Section 152.09 - Plan Reporting for Limited, Regional and Tiered Provider Network PlansCarriers shall submit to the Division by April 30th of each year information identifying the prior year's utilization trends of employers and individuals enrolled in the Carrier's Limited Provider Network plans and Tiered Provider Network plans. The information shall be submitted in a format and according to specifications identified by the Commissioner, which shall include, but shall not be limited to:
(a) The number of Insureds enrolled by plan type;(b) Aggregate demographic and geographic information on all Insureds;(c) Direct premium claims incurred as defined in M.G.L. c. 176J, § 6 for the Carrier's Limited Provider Network plans and Tiered Provider Network plans as compared to direct premium claims incurred for the Carrier's non-tiered and non-Limited plans;(d) Utilization by tier during the plan year; and(e) Requests by Insureds enrolled in Limited Provider Network plans for out-of-network coverage within the plan year.