General Laws of Massachusetts - Chapter 176B Medical Service Corporations
- Massachusetts General Laws - Definitions - Chapter 176B, Section 1
In this chapter the following words shall have the following meanings: “Certified nurse midwife”, a nurse midwife authorized to practice midwifery in the commonwealth by...
- Massachusetts General Laws - Incorporators; formation; articles of organization; certification - Chapter 176B, Section 2
For the purpose of establishing, maintaining and operating a non-profit medical service plan, seven or more persons may form a medical service corporation. Such a...
- Massachusetts General Laws - By-laws; joint service contracts; preferred provider arrangements - Chapter 176B, Section 3
The by-laws of a medical service corporation may contain any lawful provisions approved by the commissioner, and shall provide that a majority of the incorporators...
- Massachusetts General Laws - Contracts of reinsurance - Chapter 176B, Section 3A
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 - Group medical service agreements; contribution percentages - Chapter 176B, Section 3B
A medical service corporation organized under this chapter may only enter into a group medical service agreement with an employer if the group medical service...
- Massachusetts General Laws - Contracts for medical, chiropractic, visual, surgical, and other health services; approval, subscription certificates; classification of risks - Chapter 176B, Section 4
Any medical service corporation may enter into contracts with its subscribers, and with participating physicians, chiropractors, nurse midwives, optometrists, dentists, podiatrists, psychologists, licensed independent clinical...
- Massachusetts General Laws - Mental illness expenses; inclusion as benefits; biologically-based mental disorders; rape-related mental disorders; non-biologically-based mental disorders of children and adolescents under age 19 - Chapter 176B, Section 4A
(a) A subscription certificate under an individual or group medical service agreement which is issued or renewed within or without the commonwealth shall provide mental...
- Massachusetts General Laws - Repealed, 2008, 256, Sec. 12 - Chapter 176B, Section 4A1/2
Repealed, 2008, 256, Sec.
- Massachusetts General Laws - Repealed, 2000, 80, Sec. 7 - Chapter 176B, Section 4B
Repealed, 2000, 80, Sec.
- Massachusetts General Laws - Dependent coverage for newborn infants or adoptive children; inclusion of medical expenses as benefits - Chapter 176B, Section 4C
Any subscription certificate, which provides for dependent coverage, under an individual or group medical service agreement which shall be delivered or issued for delivery or...
- Massachusetts General Laws - Refusal to contract with blind or deaf persons; prohibition - Chapter 176B, Section 4D
No corporation subject to this chapter shall refuse for the reason of blindness or deafness, to contract with a subscriber a subscription certificate under an...
- Massachusetts General Laws - Diethylstilbestrol exposure; discrimination - Chapter 176B, Section 4E
No subscription certificate under an individual or group medical service agreement which shall be delivered or issued or renewed in the commonwealth shall be denied...
- Massachusetts General Laws - Cardiac rehabilitation expense benefits - Chapter 176B, Section 4F
Any subscription certificate under an individual or group medical service agreement, except certificates which provide supplemental coverage to medicare or other governmental programs, which shall...
- Massachusetts General Laws - Certified nurse midwife services benefits - Chapter 176B, Section 4G
Any subscription certificate under an individual or group medical service agreement which shall be delivered or issued or renewed in this commonwealth shall provide as...
- Massachusetts General Laws - Prenatal, childbirth and postpartum care benefits; minimum coverage for in-patient care - Chapter 176B, Section 4H
Any subscription certificate under an individual or group medical service agreement, except certificates which provide supplemental coverage to medicare or other governmental programs, which shall...
- Massachusetts General Laws - Cytologic screening and mammographic examination benefits - Chapter 176B, Section 4I
Any subscription certificate under an individual or group medical service agreement, except certificates which provide supplemental coverage to Medicare or other governmental programs, which shall...
- Massachusetts General Laws - Infertility diagnosis and treatment benefits - Chapter 176B, Section 4J
Any subscription certificate under an individual or group medical service agreement, except certificates which provide supplemental coverage to medicare or other governmental programs, which is...
- Massachusetts General Laws - Nonprescription enteral formulas for home use - Chapter 176B, Section 4K
Any subscription certificate under an individual or group medical service agreement that shall be delivered, issued or renewed in the commonwealth shall provide, as benefits...
- Massachusetts General Laws - Chiropractic services benefits - Chapter 176B, Section 4L
Any subscription certificate under an individual or group medical service agreement which shall be delivered or issued or renewed in the commonwealth shall provide as...
- Massachusetts General Laws - Standardized claim form - Chapter 176B, Section 4M
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 176B, Section 4N
Any subscription certificate under an individual or group medical service agreement that shall be delivered, issued or renewed in the commonwealth which provides coverage for...
- Massachusetts General Laws - Medical service agreement coverage for bone marrow transplants - Chapter 176B, Section 4O
Any subscription certificate under an individual or group medical service agreement that shall be delivered, issued or renewed in the commonwealth shall provide as a...
