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employers, not to exceed 500 covered lives, to be known | as the "target risk pool"; |
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| (2)__An affordable benefit design; |
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| (3)__A premium structure sufficient to cover the | actuarially determined costs of comprehensive health | care services; |
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| (4)__Premium subsidies or a sliding premium schedule | for uninsured individuals funded, in part, through a | waiver of the premium tax; |
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| (5)__Community preventive care and wellness programs; | and |
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| (6)__Reinsurance for catastrophic individual claims and | claims beyond a specified aggregate limit. |
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| | 3.__Project oversight.__The Superintendent of Insurance in | conjunction with the Commissioner of Human Services shall oversee | the implementation of the project by the Mount Desert Island | Community Health Plan or its successor organization. |
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| | 4.__Fund established.__The Community Health Plan Demonstration | Project Guaranty Fund is established for the purpose of covering | potential losses, which may be from reimbursement of claims that | are in excess of income from premiums but not covered by | reinsurance, incurred by the target risk pool during a defined 3- | year benefit period of the project.__The money in the fund may | not lapse but must be carried forward for the purposes identified | in this section.__After final reconciliation of claims at the end | of the 3-year benefit period, any unexpended funds of the fund | must lapse to the General Fund. |
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| | 5.__Exemption.__This project is exempt from the provisions of | other chapters of this Title and Title 22, Title 24-A and Title | 36. |
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| | 6.__Assistance.__The Superintendent of Insurance may provide | technical assistance to the Mount Desert Island Community Health | Plan or its successor organization with respect to premium | structure, benefit design, reinsurance and other issues related | to the project.__The Department of Human Services may provide | technical assistance to the Mount Desert Island Community Health | Plan or its successor organization with respect to health quality | and outcome evaluation, community outreach and prevention | strategies and other issues related to the project. |
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| | 7.__Duration.__The project terminates January 1, 2004. |
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