Health insurance

Options under the law

Chapter 32B leaves the town 7 routes and bars 4; the PEC agreement holds 3 of them until 30 June 2029.

What the statute leaves the town

Our reading of each section of Chapter 32B. A held route opens when the agreement ends, 30 June 2029.

1 · The facts

  • 7

    routes open under Chapter 32B

    law

  • 4

    barred at any threshold

    law

  • 3

    held by the PEC agreement to 30 June 2029

    contract

  • 50%

    least the town may pay of a premium

    law

  • 75%

    what the town pays now, active plans

    contract

  • —

    what any route would save the town

    not published

2 · What it shows

  1. 1

    Plan design and both routes into the state’s GIC are held by the PEC agreement.

  2. 2

    The town may never pay less than 50% of a premium; it pays 75%.

  3. 3

    The statute says what is permitted, not what it would save; no document here prices a route.

Every route, and the section that governs it
For Lunenburgnot from the booksSectionnot from the booksWho decidesnot from the books
Change copays, deductibles and tiers up to the state plan's levelyesM.G.L. c.32B §§21–22Select Board
Move everyone into the state's Group Insurance Commission by agreementyesM.G.L. c.32B §19(e)Select Board with the Public Employee Committee
Move everyone into the GIC without agreementyesM.G.L. c.32B §23Select Board
Require Medicare-eligible retirees onto a Medicare planalready done in partM.G.L. c.32B §18AAcceptance
Pay employees to decline coveragealready runningM.G.L. c.32B §4Bargained or employer discretion
Pay claims from a town trust instead of buying premiumsyes, butM.G.L. c.32B §3ATown
Pay more than half the premiumalready acceptedM.G.L. c.32B §7ATown Meeting or ballot
Pay less than half the premiumnoM.G.L. c.32B §7Nobody
Change the 75/25 split through the plan-design processnoM.G.L. c.32B §21(f)Nobody
Stop offering health insurancenoM.G.L. c.32B §10Nobody
Drop retirees or require years of service for coveragenoM.G.L. c.32B §9Nobody

From our reading of each section, linked on /docs/data/health-insurance-law.csv to malegislature.gov. A route the PEC agreement holds is open after it ends.

Sources

What changed

Version 15 — updated September 20, 2026