- Massachusetts General Laws - Off-label use of prescription drugs for HIV/AIDS treatment - Chapter 176B, Section 4P
Any subscription certificate under individual or group medical service agreement that shall be delivered, issued or renewed in the commonwealth which provides coverage for prescription...
- Massachusetts General Laws - Coverage for licensed hospice services - Chapter 176B, Section 4Q
Any subscription certificate under an individual or group medical service agreement that shall be delivered, issued or renewed in the commonwealth shall provide as a...
- Massachusetts General Laws - Scalp hair prostheses necessary due to cancer or leukemia treatment - Chapter 176B, Section 4R
(a) For the purposes of this section, the following words shall have the following meanings: “Prosthesis”, an artificial appliance used to replace a lost natural...
- Massachusetts General Laws - Items medically necessary for diagnosis and treatment of diabetes - Chapter 176B, Section 4S
A subscription certificate under an individual or group medical service agreement which provides hospital expense and surgical expense insurance, except certificates which provide supplemental coverage...
- Massachusetts General Laws - Subscription certificate benefits for services rendered by a nurse anesthetist or nurse practitioner - Chapter 176B, Section 4T
Any subscription certificate under an individual or group medical service agreement delivered, issued or renewed in the commonwealth shall provide as benefits to all individual...
- Massachusetts General Laws - Emergency services provided to insureds for emergency medical conditions - Chapter 176B, Section 4U
(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 176B, Section 4V
Any subscription certificate under an individual or group medical service agreement, except certificates providing supplemental coverage to Medicare or to other government programs, delivered, issued...
- Massachusetts General Laws - Outpatient services; hormone replacement therapy for peri and post menopausal women; contraceptive services; approved prescription contraceptive drugs or devises; exception - Chapter 176B, Section 4W
(a) Any subscription certificate under an individual or group medical service agreement that is delivered, issued or renewed within or without the commonwealth and that...
- Massachusetts General Laws - Coverage for patient care services provided under qualified clinical trials - Chapter 176B, Section 4X
Any subscription certificate under an individual or group medical service agreement delivered, issued or renewed within the commonwealth shall provide for the coverage of patient...
- Massachusetts General Laws - Coverage for speech, hearing and language disorders - Chapter 176B, Section 4Y
Any subscription certificate under an individual or group medical service agreement which provides hospital expense and surgical expense insurance, delivered, issued or renewed by agreement...
- Massachusetts General Laws - Repealed, 2008, 451, Sec. 138 - Chapter 176B, Section 4Z
Repealed, 2008, 451, Sec.
- Massachusetts General Laws - Coverage for prosthetic devices and repairs - Chapter 176B, Section 4AA
(a) Any subscription certificate under an individual or group medical service agreement, except certificates which provide supplemental coverage to Medicare or other governmental programs that...
- 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 176B, Section 4BB
[ Text of section effective until January 1, 2014. For text effective January 1, 2014, see below.]Any subscription certificate under an individual or group medical...
- Massachusetts General Laws - Coverage for medically necessary hypodermic syringes or needles - Chapter 176B, Section 4CC
No subscription certificate under an individual or group medical service agreement, delivered, issued or renewed in the commonwealth shall restrict or discontinue coverage for medically...
- Massachusetts General Laws - Coverage for diagnosis and treatment of autism spectrum disorder - Chapter 176B, Section 4DD
(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 21 years of age or younger for hearing aids and related services - Chapter 176B, Section 4EE
[Text of section added by 2012, 233, Sec. 4 applicable as provided by 2012, 233, Sec. 6. See also, Section 4EE added by 2012, 234,...
- Massachusetts General Laws - Coverage for orally administered anticancer medications - Chapter 176B, Section 4FF
[Text of section applicable as provided by 2012, 403, Sec. 6.] Any subscription certificate under an individual or group medical service agreement delivered, issued or...
- Massachusetts General Laws - Subscribers; qualifications, misrepresentation; open enrollment periods - Chapter 176B, Section 5
Any person residing in the commonwealth shall have the right to become a subscriber of a medical service corporation if his qualifications meet those specified...
- Massachusetts General Laws - Discrimination against abuse victims in terms of medical service plans - Chapter 176B, Section 5A
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 176B, Section 5B
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 - Subscription certificate; issuance; content - Chapter 176B, Section 6
No subscription certificate shall be issued unless it contains in substance the following provisions: (a) A statement of the medical service to be paid for...
- Massachusetts General Laws - Limited extension of benefits - Chapter 176B, Section 6A
Whenever a subscriber of a group non-profit medical service plan, other than the one authorized under the provisions of chapter thirty-two A or chapter thirty-two...
