LD 1067, Page 3 - 119th Legislature, FIRST REGULAR Session

whether insurers, self-insurers and 3rd-party administrators are

unreasonably contesting claims; and ensuring that all reporting

requirements to the board are met. The program must be coordinated

with the abuse investigation unit established by section 153,

subsection 5 as appropriate. The program must monitor activity and

conduct audits pursuant to a schedule developed by the deputy

director of benefits administration. Audit working papers are

confidential and may not be disclosed to any person outside of the

board except the audited entity.__For purposes of this subsection

"audit working papers" means all documentary and other information

acquired, prepared or maintained by the board during the conduct of

an audit or investigation, including all intra-agency and

interagency communications relating to an audit or investigation

and draft reports or any portion of a draft report.__The final

audit report is not confidential. At the end of each calendar

quarter, the executive director shall prepare a compliance report

summarizing the results of the audits and reviews conducted

pursuant to this subsection. The executive director shall submit

the quarterly compliance reports to the board, the Bureau of

Insurance and the Director of the Bureau of Labor Standards within

the Department of Labor. An annual summary must be provided to the

Governor and to the joint standing committees of the Legislature

having jurisdiction over labor and banking and insurance matters by

February 15th of each year. The quarterly compliance reports and

the annual summaries must be made available to the public following

distribution.

Sec. 4. 39-A MRSA ї205, sub-ї8, as enacted by PL 1991, c. 885, Pt. A,
ї8 and affected by її9 to 11, is repealed and the following
enacted in its place:

8.__Information.__Information regarding wages must be reported
as provided in section 303.

Sec. 5. 39-A MRSA ї205, sub-ї9, ІD, as enacted by PL 1991, c. 885, Pt.
A, ї8 and affected by її9 to 11, is amended to read:

D. The board, within 21 days after the employee filed a
petition for review, may enter an order providing for the
continuation or reinstatement of benefits pending a hearing
on the petition. The order must be based upon the
information submitted by both the employer, insurer or group
self-insurer and the employee under this subsection. Once a
request for an order has been ruled upon, the matter may not
be referred to mediation, but must be set for hearing.

Sec. 6. 39-A MRSA ї303, as enacted by PL 1991, c. 885, Pt. A, ї8
and affected by її9 to 11, is amended to read:

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