reglab/housing_qa huggingface dataset:
MA Gen L ch 176g § 20 (2021)
2021 Massachusetts General Laws|Part I - Administration of the Government|Title XXII - Corporations|Chapter 176g - Health Maintenance Organizations|Section 20 - Insolvent Health Maintenance Organization; Administrative Supervision, Rehabilitation or Liquidation; Priority of Claims

Section 20. Any administrative supervision, rehabilitation or liquidation of a health maintenance organization shall be deemed to be the administrative supervision, rehabilitation or liquidation of an insurance company and shall be instituted on the grounds contained in and conducted pursuant to sections 6, 46, 46A, 178, 179, 180 and 180A to 180L, inclusive, of chapter 175, and sections 20A and 29 of chapter 176G, except as provided in this section and may include, but not be limited to any ground identified in section 20A and in chapter 175J. Members shall have the same priority in the event of rehabilitation or liquidation as the law provides to policyholders of an insurer.  For the purpose of determining the priority of distribution of general assets, claims of members and members' beneficiaries shall have the same priority as established by section 180F of chapter 175 for policyholders, beneficiaries and insureds of insurance companies. If a member is liable to any provider for services provided pursuant to and covered by the health maintenance organization, that liability shall have the status of a member in the distribution of general assets.  Any provider who is obligated by statute or agreement to hold members harmless from liability for services provided pursuant to and covered by a health maintenance contract shall have a priority of distribution of the general assets immediately following that of members as described in this section.
MA Gen L ch 176g § 21 (2021)
2021 Massachusetts General Laws|Part I - Administration of the Government|Title XXII - Corporations|Chapter 176g - Health Maintenance Organizations|Section 21 - Participating Provider; Contracts With Health Maintenance Organizations; Hold Harmless Clause; Limitation on Collection Actions

Section 21. (a) For purposes of this section, ''participating provider'' shall mean any physician, hospital or other person who, under an express or implied contract with the health maintenance organization or with its contractor or subcontractor, has agreed to provide health care services to members with an expectation of receiving payment, other than co-payment, co-insurance or deductible, directly or indirectly from the health maintenance organization, its contractor or subcontractor.  (b) Every contract between a health maintenance organization and a participating provider shall be in writing and shall contain the following hold harmless provision:  The provider agrees that in no event, including but not limited to nonpayment by the health maintenance organization of amounts due the provider under this contract, insolvency of the health maintenance organization or any breach of this contract by the health maintenance organization, shall the provider or its assignees or subcontractors have a right to seek any type of payment from, bill, charge, collect a deposit from, or have any recourse against, the member, persons acting on the member's behalf, other than the health maintenance organization, the employer or the group health maintenance contract holder for services provided pursuant to this contract except for the payment of applicable co-payment, co-insurance or deductibles for services covered by the health maintenance organization. The requirements of this provision shall survive any termination of this contract for services rendered prior to the termination, regardless of the cause of such termination. The health maintenance organization's members, any persons acting on the member's behalf, other than the health maintenance organization, and the employer or group health maintenance contract-holder shall be third-party beneficiaries of this clause. This provision supercedes any oral or written agreement hereafter entered into between the provider and the member, persons acting on the member's behalf, other than the health maintenance organization, and the employer or group health maintenance contract holder.  (c) In the event that the participating provider contract has not been reduced to writing as required by subsection (b) or that the contract fails to contain the required hold harmless provision, such provision shall be deemed incorporated into such contract by operation of law.  (d) No participating provider, agent, trustee or assignee thereof, may maintain any action at law against a member to collect sums owed by the health maintenance organization.
MA Gen L ch 176g § 22 (2021)
2021 Massachusetts General Laws|Part I - Administration of the Government|Title XXII - Corporations|Chapter 176g - Health Maintenance Organizations|Section 22 - Health Care Providers; Liability of Member of Health Maintenance Organization; Limitation on Collection of Amounts Owed

Section 22. (a) For purposes of this section, ''health care provider'' shall mean any physician, hospital or other person furnishing health services who has provided such services to members under an express or implied contract or with an expectation of receiving payment, other than co-payment, deductible or co-insurance, directly or indirectly from the health maintenance organization.  (b) In addition to the provisions of section 21, in the event of the insolvency of a health maintenance organization:  (1) a member of a health maintenance organization shall not be liable to any health care provider for any covered health services provided to the member, except as provided in subsection (c);  (2) a health care provider or any representative of a health care provider may not collect or attempt to collect from a member money owed to the health care provider by a health maintenance organization;  (3) a health care provider or any representative of a health care provider may not maintain any action against a member to collect or attempt to collect any money owed to the health care provider by a health maintenance organization.  (c) Notwithstanding any other provision of this section, a health care provider or representative of a health care provider may collect or attempt to collect from a member:  (1) a co-payment, deductible, or co-insurance amounts owed by the member to the health care provider for covered services provided by the health care provider, or  (2) a payment or charges for services not covered under the member's health maintenance contract.
MA Gen L ch 176g § 24 (2021)
2021 Massachusetts General Laws|Part I - Administration of the Government|Title XXII - Corporations|Chapter 176g - Health Maintenance Organizations|Section 24 - Health Maintenance Contracts; Genetic Tests; Discrimination Based on Genetic Information

