Division of Insurance

211 CMR: DIVISION OF INSURANCE 211 CMR 10.00: NATION-WIDE MARINE DEFINITIONS Section 10.01: Purpose 10.02: Applicability 10.03: Exceptions 10.04: Equipment Dealers 10.05: Boats, Outboard Motors, Equipment 10.01: Purpose 211 CMR 10.00 describes the kinds of risks and coverages whi…

211 CMR: DIVISION OF INSURANCE 211 CMR 101.00: PROCEDURES CONCERNING RATE FILINGS MADE PURSUANT TO M.G.L. C. 175C AND THE CONDUCT OF HEARINGS ON SUCH FILINGS Section 101.01: Purpose, Scope and Authority 101.02: Definitions 101.03: General Provisions 101.04: Rate Filings 101.05: R…

211 CMR: DIVISION OF INSURANCE 211 CMR 110.00: PROCEDURES CONCERNING RATE FILINGS AND THE CONDUCT OF HEARINGS FOR WORKERS' COMPENSATION INSURANCE Section 110.01: Purpose, Scope, and Authority 110.02: Definitions 110.03: General Provisions 110.04: Rate Filings 110.05: Advisory Fil…

211 CMR: DIVISION OF INSURANCE 211 CMR 111.00: WORKERS' COMPENSATION INSURANCE REQUIREMENTS APPLICABLE TO EMPLOYEE LEASING COMPANIES AND THEIR CLIENT COMPANIES Section 111.01: Purpose and Scope 111.02: Definitions 111.03: Responsibility for Purchase and Maintenance of Separate Po…

211 CMR: DIVISION OF INSURANCE 211 CMR 115.00: REQUIREMENTS APPLICABLE TO WORKERS' COMPENSATION INSURANCE DEDUCTIBLE PLANS Section 115.01: Purpose and Scope 115.02: Definitions 115.03: Requirements Applicable to All Workers' Compensation Deductible Plans 115.04: Requirements Appl…

211 CMR: DIVISION OF INSURANCE 211 CMR 121.00: PROCEDURES CONCERNING RATE FILINGS MADE PURSUANT TO Section 121.01: 121.02: 121.03: 121.04 : 121.05 : 121.06: 121.07: 121.08: 121.09 : 121.10: 121.11: 121.12 : 121.13: 121.14: 121.15: 121.16: 121.17: 121.18: 121.01: M.G.L. c. 176K, A…

211 CMR: DIVISION OF INSURANCE 211 CMR 123.00: DIRECT PAYMENT OF MOTOR VEHICLE COLLISION AND COMPREHENSIVE COVERAGE CLAIMS AND REFERRAL REPAIR SHOP PROGRAMS Section 123.01: Authority 123.02: Purpose and Scope 123.03: Definitions 123.04: Procedure for Approval of Plans 123.05: Dir…

211 CMR: DIVISION OF INSURANCE 211 CMR 129.00: LIFE AND HEALTH REINSURANCE AGREEMENTS Section: 129.01: General 129.02: Accounting Requirements 129.03: Written Agreements 129.04: Existing Agreements 129.01: General 211 CMR 129.00 is promulgated pursuant to authority granted by M.G…

211 CMR: DIVISION OF INSURANCE 211 CMR 13.00 PROXIES, CONSENTS AND AUTHORIZATIONS OF DOMESTIC STOCK INSURERS Section 13.01: Application 13.02: Proxies, Consents and Authorizations 13.03: Disclosure of Equivalent Information 13.04: Definitions 13.05: Information to Be Furnished to…

211 CMR: DIVISION OF INSURANCE 211 CMR 130.00: CREDIT FOR REINSURANCE Section 130.01: Purpose 130.02: Severability 130.03: Credit for Reinsurance - Reinsurer Licensed in This State 130.04: Credit for Reinsurance - Accredited Reinsurers 130.05: Credit for Reinsurance - Reinsurer D…

211 CMR: DIVISION OF INSURANCE 211 CMR 131.00: REQUIREMENTS APPLICABLE TO INSURANCE ON LIABILITY FOR INJURY FROM EXPOSURE TO DANGEROUS LEVELS OF LEAD IN DWELLING UNITS Section 131.01: Authority 131.02: Definitions 131.03: Purpose and Scope 131.04: Coverage for Premises for Which …

211 CMR: DIVISION OF INSURANCE 211 CMR 132.00: ACTUARIAL OPINION AND MEMORANDUM REGULATION Section 132.01: Purpose 132.02: Authority 132.03: Scope 132.04: Definitions 132.05: General Requirements 132.06: Statement of Actuarial Opinion Based on an Asset Adequacy Analysis 132.07: D…

