Payer Data Reporting

Premiums Data Submissions

Overview

M.G.L. c. 12C, § 10 requires CHIA to report on changes over time in Massachusetts health insurance premiums, benefit levels, member cost-sharing, and product design.

CHIA collects this data under Regulation 957 CMR 10.00. The Data Submission Manual provides technical details to assist payers in reporting and filing data.  Only payers with at least 50,000 Massachusetts Private Commercial Plan members for the latest quarter as reported in CHIA’s most recently published Enrollment Trends are required to submit.

Submission Deadlines

Completed Premiums Workbooks and federal MLR forms are due no later than Wednesday, September 9, 2026.

Completed Supplemental Workbooks are due no later than Wednesday, September 23, 2026.

All forms must be submitted to CHIAData@oliverwyman.com

Reporting Requirements

Two Excel workbooks must be used for data submission:

Health Care Payers Premiums and Claims Data Reporting Workbook (Premiums Workbook)

A Premiums Workbook must be completed for each legal entity of a payer and saved according to the file naming convention “2026-PremiumsReporting-Carrier Designator-YYYYMMDD.xlsx.” Standardized carrier designator abbreviations are listed in the “Naming Conventions” tab in the workbook. Payers are responsible for notifying CHIA of additional legal entities not listed here that may meet filing requirements.

Supplemental Data Reporting Workbook (Supplemental Workbook)

A Supplemental Workbook must be completed for each legal entity of a payer and saved according to the file naming convention “2026-Supplemental-Data-Reporting-Carrier Designator-YYYYMMDD.xlsx. Standardized carrier designator abbreviations are listed in the “Naming Conventions” tab of the Supplemental Workbook. Payers are responsible for notifying CHIA of additional legal entities not listed here that may meet filing requirements.

Additional Requirement: Federal MLR forms

In addition to the CHIA-required workbooks, payers should submit copies of their completed Centers for Medicare & Medicaid Services (CMS) Medical Loss Ratio (MLR) Annual Reporting Form for the 2025 MLR Reporting Year. These forms should be submitted in both PDF and Excel format.

Get Support

General questions can be submitted anytime to CHIAData@oliverwyman.com.

For questions about the contents of the workbook files or problems submitting your premiums and supplemental data, contact the CHIA Payer Data Help Desk.

PayerData@chiamass.gov