Minimum Creditable Coverage

Chapter 111M provides for the individual mandate to have health insurance coverage. Section 1 provides definitions of "creditable coverage," which also provides that the board of the Connector has authority to further determine "minimum creditable coverage" standards for individual and group health plans; and defines "resident" for purposes of the individual mandate.
Establishes an exemption from the individual mandate for individuals whose religious beliefs prevent them from using medical health care.
Individuals may appeal an adverse decision of eligibility or affordability through an appeals process established by the Connector.

Establishes the procedure for implementation of the individual mandate. Qualifying individuals for whom "creditable coverage" is deemed affordable must have "creditable coverage" in place. Individuals must include information about health insurance status on their tax forms. Failure to meet the insurance requirement will result in a penalty, assessed by the department of revenue. All penalties will be deposited in the Commonwealth Care Trust Fund that will contribute to state subsidies for the Commonwealth Care program. • Creates a penalty for non-compliance with the individual mandate as equal to 50% of the lowest premium available for each month the individual did not have creditable insurance, as determined by the Connector.

Requires commercial insurers to provide written statements verifying that a health plan provides creditable coverage to both the insured and the Commissioner of Revenue.
Requires insurers to provide written statements verifying that a health plan provides creditable coverage to both the insured and to the commissioner of revenue.
Requires HMO plan carriers to provide written statements verifying that a health plan provides creditable coverage to both the insured and to the commissioner of revenue.
Declares a legislative policy to not add new mandated insurance benefits until 2008.