Section 24. For the purposes of this section the following words shall have the following meanings:—  ''Genetic information'', any written recorded individually identifiable result of a genetic test as defined by this section or explanation of such a result.  ''Genetic test'', a test of human DNA, RNA, mitochondrial DNA, chromosomes or proteins for the purpose of identifying the genes, or genetic abnormalities, or the presence or absence of inherited or acquired characteristics in genetic material.  No health maintenance organization subject to this chapter, and no officer or agent thereof, shall cancel, refuse to issue or renew, or in any way make or permit any distinction or discrimination in the amount of payment of premium or rates charged, in the length of coverage or in any of the terms and conditions of a health maintenance contract based on genetic information as defined in this section. No health maintenance organization subject to the provisions of this chapter and no officer or agent thereof, shall require genetic tests or private genetic information, as defined in this section, as a condition of the issuance or renewal of a health maintenance contract. Any violation of this section shall constitute an unfair method of competition or deceptive act or practice in violation of chapters 93A and 176D.
MA Gen L ch 176g § 26 (2021)
2021 Massachusetts General Laws|Part I - Administration of the Government|Title XXII - Corporations|Chapter 176g - Health Maintenance Organizations|Section 26 - Deposit Maintained With Trustee Acceptable to Commissioner

Section 26. (a) Except as provided in subsections (b) and (d), each health maintenance organization shall maintain a deposit with a trustee acceptable to the commissioner through which a custodial or controlled account is utilized of cash, securities or any combination of these or other measures that are acceptable to him, which is to be used exclusively to protect the interests of policyholders, enrolled members, and the general public and which at all times shall have a value of not less than $1,000,000.  (b) Each health maintenance organization approved by the commissioner before January 1, 2004 shall provide evidence of and maintain at all times a deposit as described in subsection (a) in the amount of $500,000 not later than July 1, 2004. Not later than January 1, 2005, the health maintenance organization shall provide evidence of and maintain a deposit in the amount of an additional $500,000 to constitute the required $1,000,000 deposit.  (c) All income from the deposit shall be an asset of the health maintenance organization. A health maintenance organization that has made a securities deposit may withdraw that deposit or any part thereof after making a substitute deposit of cash, securities or any combination of these or other measures of equal amount and value. The commissioner shall approve any securities before they are deposited or substituted.  (d) The commissioner may reduce or eliminate the deposit requirement if the health maintenance organization deposits with the state treasurer, insurance commissioner or other official body of the state or jurisdiction of domicile, for the protection of policyholders, enrolled members and subscribers of such health maintenance organization and the general public, cash, acceptable securities or surety, and delivers to the commissioner a certificate to such effect, duly authenticated by the appropriate entity holding the deposit.  (e) If in the opinion of the commissioner the deposit requirement as established above would be inadequate to protect the interests of enrolled members, the deposit shall be appropriately adjusted in order to protect the interests of policyholders, enrolled members and subscribers of the health maintenance organization and the general public.  (f) The deposit shall be an admitted asset of the health maintenance organization in the determination of net worth pursuant to section 25. The commissioner may use the deposit for administrative costs directly attributable to any receivership, administrative supervision, rehabilitation or liquidation pursuant to section 20. If the health maintenance organization is ordered into receivership, administrative supervision, rehabilitation or liquidation, the deposit shall be an asset subject to the provisions of section 20.
MA Gen L ch 176g § 30 (2021)
2021 Massachusetts General Laws|Part I - Administration of the Government|Title XXII - Corporations|Chapter 176g - Health Maintenance Organizations|Section 30 - Statement for Individuals Provided With Creditable Coverage; Reporting

Section 30. Pursuant to section 8B of chapter 62C, carriers shall provide written statements to residents of the commonwealth for whom creditable coverage is provided and shall provide a separate report verifying those statements to the commissioner of revenue.
MA Gen L ch 176g § 31 (2021)
2021 Massachusetts General Laws|Part I - Administration of the Government|Title XXII - Corporations|Chapter 176g - Health Maintenance Organizations|Section 31 - Attribution of Members to a Primary Care Provider

