General Information for Small Group Continuation of Coverage
(for Employers with 2 - 19 Employees)

As you may know, Massachusetts law requires employees of small groups (2-19 employees) to be offered Massachusetts Continuation of Coverage  ("MA COC").  As permitted by law, Tufts Health Plan has delegated this obligation to small employers.  You are required to notify your employees who elect Tufts Health Plan coverage of their rights under MA COC, and to administer MA COC for qualified beneficiaries who elect coverage.  Please refer to the sample documents below to assist you with your notification and administration requirements under MA COC. 

• Employer Group Overview of MA COC - This document provides you with an overview of MA COC and answers many questions you may have.
• MA COC Rights Notice – This notice should be provided to each employee and spouse (if applicable) upon enrollment in Tufts Health Plan.  It should also be provided to qualified beneficiaries when qualifying events cause loss of coverage.
• MA COC Election Form - This form should accompany the MA COC Rights Notice when a qualifying event causes a loss of coverage.
• Notice of Unavailability of COC - This template may be used to notify someone that MA COC is not available.
• Early Termination Notice - This sample template may be used when you terminate MA COC coverage prior to the duration required under the law.

If you have questions regarding your requirements under MA COC, or if you need electronic copies of the forms, please contact your account representative in the appropriate Sales office:

(800) 208-8013         (Watertown, Mass.)

(800) 337-4447         (Springfield, Mass.)

(800) 208-9545         (Worcester, Mass.)