Chapter 176j - Small Group Health Insurance

Section 1 - Definitions
Section 2 - Application of Chapter
Section 3 - Individual and Small Group Plans; Group Base Premium Rate; Filing Plan With Connector; Investigation of Deviations From Group Base Premium Rate
Section 4 - Carriers to Make Health Benefit Plans Available; Renewal of Plans
Section 5 - Exclusion of Eligible Individuals
Section 6 - Approval of Health Insurance Policies; Eligibility Criteria; Submission of Information; Approval of Changes to Small Group Product Base Rates or Rating Factors
Section 7 - Disclosure by Carriers
Section 8 - Transitional Reinsurance Program
Section 9 - Continuous Coverage
Section 10 - Young Adult Health Benefit Plans; Coverage Requirements; Premiums
Section 11 - Reduced or Selective Network Plans; Tiered Network Plans; Smart Tiering Plans
Section 11a - Continuing Coverage for Active Course of Treatment for Serious Disease Begun Prior to Enrollment in Reduced or Selective Network Plan or Tiered Network Plan
Section 12 - Small Business Group Purchasing Cooperatives; Regulations Governing Establishment, Oversight and Certification
Section 13 - Filing of Health Benefit Plan Proposals for Consideration Upon Request of Group Purchasing Cooperative
Section 14 - Coverage of Medically Necessary and Covered Services Otherwise Unavailable Within Carrier's Provider Network
Section 15 - Display by Insurer Offering Tiered Network Plan of Cost-Sharing Differences for Enrollees in Various Tiers in Promotional and Agreement Material
Section 16 - Attribution of Members to a Primary Care Provider
Section 17 - Disclosure of Patient-Level Data and Contracted Prices of Individual Health Care Services by Carriers to Providers