Section 31. To the maximum extent possible, every health maintenance organization shall attribute every member to a primary care provider. Members may change their primary care provider, provided that the member gives notice to the carrier.
MA Gen L ch 176g § 32 (2021)
2021 Massachusetts General Laws|Part I - Administration of the Government|Title XXII - Corporations|Chapter 176g - Health Maintenance Organizations|Section 32 - Disclosure of Patient-Level Data and Contracted Prices of Individual Health Care Services by Carriers to Providers

Section 32. To the extent permissible under applicable state and federal privacy laws, every health maintenance organization shall disclose patient-level data to providers in their network solely for the purpose of carrying out treatment, coordinating care among providers and managing the care of their own patient panel; provided, that an individual provider shall only receive patient-level data related to patients treated by said provider. Patient-level data shall include, but not be limited to, health care service utilization, medical expenses, and demographics.  The division of insurance shall develop procedures and a standard format for disclosing such patient-level information. The division may require every health maintenance organization to disclose such information through the all-payer claims database established under section 12 of chapter 12C if the division and the center for health information and analysis determine that the all-payer claims database is an efficient means to provide such information.  Health maintenance organizations shall make available to any provider with whom they have entered into an alternative payment contract, the contracted prices of individual health care services within such payer's network for the purpose of referrals.
MA Gen L ch 176h § 1 (2021)
2021 Massachusetts General Laws|Part I - Administration of the Government|Title XXII - Corporations|Chapter 176h - Legal Services Plans|Section 1 - Definitions

Section 1. In this chapter the following words shall have the following meanings:—  ''Attorney'', an attorney at law who is a member of the bar of the commonwealth or any other state.  ''Commissioner'', the commissioner of insurance.  ''Covered dependents'', dependents of an insured for whom benefits for covered legal services are provided under an insured legal services plan, or dependents of a member for whom covered legal services are provided under a membership legal services plan.  ''Covered legal services'', legal services for which benefits are provided under an insured legal services plan or which are provided under a membership legal services plan.  ''Insurance certificate'', a contract entered into between an insurer and an insured under an insured legal services plan, or a statement of legal services provided by an insurer to an insured under a group insurance policy.  ''Insured'', a person to whom an insurance certificate has been issued.  ''Insured legal services plan'', a plan whereby benefits for legal services are provided to insureds and their covered dependents in accordance with the provisions of this chapter.  ''Insurer'', a corporation which underwrites a legal services plan.  ''Member'', a person to whom a membership certificate has been issued.  ''Membership certificate'', a contract entered into between a sponsor and a member under a membership legal services plan.  ''Membership legal services plan'', a plan whereby legal services are provided to members and their covered dependents in accordance with the provisions of this chapter.  ''Participating attorney'', an attorney who agrees in writing with an insurer to provide legal services to an insured or insureds in accordance with the provisions of an insurance certificate under an insured legal services plan, or an attorney who agrees in writing with a sponsor to provide legal services to a member or members in accordance with the provisions of a membership certificate under a membership legal services plan.  ''Sponsor'', any person, group of persons, or entity which establishes and operates a legal services plan in accordance with the provisions of this chapter.
MA Gen L ch 176h § 2 (2021)
2021 Massachusetts General Laws|Part I - Administration of the Government|Title XXII - Corporations|Chapter 176h - Legal Services Plans|Section 2 - Establishment and Operation of Insured Legal Services Plan; Types of Plans

Section 2. Any sponsor may establish and operate an insured legal services plan underwritten in whole or in part by an insurer subject to the provisions of this chapter. An insured legal services plan may be either an indemnity plan or a service plan, or a combination of both. Under an indemnity plan, benefits for covered legal services shall be paid to the insured for the legal services of an attorney of the insured's choice. Under a service plan, benefits for covered legal services shall be paid to a participating attorney for the legal services of a participating attorney of the insured's choice, provided, however, that such benefits shall be paid to an attorney for his legal services, whether or not such attorney is a participating attorney, if the insured chooses such attorney and notifies the insurer in writing before such legal services are rendered.
MA Gen L ch 176h § 3 (2021)
2021 Massachusetts General Laws|Part I - Administration of the Government|Title XXII - Corporations|Chapter 176h - Legal Services Plans|Section 3 - Insurer of Insured Legal Services Plans

Section 3. Insurance corporations may be insurers of insured legal services plans, and such companies shall be subject to the insurance laws of the commonwealth except insofar as any provision of the insurance laws may be in conflict with applicable provisions of this chapter. An insurer may also be a sponsor of an insured legal services plan.
MA Gen L ch 176h § 4 (2021)
2021 Massachusetts General Laws|Part I - Administration of the Government|Title XXII - Corporations|Chapter 176h - Legal Services Plans|Section 4 - Insurance Certificates; Issuance; Required Provisions

