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MA H1250

Bill

Status

Introduced

2/27/2025

Primary Sponsor

Jay Livingstone

Click for details

Origin

House of Representatives

194th General Court

AI Summary

  • Prohibits insurance policies covering Massachusetts residents from including "discretionary authority" clauses that allow insurers to unilaterally determine benefit eligibility or interpret policy terms in ways that would receive deferential review by courts

  • Applies to life insurance, health insurance, annuities, accident insurance, long-term care insurance, and disability insurance policies issued, delivered, or renewed in or outside Massachusetts

  • Renders void and unenforceable any policy provisions reserving discretionary authority to insurers or containing standards of interpretation inconsistent with Massachusetts law

  • Requires the Commissioner of Insurance to reject approval of health, life, or disability policies containing discretionary authority clauses, misleading headings, deceptive exceptions, ambiguous language, or illegible formatting

  • Permits insurers to include provisions explaining that they apply contract terms for routine decision-making, provided such language cannot trigger deferential judicial review

Legislative Description

Relative to greater fairness in insurance

Last Action

Hearing scheduled for 05/13/2025 from 10:00 AM-01:00 PM in A-2

5/7/2025

Committee Referrals

Financial Services2/27/2025

Full Bill Text

No bill text available