211 CMR: DIVISION OF INSURANCE 211 CMR 133.00: STANDARDS FOR THE REPAIR OF DAMAGED MOTOR VEHICLES Section 133.01: Purpose and Applicability 133.02: Authority 133.03: Definitions 133.04: Determination of Damage and Cost of Repair 133.05: Determination of Values 133.06: Option for …

211 CMR: DIVISION OF INSURANCE 211 CMR 134.00: SAFE DRIVER INSURANCE AND MERIT RATING PLANS Section 134.01: Purpose, Scope and Responsibility 134.02: Definitions 134.03: Relevant Vehicles, Policies, Accidents, Traffic Law Violations and Claims 134.04: Notification of At-fault Acc…

211 CMR: DIVISION OF INSURANCE 211 CMR 135.00: REQUIREMENTS REGARDING REFERRALS TO MOTOR VEHICLE GLASS REPAIR SHOPS Section 135.01: Authority 135.02: Purpose and Scope 135.03: Definitions 135.04: Prohibited Practices 135.05: Rights of Insured 135.06: Rights of Insurer 135.07: Pen…

211 CMR: DIVISION OF INSURANCE 211 CMR 140.00: PROCEDURES CONCERNING THE MERGER OR CONSOLIDATION OF INSURANCE COMPANIES Section 140.01: Scope and Purpose 140.02: Authority 140.03: Definitions 140.04: Standards of Review 140.05: Establishment of Working Group 140.06: Examination o…

211 CMR: DIVISION OF INSURANCE 211 CMR 142.00: INSURANCE SALES BY BANKS, CREDIT UNIONS AND LENDERS Section 142.01: Scope and Purpose 142.02: Applicability 142.03: Definitions 142.04: Application and Licensing 142.05: Consumer Protection Terms and Conditions Governing the Sale of …

211 CMR: DIVISION OF INSURANCE 211 CMR 143.00: CREDIT INSURANCE DISCLOSURE REQUIREMENTS Section 143.01: General 143.02: Required Disclosures 143.03: Readability of the Required Disclosures 143.01: General (1) Authority . 211 CMR 143.00 is promulgated under the authority granted b…

211 CMR: DIVISION OF INSURANCE 211 CMR 144.00: PROCEDURES FOR THE REGULATORY REVIEW OF AND PUBLIC HEARINGS ON PLANS OF REORGANIZATION OR CONVERSION PURSUANT TO M.G.L. C. 175, §§ 19F THROUGH 19W Section 144.01: Purpose, Scope, and Authority 144.02: Definitions 144.03: Submission o…

211 CMR: DIVISION OF INSURANCE 211 CMR 146.00: SPECIFIED DISEASE INSURANCE Section 146.01: Purpose 146.02: Applicability 146.03: Authority 146.04: Definitions 146.05: General Standards for Individual Policies 146.06: Minimum Benefit Standards for Individual Policies Written on an…

211 CMR: DIVISION OF INSURANCE 211 CMR 148.00: REGISTRATION AND REPORTING REQUIREMENTS FOR THIRD-PARTY ADMINISTRATORS Section 148.01: Purpose and Scope 148.02: Definitions 148.03: Initial Registration and Annual Renewal of Registration 148.04: Annual Reporting Requirements 148.05…

211 CMR: DIVISION OF INSURANCE 211 CMR 149.00: ANNUAL REPORTING PURSUANT TO M.G.L. C. 176O, § 21 Section 149.01: Authority 149.02: Purpose 149.03: Applicability 149.04: Definitions 149.05: Information Relative to Administrative Services Provided to Self-insured Groups 149.06: Aud…

211 CMR: DIVISION OF INSURANCE 211 CMR 15.00: REPORTING OF STATISTICAL DATA BY PROPERTY AND CASUALTY INSURANCE COMPANIES Section 15.01: Purpose and Scope 15.02: Definitions 15.03: Lines of Insurance 15.04: Authorization of Statistical Agents 15.05: Filing of Statistical Plans by …

211 CMR: DIVISION OF INSURANCE 211 CMR 150.00: STANDARDS AND COMMISSIONER'S AUTHORITY FOR PLACING COMPANIES DEEMED TO BE IN HAZARDOUS FINANCIAL CONDITION UNDER ADMINISTRATIVE SUPERVISION Section 150.01: Authority 150.02: Purpose 150.03: Standards 150.04: Commissioner's Authority …

211 CMR: DIVISION OF INSURANCE 211 CMR 151.00: CERTIFIED GROUP PURCHASING COOPERATIVES Section 151.01: Authority 151.02: Applicability and Purpose 151.03: Definitions 151.04: Approval as a Qualified Association 151.05: Application to be Approved as a Qualified Association 151.06:…

