Commonwealth Health Insurance Connector Authority

Section 42: Expands the Commonwealth Health Connector Insurance Authority Board of Directors

Expands the Connector Board from 10 to 11 members to include a seat for a member of the Massachusetts chapter of the National Association of Health Underwriters to be appointed by the governor. The Commonwealth Health Connector is an independent public authority established under the 2006 health reform law (Chapter 58) to set health reform policies and offer subsidized coverage to low-income adults and allow for comparison and purchase of non-subsidized private health insurance plans to individuals and groups. The Secretary for Administration and Finance serves as chairperson. Each person appointed to the Board may serve a term of 3 years and may be eligible for reappointment.

Section 43: Requires Notice Before Implementation of Changes to MCC Standards

Requires that the Health Connector give at least 90 days notice to the legislature before implementing any changes to minimum creditable coverage standards.

In addition to establishing the standards for minimum creditable coverage, other responsibilities assigned to the Health Connector Board include offering insurance products to individuals and small businesses, publishing a schedule for premiums at which individuals of varying ages are eligible, and establishing a schedule for affordability to be used in enforcing the individual mandate based upon percentage of income eligible to be spent on health care.

Section 44: Health Connector Small Group Wellness Incentive Program

Directs the Health Connector, in coordination with the Department of Public Health, to create a small group wellness pilot program to encourage small businesses to implement employee wellness incentive programs. The Health Connector shall provide funding and technical assistance to eligible qualified small businesses for program implementation. Funding for the subsidy program is limited and subject to state appropriation, so the Health Connector may cap enrollment in the program if funds are insufficient to meet the costs of enrolling new employers.

The Health Connector must establish regulations necessary to implement this program and annually report to the legislature on the enrollment and impact of small group wellness incentive programs.