Section 51.06 - Reporting(1)Material Changes. Each Organization with a Preferred Provider Health Plan or Workers' Compensation Preferred Provider Arrangement shall file with the Commissioner any material changes or additions to the material previously submitted on or before their effective date, including amendments to an Evidence of Coverage and significant changes to the lists of Preferred Providers.(2)Annual Reports. The Division of Insurance will collect annual report information for each Organization with a Preferred Provider Health Plan or a Workers' Compensation Preferred Provider Arrangement on April 30th of each year covering the prior fiscal year. The annual report shall include at least the following information in a format specified by the Commissioner:(a) A summary of the number of Covered Persons;(b) A summary of the utilization experience of Covered Persons; and(c) A list of preferred providers.(3)Additional Reports. The Commissioner may require an Organization to submit additional reports other than those specifically required by M.G.L. c. 176I.(4)Penalties.(a) If, after due hearing, a person or Organization is found to have violated any provision of M.G.L. c. 176I or 211 CMR 51.00, or any rule or order thereunder, the Commissioner may require the person or Organization to cease and desist from such violations and the Commissioner may require the person or Organization to forfeit an amount not to exceed $10,000 for any single violation.(b) If the Commissioner issues a Finding of Neglect on the part of an Organization offering a Preferred Provider Health Plan or Workers' Compensation Preferred Provider Arrangement, the Commissioner shall notify the Organization in writing that the Organization has failed to make and file the materials required by M.G.L. c. 176O or 211 CMR 52.00: Managed Care Consumer Protections and Accreditation of Carriers in the form and within the time required. The notice shall identify all deficiencies and the manner in which the neglect must be remedied. Following the written notice, the Commissioner shall fine the Organization $5000 for each day the neglect continues.(c) Following notice and hearing, the Commissioner shall suspend the Organization's authority to offer a Preferred Provider Health Plan or use a Workers' Compensation Preferred Provider Arrangement until all required reports or materials are received in a form satisfactory to the Commissioner and the Commissioner has determined that the Finding of Neglect can be removed.Amended by Mass Register Issue 1323, eff. 10/7/2016.