Session Laws

Be it enacted by the Senate and House of Representatives in General Court assembled, and by the authority of the same, as follows:

Section 7 of chapter 176G of the General Laws, as appearing in the 1990 Official Edition, is hereby amended by striking out clause (7) and inserting in place thereof the following clause:-

(7) that a member's coverage may not be cancelled, nor its renewal refused, except in the following circumstances:-

(i) failure by the member or other responsible party to make payments required under the contract;

(ii) for misrepresentation or fraud on the part of the member;

(iii) commission of acts of physical or verbal abuse by the member which pose a threat to providers or other members of the health maintenance organization and which are unrelated to the physical or mental condition of the member; provided, however, that the commissioner prescribes or approves the procedures for the implementation of the provisions of this clause;

(iv) relocation of the member outside the service area of the health maintenance organization;

(v) nonrenewal of the group contract through which the member receives coverage.