Section 4. An insurance certificate shall be issued to each insured under an insured legal services plan. No insurance certificate shall be issued unless it contains the following provisions:—  (a) A statement of covered legal services and the basis for payment for such legal services;  (b) A statement of the duration of the legal services provided and of the terms and conditions upon which such services may be extended, renewed, amended, canceled or otherwise terminated; and  (c) A statement of the period of grace which will be allowed for making any payment due to the insurer which in any event shall not be less than thirty days.
MA Gen L ch 176h § 5 (2021)
2021 Massachusetts General Laws|Part I - Administration of the Government|Title XXII - Corporations|Chapter 176h - Legal Services Plans|Section 5 - Group Insurance Policy or Insurance Certificate Contract; Filing Copies; Approval; Hearing

Section 5. No insurer shall issue a group insurance policy providing benefits for legal services or an insurance certificate which is a contract, or any amendment to such group policy provisions or insurance certificate previously approved and issued without prior approval of the commissioner, and prior to such approval the insurer shall file a copy of the group insurance policy or the insured legal services plan and insurance certificate contract to be issued thereunder with the commissioner and shall provide copies thereof to the advisory committee on prepaid legal services. The advisory committee on prepaid legal services shall review the group insurance policy or the insured legal services plan and insurance certificate contract and advise the commissioner in writing whether such group policy provisions or plan and certificate are in conformity with rules of the supreme judicial court governing the practice of law.  After the filing of any such plan, certificate, or group insurance policy provisions the commissioner shall either approve the plan in writing or hold a public hearing upon such plan, upon not less than fifteen days written notice to all interested parties, otherwise, after thirty days after such filing, the plan, certificate, or group insurance policy shall be deemed approved. The advisory committee on prepaid legal services shall be a party with respect to any plan, certificate or group policy filed under this section, shall have the right to participate in any hearing held hereunder, and shall receive notice of the approval by the commissioner of any plan, certificate or group policy under the provisions of this section. Any such plan, certificate or group policy shall be approved unless the commissioner finds that the plan, certificate or group policy contains a provision which is unfair, inequitable, misleading, or deceptive, or that the plan, certificate or group policy does not comply with the provisions of this chapter or any other applicable provision of law, or rule of the supreme judicial court.
MA Gen L ch 176h § 6 (2021)
2021 Massachusetts General Laws|Part I - Administration of the Government|Title XXII - Corporations|Chapter 176h - Legal Services Plans|Section 6 - Rates Under Insured Legal Services Plan

Section 6. The rates to be charged by an insurer for an insurance certificate contract under an insured legal services plan approved under the provisions of this chapter shall be filed and determined in accordance with the provisions of sections one to five, inclusive, and six to twenty, inclusive, of chapter one hundred and seventy-five A. The rates to be charged by an insurer under a group insurance policy for legal services benefits shall be filed and determined in accordance with such provisions of chapter one hundred and seventy-five A; provided, however, that such filing and determination procedure shall not apply to any insurer which maintains at all times an unassigned surplus of not less than twenty million dollars.
MA Gen L ch 176h § 7 (2021)
2021 Massachusetts General Laws|Part I - Administration of the Government|Title XXII - Corporations|Chapter 176h - Legal Services Plans|Section 7 - Membership Legal Services Plan

Section 7. Any corporation formed under the provisions of chapter one hundred and eighty, any corporation formed under general or special law for any of the purposes set forth in section four of chapter one hundred and eighty, or any labor organization is authorized to establish and operate a membership legal services plan. Only such corporations or labor organizations may be sponsors of membership legal services plans. Under a membership legal services plan sponsored by a corporation whose primary purpose is other than the establishment and operation of a membership legal services plan, legal services may be provided only to bona fide members of the corporation and the dependents of such members; and any such member may elect not to participate in such plan. A sponsor of a membership legal services plan may contract on behalf of its members with a participating attorney or participating attorneys, including, at the option of the sponsor, an attorney or attorneys chosen by a member or members, to provide covered legal services to such members and dependents.  A membership legal services plan shall not include any plan or legal services provided by a legal aid office or public defender office, a military legal assistance office, a lawyer referral service operated, sponsored or approved by a bar association representative of the general bar of the geographical area in which the association exists, or of any other nonprofit organization that recommends, furnishes or pays for legal services to its members or beneficiaries in a manner incidental and reasonably related to a primary purpose of such organization to promote a public interest, including, without limitation, defense of human and civil rights, elimination of prejudice and discrimination as to race, religion, sex and national origin, lessening neighborhood tensions, preservation of scenic beauty, combatting or preventing pollution, preservation of natural resources, protection of consumer interest, promotion of cultural, historical or other educational activities, and prevention of cruelty to animals.