LD 816
pg. 2
Page 1 of 2 An Act to Clarify Discounts to Nonsmokers in the Health Insurance Premium Rates... LD 816 Title Page
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LR 1114
Item 1

 
(1) For all policies, contracts or certificates that
are executed, delivered, issued for delivery, continued
or renewed in this State between July 15, 1993 and July
14, 1994, the premium rate may not deviate above or
below the community rate filed by the carrier by more
than 50%.

 
(2) For all policies, contracts or certificates that
are executed, delivered, issued for delivery, continued
or renewed in this State between July 15, 1994 and July
14, 1995, the premium rate may not deviate above or
below the community rate filed by the carrier by more
than 33%.

 
(3) For all policies, contracts or certificates that
are executed, delivered, issued for delivery, continued
or renewed in this State after July 15, 1995, the
premium rate may not deviate above or below the
community rate filed by the carrier by more than 20%,
except as provided in paragraph D-1.

 
Sec. 4. 24-A MRSA §2808-B, sub-§2, ¶D-1, as enacted by PL 1997, c. 445,
§14 and affected by §32, is amended to read:

 
D-1. With respect to eligible groups that employed, on
average, 25 to 50 eligible employees in the preceding
calendar year, a carrier may vary the premium rate due to
age, smoking status, occupation or industry and geographic
area only under the following schedule and within the listed
percentage bands.

 
(1) For all policies, contracts or certificates that
are executed, delivered, issued for delivery, continued
or renewed in this State in 1998, the premium rate may
not deviate above or below the community rate filed by
the carrier by more than 40%.

 
(2) For all policies, contracts or certificates that
are executed, delivered, issued for delivery, continued
or renewed in this State in 1999, the premium rate may
not deviate above or below the community rate filed by
the carrier by more than 30%.

 
(3) For all policies, contracts or certificates that
are executed, delivered, issued for delivery, continued
or renewed in this State after January 1, 2000, the
premium rate may not deviate above or below the
community rate filed by the carrier by more than 20%.

 
Sec. 5. 24-A MRSA §2808-B, sub-§2, ¶G is enacted to read:

 
G.__In addition to any other variance authorized under this
subsection, a carrier may vary the premium rate due to
smoking status for all policies, contracts or certificates
that are executed, delivered, issued for delivery, continued
or renewed in this State after the effective date of this
paragraph as long as the premium rate does not deviate above
or below the community rate filed by the carrier by more
than 15%.

 
SUMMARY

 
This bill clarifies the ability of insurers to offer premium
discounts based on the smoking status of insureds.


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