211 CMR: DIVISION OF INSURANCE 211 CMR 152.00: HEALTH BENEFIT PLANS USING LIMITED, REGIONAL OR TIERED PROVIDER NETWORKS Section 152.01: Purpose, Scope and Authority 152.02: Definitions 152.03: Limited and Regional Provider Network Plans 152.04: Tiered Provider Network Plans 152.0…

211 CMR: DIVISION OF INSURANCE 211 CMR 153.00: CONTINUITY OF CARE ACCESS TO COMPREHENSIVE CANCER CENTERS, PEDIATRIC HOSPITALS, AND PEDIATRIC SPECIALTY UNITS FOR SMALL GROUP HEALTH BENEFIT PLANS THAT UTILIZE LIMITED, REGIONAL OR TIERED PROVIDER NETWORKS Section 153.01: Purpose, Sc…

211 CMR: DIVISION OF INSURANCE 211 CMR 154.00: ENFORCEMENT OF MENTAL HEALTH PARITY Section 154.01: Purpose, Scope and Authority 154.02: Definitions 154.03: Certification of Compliance with State and Federal Mental Health Parity Requirements 154.04: Complaints, Disclosures, Invest…

211 CMR: DIVISION OF INSURANCE 211 CMR 155.00: RISK-BEARING PROVIDER ORGANIZATIONS Section 155.01: Purpose and Scope 155.02: Definitions 155.03: Applicability 155.04: Risk Certificate Waivers 155.05: Risk Certificates 155.06: Actuarial Certifications 155.07: Examinations of Risk-…

211 CMR: DIVISION OF INSURANCE 211 CMR 156.00: DENTAL INSURANCE Section 156.01: Purpose 156.02: Applicability and Scope 156.03: Definitions 156.04: Coverage 156.05: Restrictions Relating to Premium Rates 156.06: Submission and Review of Rate Filings 156.07: Annual Comprehensive F…

211 CMR: DIVISION OF INSURANCE 211 CMR 157.00: LICENSING AND REGULATION OF PHARMACY BENEFIT MANAGERS (PBMs) Section 157.01: 157.02: 157.03: 157.04: 157.05: 157.06: 157.07: 157.08: 157.09: 157.10: 157.11: General Definitions Licensing Reporting Contracts between PBMs and Pharmacie…

211 CMR: DIVISION OF INSURANCE 211 CMR 16.00: PETITIONS FOR THE ADOPTION, AMENDMENT OR REPEAL OF REGULATIONS Section 16.01: Scope of Regulation and Definition 16.02: Petition for Adoption of Regulations 16.01: Scope of Regulation and Definition (1) Scope. 211 CMR 16.00 governs th…

211 CMR: DIVISION OF INSURANCE 211 CMR 20.00: RISK-BASED CAPITAL (RBC) FOR INSURERS Section 20.01: Definitions 20.02: RBC Reports 20.03: Company Action Level Event 20.04: Regulatory Action Level Event 20.05: Authorized Control Level Event 20.06: Mandatory Control Level Event 20.0…

211 CMR: DIVISION OF INSURANCE 211 CMR 24.00: LIMITEDLIABILITYCOMPANIES AND LIMITED LIABILITY PARTNERSHIPS; MINIMUM AMOUNT OF LIABILITY INSURANCE Section 24.01: Authority 24.02: Scope and Purpose 24.03: Definitions 24.04: Required Insurance and Capital Program 24.05: Exemptions f…

211 CMR: DIVISION OF INSURANCE 211 CMR 25.00: RISK-BASED CAPITAL (RBC) FOR HEALTH ORGANIZATIONS Section 25.01: Definitions 25.02: RBC Reports 25.03: Company Action Level Event 25.04: Regulatory Action Level Event 25.05: Authorized Control Level Event 25.06: Mandatory Control Leve…

211 CMR: DIVISION OF INSURANCE 211 CMR 26.00: ANNUAL FINANCIAL REPORTING FOR YEARS ENDING 2010 AND AFTER Section 26.01: Authority 26.02: Purpose 26.03: Applicability 26.04: Definitions 26.05: General Requirements Related to Filing and Extensions for Filing of Annual Audited Finan…

211 CMR: DIVISION OF INSURANCE 211 CMR 27.00: MILITARY SALES PRACTICES Section 27.01: Purpose 27.02: Scope 27.03: Exemptions 27.04: Definitions 27.05: Practices Declared False, Misleading, Deceptive or Unfair on a Military Installation 27.06: Practices Declared False, Misleading,…

