Code of Massachusetts Regulations › 211 CMR - DIVISION OF INSURANCE › Title 211 CMR 151.00 - Certified Group Purchasing Cooperatives › Section 151.10 - Renewal Application for Certified Group Purchasing Cooperative

Current through Register 1525, July 5, 2024
(1) Each year, at least 90 days prior to the
			 anniversary of the certified Group Purchasing Cooperative's certification date,
			 every certified Group Purchasing Cooperative must file with the Commissioner a
			 renewal application verified by at least two principal officers of the
			 certified Group Purchasing Cooperative, covering the preceding calendar
			 year.
(2) Failure, after notice, on
			 the part of a certified Group Purchasing Cooperative to timely file its annual
			 renewal application shall result in the expiration of such Group Purchasing
			 Cooperative's certification.
(3)
			 The renewal application must contain the following information, and any other
			 information requested by the Commissioner. The Commissioner may at any time
			 specify an application format:
(a) The number
			 of Health Benefit Plans offered through the certified Group Purchasing
			 Cooperative during the preceding calendar year;
(b) The number of Qualified Associations
			 through which the certified Group Purchasing Cooperative offers coverage, as of
			 the close of the preceding calendar year;
(c) The total number of Eligible Association
			 Members, Eligible Small Businesses, Eligible Employees, and Eligible Dependents
			 in each Qualified Association as of the close of the preceding calendar
			 year;
(d) The number of Eligible
			 Association Members, Eligible Employees and Eligible Dependents in each
			 Qualified Association that are covered by a Health Benefit Plan through the
			 certified Group Purchasing Cooperative, as of the close of the preceding
			 calendar year;
(e) The number of
			 total lives covered by a Health Benefit Plan through the certified Group
			 Purchasing Cooperative, as of the close of the preceding calendar
			 year;
(f) The number, of Eligible
			 Association Members, Eligible Employees and Eligible Dependents that
			 participated in a Wellness Program offered through the certified Group
			 Purchasing Cooperative, reported on a per-monthly basis over the preceding
			 calendar year;
(g) Aggregated
			 statistical information collected by the certified Group Purchasing Cooperative
			 regarding the effectiveness of each measured element of the Wellness
			 Program(s);
(h) A marketing plan
			 describing the Service Area population;
(i) Copies of all printed, published, or
			 electronic materials that were distributed during the preceding calendar year
			 by the Group Purchasing Cooperative or Qualified Associations, and which
			 contain statements regarding the Group Purchasing Cooperative or the Health
			 Benefit Plans it offers;
(j) Copies
			 of contractual agreements that adequately protect the interests of Group
			 Purchasing Cooperative Insureds, including agreements with Carriers to offer
			 Health Benefit Plans to Group Purchasing Cooperative Insureds that ensure that
			 all such Health Benefit Plans include coverage for state Mandated Benefits;
			 and
(k) A compilation by Service
			 Area of all oral and written complaints and grievances received by the
			 certified Group Purchasing Cooperative during the preceding calendar
			 year.