956 CMR, § 8.07

Current through Register 1530, September 13, 2024
Section 8.07 - Reporting
(1) By May 1st of each year, each School must report to the Connector, in a manner specified by the Connector, the following information:
(a) the total number of Students enrolled in the School who are required to participate in their School's Student Health Insurance Program or in a Health Benefit Plan with comparable coverage for the current School Year;
(b) from the total number reported in 956 CMR 8.07(1)(a), the number who have waived participation in their School's Student Health Insurance Program pursuant to 956 CMR 8.05 for the current School Year; and
(c) performance metrics, such as medical and administrative costs, the number of claim denials and grievances, medical loss ratios, and other administration and performance measures as specified by the Connector, pertaining to the Student Health Insurance Program for the previous School Year.
(d) the following information for the current School Year:
1. the name of the Carrier underwriting the School's Student Health Insurance Program;
2. the premium cost per Student per year for the School's Student Health Insurance Program;
3. any other health-related charges or fees assessed to Students; and
4. a description of the benefits, benefit levels, exclusions, limitations, and other important terms and conditions of the School's Student Health Insurance Program through the submission of marketing materials and the Evidence of Coverage for the School's Student Health Insurance Program, provided that the Evidence of Coverage has been approved by the Division of Insurance, and submission of the benefit information. If the Evidence of Coverage has not been approved by the Division of Insurance, the School must submit the Evidence of Coverage within seven days of receiving approval from the Division of Insurance.
(2) Each School shall provide to the Connector such additional information, data and materials as the Connector may request from time to time in connection with implementation of 956 CMR 8.00.

956 CMR, § 8.07