Section 101 (Part 4): Authoirze Sub-Connectors
Specifies that the Connector will offer products to eligible individuals and small groups.
Specifies that the Connector will offer products to eligible individuals and small groups.
Authorizes the Connector Board to offer insurance products to individuals and small businesses, publish a schedule for premiums at which individuals of varying ages are eligible, and establish a schedule for affordability to be used in enforcing the individual mandate based upon percentage of income eligible to be spent on health care.
Establishes the Connector as an authority within the Executive Office of Administration and Finance. Establishes the governance of the Connector by the 10-member board, chaired by the Secretary of Administration and Finance. The board is made up of 4 state officials and 6 citizens.
Provides definitions for statute establishing the Connector.
Prevents insurance policies from excluding individuals based on age, occupation, health condition, claims experience, duration of coverage or medical condition. • Establishes a maximum waiting period on an individual to 4 months, with the exception of emergency services, for pre-existing conditions that were medically diagnosed or treated only if the individual has been without creditable coverage for more than 18 months before enrolling in the health plan. Late enrollees may not be excluded from a health plan for more than 12 months. • Pregnancy existing on the date of enrollment is not included as a preexisting condition.
Provides definitions for sections 96, 97, 98, 99, 100 of Chapter 58 of the Acts of 2006.
Directs governing committee of non-group health reinsurance plan to propose a phase-out plan.
Creates a special commission to study reducing or eliminating the payor assessment paid by insurers and self-insured employers for the Health Safety Net.
Prevents insurance carriers from excluding an eligible individual or an eligible dependent, who applied for a health plan within 63 days of termination of prior creditable coverage, from a plan or impose a pre-existing condition exclusion or waiting period in any health plan if the individual meets the following criteria: the individual had 18 or more months of continuous credible coverage before applying, is not eligible for a group plan, and does not have other health insurance coverage. If an eligible individual does not meet the above-mentioned criteria, a carrier may subject the individual to a 6 month waiting period for pre-existing conditions with the exception of emergency services.
Provides definitions pertaining to merger of individual and small group health insurance markets.