special contingent reserve fund - Chapter 176A, Section 24
  Every such corporation shall set aside at the end of each calendar year out of its surplus funds, if any, but not otherwise, a special...
• Massachusetts General Laws - Licensing of agents - Chapter 176A, Section 25
  Upon written notice by a non-profit hospital service corporation of its appointment of a person to act as its agent whose compensation in whole or...
• Massachusetts General Laws - Salaries, compensation or emoluments paid by corporation - Chapter 176A, Section 26
  No corporation subject to this chapter shall pay any salary, compensation or emolument to any officer, trustee or director thereof, nor any salary, compensation or...
• Massachusetts General Laws - Payroll deductions for governmental employees - Chapter 176A, Section 27
  The pertinent provisions of section one hundred and thirty-eight A of chapter one hundred and seventy-five shall apply to deductions on payroll schedules from the...
• Massachusetts General Laws - Repealed, 1955, 628, Sec. 3 - Chapter 176A, Section 27A
  Repealed, 1955, 628, Sec.
• Massachusetts General Laws - Violations; penalties - Chapter 176A, Section 28
  Whoever violates any provision of this chapter for which no other penalty is provided by law, shall be punished by a fine of not more...
• Massachusetts General Laws - Application - Chapter 176A, Section 29
  The provisions of this chapter shall be applicable on or after January first, nineteen hundred and fifty-one to all non-profit hospital service corporations heretofore or...
• Massachusetts General Laws - Savings clause - Chapter 176A, Section 30
  The invalidity of any section or provision of this chapter shall not invalidate any other section or provision thereof.
• Massachusetts General Laws - Contracts for administrative or other services; loans and investments - Chapter 176A, Section 31
  Any corporation subject to this chapter may contract with any person for the purpose of providing administrative or other services relating to the providing of...
• Massachusetts General Laws - Payment of sums owed to subscriber’s estate - Chapter 176A, Section 32
  A nonprofit hospital service corporation which, upon the death of a subscriber, owes the subscriber’s estate an aggregate sum not exceeding two thousand dollars under...
• Massachusetts General Laws - Insolvency of health maintenance organization; replacement coverage - Chapter 176A, Section 33
  (a) For purposes of this section, the following words shall, unless the context clearly requires otherwise, have the following meanings:— “Carrier”, a health maintenance organization...
• Massachusetts General Laws - Report of individuals provided with creditable coverage - Chapter 176A, Section 34
  Pursuant to section 8B of chapter 62C, any corporation subject to this chapter shall provide written statements to residents of the commonwealth for whom creditable...
• Massachusetts General Laws - [There is no 176A:35.] - Chapter 176A, Section 35
  [There is no
• Massachusetts General Laws - Attribution of members to a primary care provider - Chapter 176A, Section 36
  To the maximum extent possible, every non-profit hospital service corporation shall attribute every member to a primary care provider. Members may change their primary care...
• Massachusetts General Laws - Disclosure of patient-level data and contracted prices of individual health care services by carriers to providers - Chapter 176A, Section 37
  [Text of section added by 2012, 224, Sec. 165 effective October 1, 2013. See 2012, 224, Sec. 289.] To the extent permissible under applicable state...

Last modified: September 11, 2015