Key Takeaways

  • Massachusetts has Paid Family and Medical Leave (PFML) program
  • PFML provides paid leave for medical and family reasons
  • Individual disability policies require standard provisions including grace period
  • Long-Term Care Partnership Program provides Medicaid asset protection
  • Producers must complete LTC training before selling LTC insurance
Last updated: January 2026

Massachusetts Disability and Long-Term Care Insurance

Massachusetts has specific regulations for disability income insurance and long-term care insurance, plus a state-run Paid Family and Medical Leave program.

Paid Family and Medical Leave (PFML)

Massachusetts has a Paid Family and Medical Leave (PFML) program:

  • Provides paid leave for medical and family reasons
  • Funded through payroll contributions
  • Employees and employers share contribution costs
  • Administered by the Department of Family and Medical Leave

PFML Benefits

Leave TypeMaximum Duration
Medical LeaveUp to 20 weeks
Family LeaveUp to 12 weeks
CombinedUp to 26 weeks

Funding

  • Employers and employees contribute
  • Self-employed can opt in
  • Contribution rates set annually

Private Disability Insurance

Massachusetts also regulates private disability insurance:

Required Policy Provisions

ProvisionRequirement
Grace PeriodMinimum 31 days for annual premium
ReinstatementMust allow reinstatement within 3 years
Notice of Claim20 days after loss begins
Time to Pay Claims30 days after proof of loss
Legal ActionsNo earlier than 60 days after proof of loss

Long-Term Care Insurance

Massachusetts has comprehensive LTC insurance regulations:

Free Look Period

  • 30-day free look for LTC policies
  • Applies to all individual LTC policies
  • Policyholder can return for full refund

Required Provisions

ProvisionRequirement
RenewabilityMust be guaranteed renewable
Pre-existing ConditionsMax 6-month look-back typical
Elimination PeriodMust disclose clearly
Inflation ProtectionMust offer option
NonforfeitureMust offer option

Massachusetts Partnership Program

Massachusetts participates in the Long-Term Care Partnership Program:

How It Works

  • Purchase a Partnership-qualified LTC policy
  • Use benefits for care
  • If benefits exhaust, apply for Medicaid
  • Asset protection - Keep assets equal to benefits received

Producer Requirements

To sell LTC insurance in Massachusetts:

  • Complete required LTC-specific training
  • Complete training before selling
  • Ongoing CE requirements
  • Must understand Partnership program requirements

Exam Tip: Massachusetts has PFML for paid leave benefits. Private disability and LTC insurance are also regulated with consumer protections.

Test Your Knowledge

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Test Your Knowledge

How long is the free look period for long-term care insurance in Massachusetts?

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