§ 1 Corporations governed by chapter; services received in nonparticipating hospital; substitution of benefits in nursing homes
§ 1A Right to become subscriber; open enrollment periods
§ 1B Medicare supplemental group coverage; medical assistance recipients
§ 1C Retroactive premium rate increase
§ 1D Contracts of reinsurance
§ 2 Incorporators; directors; certificate of organization; commissioner’s examination report
§ 3 Certificate of compliance; examination by commissioner
§ 3A Discrimination against abuse victims in terms of hospital service plans
§ 3B Medical service plans; genetic tests; discrimination based on genetic information
§ 4 Accounting system; accountant, claim manager, underwriter and actuary
§ 5 Joint administration with certain corporations
§ 6 Approval of nongroup contracts
§ 7 Information gathering authority of commissioner; confidentiality and privilege
§ 8 Conditions to issuance or delivery of contract
§ 8 1/2 Sale of group non-profit hospital service contracts
§ 8A Mental illness expenses; inclusion in contracts as benefits; biologically-based mental disorders; rape-related mental disorders; non-biologically-based mental disorders for children and adolescents under age 19
§ 8A3/4 Retroactive claims denials for behavioral health services
§ 8AA Coverage of prosthetic devices and repairs
§ 8B Dependent coverage for newborn infants or adoptive children; inclusion in contracts
§ 8BB Coverage for eligible dependents under 26 years of age or dependents mentally or physically incapable of earning their own living due to disability
§ 8C Refusal to contract with blind or deaf persons; prohibition
§ 8CC Coverage for medically necessary hypodermic syringes or needles
§ 8D Limited extension of benefits
§ 8DD Coverage for diagnosis and treatment of autism spectrum disorder
§ 8E Diethylstilbestrol exposure; discrimination
§ 8EE Coverage for children under age 18 for cleft lip and cleft palate
§ 8F Divorced or separated spouses; continuation of eligibility for benefits
§ 8FF Coverage for orally administered anticancer medications
§ 8G Cardiac rehabilitation expense benefits
§ 8GG Coverage for abuse deterrent opioid drug products
§ 8H Abortion, abortion-related care, prenatal, childbirth and postpartum care benefits; minimum coverage for in-patient care
§ 8HH Preauthorization for substance abuse treatment not to be required
§ 8I Home care benefits
§ 8II Coverage for medically necessary acute treatment or clinical stabilization services
§ 8J Minimum requirements for cytologic screening and mammographic examination expense benefits
§ 8K Infertility diagnosis and treatment benefits
§ 8KK Coverage for medical or drug treatments to correct or repair disturbances of body composition caused by HIV associated lipodystrophy syndrome
§ 8L Nonprescription enteral formulas for home use
§ 8LL Filling of remaining portion of prescription for covered drug that is a narcotic substance earlier filled in lesser quantity
§ 8M Standardized claim form
§ 8MM Pain management access plans
§ 8N Off-label drug use; cancer
§ 8NN Coverage for tobacco use cessation counseling and tobacco cessation products
§ 😯 Hospital service plan benefits for bone marrow transplants
§ 8OO Coverage for treatment of pediatric autoimmune neuropsychiatric disorders associated with streptococcal infections and pediatric acute-onset neuropsychiatric syndrome
§ 8P Items medically necessary for diagnosis and treatment of diabetes
§ 8Q HIV/AIDS treatment; off-label prescription drug coverage
§ 8QQ Coverage for prescription eye drops
§ 8R Coverage of hospice services for terminally ill patients
§ 8RR Coverage for mental health or substance use disorder services delivered through psychiatric collaborative care model
§ 8S Nurse anesthetist and nurse practitioner services
§ 8SS Coverage for medically necessary mental health acute treatment, community-based acute treatment and intensive community-based acute treatment
§ 8T Scalp hair prostheses necessary due to cancer or leukemia treatment
§ 8TT Benefits for medically necessary emergency services programs
§ 8U Emergency services provided to insureds for emergency medical conditions
§ 8UU Coverage for annual mental health wellness examination
§ 8V Coverage for human leukocyte or histocompatibility locus antigen testing
§ 8VV Coverage for federally-defined preventive services
§ 8W Outpatient services; hormone replacement therapy for peri and post menopausal women; contraceptive services; approved prescription contraceptive drugs and devices; exception
§ 8X Coverage for patient care services under qualified clinical trials
§ 8Y Diagnosis and treatment of speech, hearing and language disorders
§ 10 Group hospital service plan; approval or disapproval of contracts and rates; filing
§ 10A Preferred provider arrangements
§ 11 Officers; duties
§ 12 Publication of assets and liabilities
§ 13 Hospitalization and medical service for officers and employees of corporation
§ 14 Misrepresentation of terms of subscriber’s contract
§ 14B Disclosure of information; mental or nervous conditions; exceptions
§ 15 Costs of solicitation of subscribers and administration
§ 16 Acquisition of real estate; leases; tax exemption; limit; approval of investments, sales, loans and places of deposit
§ 17 Submission of disputes and controversies
§ 18 Annual statement of condition; verification, filing, form, violations; applicability of chapters 176V and 176W
§ 18A Financial statements; inclusion of electronic data processing equipment as asset
§ 19 Tax exemption
§ 20 Filing of amendment of by-laws
