211 CMR, § 154.02

Current through Register 1533, October 25, 2024
Section 154.02 - Definitions

As used in 211 CMR 154.00, the following words mean:

Carrier: an insurer that is subject to State Mental Health Parity Laws or Federal Mental Health Parity Law, and which is licensed or otherwise authorized to transact accident or health insurance under M.G.L. c. 175; a nonprofit hospital service corporation organized under M.G.L. c. 176A; a nonprofit medical service corporation organized under M.G.L. c. 176B; a health maintenance organization organized under M.G.L. c. 176G; and an organization entering into a preferred provider arrangement under M.G.L. c. 176I, but not including an employer purchasing coverage or acting on behalf of its employees or the employees of one or more subsidiaries or affiliated corporations of the employer.

Commissioner: the Commissioner of Insurance appointed pursuant to M.G.L. c. 26, § 6, or his or her designee.

Commonwealth: the Commonwealth of Massachusetts.

Examination: an examination of the affairs of a Carrier as called by the Commissioner or one of the Commissioner's deputies, according to the relevant licensing statute of the carrier.

Federal Mental Health Parity Law: Paul Wellstone and Pete Domenici Mental Health Parity and Addiction Equity Act of 2008.

Federal Mental Health Parity Law Agencies: the United States Department of Health and Human Services, the United States Department of Labor, the United States Department of the Treasury, and/or any succeeding federal agency or organization that is responsible for development of rules, regulations, guidances and/or policies associated with Federal Mental Health Parity Law.

State Mental Health Parity Laws: M.G.L. c. 32A, §22; M.G.L. c. 175, § 47B; M.G.L. c. 176A, § 8A; M.G.L. c. 176B, § 4A; and M.G.L. c. 176G, §§ 4, 4B, and 4M; in regard to any carrier licensed under M.G.L. chs. 175, 176A, 176B and 176G.

211 CMR, § 154.02