Carriers shall submit to the Division
three copies of the policy, certificate of coverage or evidence of coverage for
each of its Closed Guaranteed Issue Health Plans and Closed Plans with the
associated Rate Filing for each plan submitted pursuant to
. As part of the policy form filing for
each Closed Guaranteed Issue Health Plan, Carriers shall submit the applicable
application or enrollment form, replacement form and outline of coverage or
forms for all Closed Guaranteed Issue Health Plans and Closed Plans must comply
with all applicable provisions in M.G.L. c. 176M and
211 CMR 41.00
and any other
applicable Massachusetts statutes and regulations, including
211 CMR 42.00
, which are not
inconsistent with M.G.L. c. 176M and
211 CMR 41.00
, as well as any
applicable federal statutes and regulations. Policy forms for Closed Guaranteed
Issue Health Plans and Closed Plans must include all benefits required under
the Carrier's licensing statutes.
(3) Policy forms for Standard Benefits Plans
must contain all benefits required to be included in the Standard Benefits
Plans approved by the Commissioner pursuant to M.G.L. c. 176M, § 2(c).
Policy forms for Closed Guaranteed Issue Health Plans with Enhanced Benefits
Plans must contain the benefits of the comparable Standard Benefits Plans and
must identify each additional benefit or lower cost-sharing requirement that
the Carrier proposes to include in the plans.
(4) Policy forms for Alternative Benefits
Plans must contain coverage for the same services and supplies as the Standard
Benefits Plans, except for the prescription drug benefit, but may include
higher cost-sharing requirements than the Standard Benefits Plans. All filings
of Alternative Benefits Plans must identify each benefit that is lower than or
each cost-sharing requirement that is higher than what is being offered in the
Carrier's Standard Benefits Plan or Enhanced Benefits Plan.
(5) Carriers shall comply with all form
filing fee requirements.