§ 21 Submission of advertising matter to commissioner
§ 22 Filing of riders, endorsements and applications with commissioner
§ 23 Grounds for enjoining transaction of business; rehabilitation proceedings; duties of receiver; distribution of assets
§ 24 Special contingent reserve fund
§ 25 Licensing of agents
§ 26 Salaries, compensation or emoluments paid by corporation
§ 27 Payroll deductions for governmental employees
§ 28 Violations; penalties
§ 29 Application
§ 30 Savings clause
§ 31 Contracts for administrative or other services; loans and investments
§ 32 Payment of sums owed to subscriber’s estate
§ 33 Insolvency of health maintenance organization; replacement coverage
§ 34 Report of individuals provided with creditable coverage
§ 36 Attribution of members to a primary care provider
§ 37 Disclosure of patient-level data and contracted prices of individual health care services by carriers to providers
§ 38 Coverage for health care services delivered via telehealth by a contracted health care provider
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Terms Used In Massachusetts General Laws > Chapter 176A - Non&Ndash;Profit Hospital Service Corporations

  • Affidavit: A written statement of facts confirmed by the oath of the party making it, before a notary or officer having authority to administer oaths.
  • Amendment: A proposal to alter the text of a pending bill or other measure by striking out some of it, by inserting new language, or both. Before an amendment becomes part of the measure, thelegislature must agree to it.
  • Amortization: Paying off a loan by regular installments.
  • Appeal: A request made after a trial, asking another court (usually the court of appeals) to decide whether the trial was conducted properly. To make such a request is "to appeal" or "to take an appeal." One who appeals is called the appellant.
  • Assets: (1) The property comprising the estate of a deceased person, or (2) the property in a trust account.
  • Bankruptcy: Refers to statutes and judicial proceedings involving persons or businesses that cannot pay their debts and seek the assistance of the court in getting a fresh start. Under the protection of the bankruptcy court, debtors may discharge their debts, perhaps by paying a portion of each debt. Bankruptcy judges preside over these proceedings.
  • Baseline: Projection of the receipts, outlays, and other budget amounts that would ensue in the future without any change in existing policy. Baseline projections are used to gauge the extent to which proposed legislation, if enacted into law, would alter current spending and revenue levels.
  • Complaint: A written statement by the plaintiff stating the wrongs allegedly committed by the defendant.
  • Continuance: Putting off of a hearing ot trial until a later time.
  • Contract: A legal written agreement that becomes binding when signed.
  • Corporation: A legal entity owned by the holders of shares of stock that have been issued, and that can own, receive, and transfer property, and carry on business in its own name.
  • Dependent: A person dependent for support upon another.
  • Discovery: Lawyers' examination, before trial, of facts and documents in possession of the opponents to help the lawyers prepare for trial.
  • Donor: The person who makes a gift.
  • Entitlement: A Federal program or provision of law that requires payments to any person or unit of government that meets the eligibility criteria established by law. Entitlements constitute a binding obligation on the part of the Federal Government, and eligible recipients have legal recourse if the obligation is not fulfilled. Social Security and veterans' compensation and pensions are examples of entitlement programs.
  • Evidence: Information presented in testimony or in documents that is used to persuade the fact finder (judge or jury) to decide the case for one side or the other.
  • Executor: A male person named in a will to carry out the decedent
  • Finance charge: The total cost of credit a customer must pay on a consumer loan, including interest. The Truth in Lending Act requires disclosure of the finance charge. Source: OCC
  • Fraud: Intentional deception resulting in injury to another.
  • Guardian: A person legally empowered and charged with the duty of taking care of and managing the property of another person who because of age, intellect, or health, is incapable of managing his (her) own affairs.
  • Injunction: An order of the court prohibiting (or compelling) the performance of a specific act to prevent irreparable damage or injury.
  • Jurisdiction: (1) The legal authority of a court to hear and decide a case. Concurrent jurisdiction exists when two courts have simultaneous responsibility for the same case. (2) The geographic area over which the court has authority to decide cases.
  • Liabilities: The aggregate of all debts and other legal obligations of a particular person or legal entity.
  • Oath: A promise to tell the truth.
  • Obligation: An order placed, contract awarded, service received, or similar transaction during a given period that will require payments during the same or a future period.
  • Other entity: includes a domestic or foreign nonprofit corporation. See Massachusetts General Laws ch. 156D sec. 11.01
  • Subpoena: A command to a witness to appear and give testimony.
  • Summons: Another word for subpoena used by the criminal justice system.
  • Testify: Answer questions in court.
  • Trustee: A person or institution holding and administering property in trust.