| | F. The Provided the insurer has not challenged the | | determination under section 6457, the notification by the | | superintendent to the insurer that: |
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| | | (1) The risk-based capital plan or revised risk-based | | capital plan submitted by the insurer is, in the | | judgment of the superintendent, unsatisfactory; and |
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| | (2) Provided the insurer has not challenged the | determination under section 6457, that notification The | | superintendent's finding unless vacated or stayed | | constitutes a regulatory action level event with | | respect to the insurer; |
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| | | H. Provided the insurer has not challenged the | | determination under section 6457, the notification by the | | superintendent to the insurer that the insurer has failed to | | adhere to its risk-based capital plan or revised risk-based | | capital plan, but only if that failure has a substantial | | adverse effect on the ability of the insurer to eliminate | | the company action level event or regulatory action level | | event in accordance with its risk-based capital plan or | | revised risk-based capital plan and the superintendent has | | so stated in the notification; or |
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| | | I. If the insurer, under section 6457, challenges a | | determination by the superintendent under paragraph H, the | | notification by the superintendent to the insurer that the | | superintendent has, after a hearing, rejected the challenge | | unless the failure of the insurer to adhere to its risk- | | based capital plan or revised risk-based capital plan has no | | substantial adverse effect on the ability of the insurer to | | eliminate the company action level event or regulatory | | action level event with respect to the insurer. |
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| | | Sec. 29. 24-A MRSA §6454, sub-§4, as enacted by PL 1993, c. 634, Pt. | | A, §1, is amended to read: |
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| | | 4. Consultants. The superintendent may retain actuaries, | | investment experts and other consultants as may be necessary in | | the judgment of the superintendent to review the insurer's risk- | | based capital plan or revised risk-based capital plan; examine or | | analyze the assets, liabilities and operations of the insurer; | | and formulate the corrective order with respect to the insurer. | | For insurers offering managed care plans as defined in section | | 4301, the analysis of the insurer's operations may include an | | analysis of its contractual relationships with providers and the | | ability of the providers to fulfill their contractual | | obligations. The fees, costs and expenses relating |
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