Massachusetts is one of the only states in the country to have established a state health insurance exchange prior to the passage of the Patient Protection and Affordable Care Act.  Massachusetts’ health insurance exchange is called the Commonwealth Health Insurance Connector, and its purpose is to assist in the availability and choice of private health insurance plans to eligible consumers and groups.1

As part of the health insurance exchange program, employers and employees are required to fill out a health insurance responsibility form, on which insurance coverage information is to be reported.  This information may be released to and shared with the Department of Revenue, the Commonwealth Health Insurance Connector, and the Health Care Access Bureau within the Department of Insurance, for enforcement purposes.2