Another Health Insurer Tripped Up By The Commonwealth of Massachusetts Mandatory Minimum Benefits Requirements

The Massachusetts Office of the Attorney General recently settled another in a series of cases in which a health insurer sold health care policies which did not include coverage for certain benefits that Massachusetts law requires be provided by any group insurance policy. In this case the insurer, The Insurance Company of the State of Pennsylvania (“ISOP”), sold insurance coverage to Massachusetts residents that did not include statutory-mandated benefits, such as mental health benefits, benefits for newborns and young children, maternity-related benefits, benefits for cytologic screenings and mammographic examinations, infertility-related benefits, emergency services, outpatient contraceptive services, drugs and devices, benefits for prosthetic devices, including their repair, and certain alcoholism-related benefits.

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