211 CMR: DIVISION OF INSURANCE 211 CMR 28.00: LIFE INSURANCE ILLUSTRATIONS Section 28.01: Purpose 28.02: Authority 28.03: Applicability and Scope 28.04: Definitions 28.05: Policies to be Illustrated 28.06: General Rules and Prohibitions 28.07: Standards for Basic Illustrations 28…

211 CMR: DIVISION OF INSURANCE 211 CMR 29.00: VALUATION OF LIFE INSURANCE POLICIES Section 29.01: Purpose 29.02: Authority 29.03: Applicability 29.04: Definitions 29.05: General Calculation Requirements for Basic Reserves and Premium Deficiency Reserves 29.06: Calculation of Mini…

211 CMR: DIVISION OF INSURANCE 211 CMR 3.00: MOTORCYCLE INSURANCE Section 3.01: Definitions 3.02: Exemption from Personal Injury Coverage 3.03: Policy Forms and Approvals 3.04: Severability 3.01: Definitions Commissioner . The Commissioner of Insurance, appointed pursuant to M.G.…

211 CMR: DIVISION OF INSURANCE 211 CMR 30.00: REINSURANCE OF PROPERTY AND CASUALTY RISKS BY LIFE INSURERS Section 30.01: Authority 30.02: Purpose 30.03: Severability 30.04: Applicability 30.05: Notice of Intention and Securing of Approval 30.06: Financial Requirements 30.07: Limi…

211 CMR: DIVISION OF INSURANCE 211 CMR 31.00: LIFE INSURANCE SOLICITATION Section 31.01: Authority 31.02: Purpose 31.03: Scope 31.04: Definitions 31.05: Duties of Insurers 31.06: Pre-need Funeral Contracts and Arrangements 31.07: General Rules 31.08: Failure to Comply 31.09: Seve…

211 CMR: DIVISION OF INSURANCE 211 CMR 32.00: USE OF GENDER-BLENDED AND SMOKER/NONSMOKER MORTALITY TABLES Section 32.01: Authority 32.02: Purpose 32.03: Applicability and Scope 32.04: Definitions 32.05: Rule for Gender-Blended Mortality Tables 32.06: Rule for Smoker/Nonsmoker Mor…

211 CMR: DIVISION OF INSURANCE 211 CMR 34.00: THE REPLACEMENT OF LIFE INSURANCE AND ANNUITIES Section 34.01: Purpose 34.02: Definitions 34.03: Exemptions 34.04: Duties of Agents and Brokers 34.05: Duties of All Insurers 34.06: Duties of Insurers that Use Agents or Brokers 34.07: …

211 CMR: DIVISION OF INSURANCE 211 CMR 36.00: THE USE OF HIV-RELATED INFORMATION FOR LIFE AND HEALTH INSURANCE AND INFORMED CONSENT Section 36.01: Purpose and Scope 36.02: Definitions 36.03: Prohibited Practices 36.04: Informed Consent 36.05: Disclosure of Positive HIV Test Resul…

211 CMR: DIVISION OF INSURANCE 211 CMR 37.00: INFERTILITY BENEFITS Section 37.01: Authority 37.02: Purpose 37.03: Definitions 37.04: Scope of Coverage 37.05: Required Infertility Benefits 37.06: Prescription Drugs 37.07: Optional Infertility Benefits 37.08: Prohibited Limitations…

211 CMR: DIVISION OF INSURANCE 211 CMR 38.00: COORDINATION OF BENEFITS (COB) Section 38.01: Purpose and Applicability 38.02: Definitions 38.03: COB Contract Provisions 38.04: Rules for Coordination of Benefits 38.05: Order of Benefit Determination 38.06: Procedure to be Followed …

211 CMR: DIVISION OF INSURANCE 211 CMR 39.00: ANNUITY MORTALITY TABLES FOR USE IN DETERMINING RESERVE LIABILITIES FOR ANNUITIES Section 39.01: Purpose 39.02: Definitions 39.03: Individual Annuity or Pure Endowment Contracts 39.04: Application of the 2012 IAR Mortality Table 39.05…

211 CMR: DIVISION OF INSURANCE 211 CMR 40.00: MARKETING OF INSURED HEALTH PLANS Section 40.01: Purpose 40.02: Applicability 40.03: Definitions 40.04: Identity of Insurer 40.05: Method of Disclosure or Required Information 40.06: Form and Content of Marketing Method 40.07: Benefit…

211 CMR: DIVISION OF INSURANCE 211 CMR 41.00: NONGROUP HEALTH INSURANCE RATE AND POLICY FORM FILINGS, REVIEW, AND HEARING PROCEDURES UNDER M.G.L. C. 176M Section 41.01: Purpose, Scope and Authority 41.02: Definitions 41.03: Geographic Regions for Area Rate Adjustments 41.04: Pre-…