Massachusetts Health Reform. ERISA Industry Committee July 31, 2007. The Uninsured in Massachusetts. Total Commonwealth Population: . 6,200,000. Insured (94%). 5,830,000. Uninsured (6%) summer 2006. 370,000. <100% FPL. 70,000 . Medicaid Eligible but unenrolled. 0-300% FPL. 140,000 .
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ERISA Industry Committee
July 31, 2007
Note: Based on August 2006 Division of Health Care Finance and Policy statewide survey
Residents of Massachusetts age 18 or older (or under 18 with the
permission of a parent/guardian) living within the health plan’s service area who
Note: The Health Connector will accept
payment up to 5 business days prior to the
Contact the Health Connector:
By e-mail: Connector@state.ma.us
Or visit the Health Connector’s website at:
Your Connection to
Other Employer Responsibilities
Fair Share Contribution, HIRD and Surcharge requirements (based on payroll from 10/1/06 – 9/30/07)
Section 125 (based on payroll from 4/1/06 – 3/31/07; 10/1 thereafter)
Section 2. Each employer with more than 10 employees in the commonwealth shall adopt and maintain a cafeteria plan that satisfies 26 U.S.C. 125 and the rules and regulations promulgated by the connector. A copy of such cafeteria plan shall be filed with the connector.
Addresses use of Section 125 Plans for purposes of MA health care reform
Increase access to health care by adopting and maintaining a plan satisfying Code §125 and Connector rules. A win/win for the employer and the employee
Ch. 118G - Surcharge
An employer who complies with 151F with respect to an employee is not subject to the Free Rider surcharge if the employee receives uncompensated care.Two Chapters from the HCR Story
Employers who fail both tests are subject to a $295 assessment per employee per year (pro-rated for part-time employees)