956 CMR 7.05
Rebate Payment
(1) To qualify for a Rebate Payment, an Eligible Small Employer shall:
(a) provide to the Connector, or its designee, prior to the end of a Term, satisfactory
documentation that the Eligible Small Employer and at least 33% of the Eligible Small
Employer's Initially Enrolled Employees have met participation requirements for the Small
Group Wellness Incentive Program as set by the Connector; and
(b) provide to the Connector the information needed to calculate the amount of the rebate,
on a form and within a time period specified by the Connector.
(2) The Rebate Payment shall, subject to 956 CMR 7.05(5), equal up to 15% of the Eligible
Small Employer's share of the amount paid to purchase a group health plan for Qualified
Employees through the Connector.
(3) The failure of an Eligible Small Group to meet the requirements of 956 CMR 7.05(1) will
result in the Eligible Small Group not receiving a Rebate Payment for that Term.
(4) A Rebate Payment shall be paid to an Eligible Small Employer by the Connector at least
annually.
(5) Rebate Payments are contingent on available funding as determined by the Connector. In
the event there are insufficient funds, the Director may impose a cap on the number of Eligible
Small Employers that may qualify for a Rebate Payment.
(6) Rebate Payment is only available to an Eligible Small Employer for three Terms in which
an Eligible Small Employer has qualified for a Rebate Payment in accordance with 956 CMR
7.05(1).