- Massachusetts General Laws - Divorced or separated spouses; continuation of eligibility for benefits - Chapter 176B, Section 6B
(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 - Contracts between corporation and care providers - Chapter 176B, Section 7
Every registered physician, chiropractor and nurse midwife shall have the right, on complying with such rules and regulations as the corporation may make, to enter...
- Massachusetts General Laws - Medicare supplemental group coverage; eligibility due to age or disability - Chapter 176B, Section 7A
Any person who is eligible for Medicare coverage for both hospital and physician service due to age or disability, other than end-stage renal disease, shall...
- Massachusetts General Laws - Medicare supplemental group coverage; medical assistance recipients - Chapter 176B, Section 7B
A medical service corporation governed by this chapter shall offer medicare supplemental group coverage to that group of medical assistance recipients designated from time to...
- Massachusetts General Laws - Retroactive premium rate increase - Chapter 176B, Section 7C
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 - Annual statement; verification, form, violations - Chapter 176B, Section 8
Every medical service corporation shall annually, on or before the first day of March, file in the office of the commissioner a statement, verified by...
- Massachusetts General Laws - Financial statements; inclusion of electronic data processing equipment as asset - Chapter 176B, Section 8A
In an account of its financial condition, a medical service corporation may include as an asset available for the payment of losses electronic data processing...
- Massachusetts General Laws - Inspection and examination of affairs of corporation; inability to pay providers; pro rata payments; termination of contract - Chapter 176B, Section 9
The commissioner, or any deputy examiner or any other person designated by the commissioner, shall, at least once in three years, and whenever the commissioner...
- Massachusetts General Laws - Investments, sales, loans and places of deposit; approval; acquisition of real estate; leases; tax exemption; limit; special contingent surplus - Chapter 176B, Section 10
No investment, sale or loan shall be made by a medical service corporation which has not first been authorized by the board of directors, or...
- Massachusetts General Laws - Salaries, compensation or emoluments - Chapter 176B, Section 11
No medical service corporation shall pay any salary, compensation or emolument to any officer, trustee or director thereof, nor any salary, compensation or emolument amounting...
- Massachusetts General Laws - Submission of disputes or controversies to board; privacy of patient information - Chapter 176B, Section 12
Any dispute or controversy arising between a medical service corporation and any participating physician, participating chiropractor, or any other participating provider of health services licensed...
- Massachusetts General Laws - Grounds for enjoining transaction of business; receivers - Chapter 176B, Section 13
If the commissioner is satisfied, as to any medical service corporation, that (1) it has failed to comply with the provisions of its charter, or...
- Massachusetts General Laws - Liability of corporation; exemption from insurance laws; tax exemption - Chapter 176B, Section 14
Every medical service corporation is hereby declared to be a charitable corporation. No such corporation shall be liable for injuries resulting from negligence or malpractice...
- Massachusetts General Laws - Repealed, 1951, 797 - Chapter 176B, Section 15
Repealed, 1951,
- Massachusetts General Laws - Operators of medical service plan - Chapter 176B, Section 16
It shall be unlawful for any person, firm, corporation or association, except a medical service corporation, to establish, maintain or operate a non-profit medical service...
- Massachusetts General Laws - Payroll deductions of governmental employees - Chapter 176B, Section 16A
The pertinent provisions of section one hundred and thirty-eight A of chapter one hundred and seventy-five shall apply to deductions on pay-roll schedules from the...
- Massachusetts General Laws - Enforcement - Chapter 176B, Section 17
The provisions of this chapter may be enforced by a bill in equity brought in the supreme judicial court by the commissioner, the attorney general,...
- Massachusetts General Laws - Contracts for administrative or other services; loans and investments - Chapter 176B, Section 18
Any medical service corporation may contract with any person for the purpose of providing administrative or other services relating to the providing of medical or...
- Massachusetts General Laws - Payment of sums owed subscriber’s estate - Chapter 176B, Section 19
A medical service corporation which, upon the death of a subscriber, owes the subscriber’s estate an aggregate sum not exceeding two thousand dollars under any...
- Massachusetts General Laws - Disclosure of information; mental or nervous condition - Chapter 176B, Section 20
No medical service corporation may, without the express and informed written consent of its subscriber or a covered family member of its subscriber, disclose any...
- Massachusetts General Laws - Insolvency of health maintenance organization; replacement coverage - Chapter 176B, Section 21
(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 - Statement provided to individuals provided with creditable coverage; report - Chapter 176B, Section 22
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 - Attribution of members to a primary care provider - Chapter 176B, Section 23
To the maximum extent possible, every medical service corporation shall attribute every member to a primary care provider. Members may change their primary care provider,...
- Massachusetts General Laws - Disclosure of patient-level data and contracted prices of individual health care services by carriers to providers - Chapter 176B, Section 24
[Text of section added by 2012, 224, Sec. 169 effective October 1, 2013. See 2012, 224, Sec. 290.] To the extent permissible under applicable state...
Last modified: September 11, 2015