| | | Be it enacted by the People of the State of Maine as follows: |
|
| | | Sec. 1. 24-A MRSA §4204, sub-§4, ¶F is enacted to read: |
|
| | | F.__The superintendent may require a health maintenance | | organization to continue to maintain the deposit required | | under this subsection after the health maintenance | | organization has withdrawn from the market in accordance | | with section 415-A. |
|
| | | Sec. 2. 24-A MRSA §4204, sub-§6, ¶C is enacted to read: |
|
| | | C.__In addition to the other provisions in this subsection, | | if a petition to liquidate an insolvent health maintenance | | organization is filed with a court of competent | | jurisdiction, then after the date of filing the petition for | | liquidation: |
|
| | | (1)__Any provider who has rendered a covered service | | for a subscriber or enrollee of the insolvent health | | maintenance organization is prohibited from collecting | | or attempting to collect from the subscriber or | | enrollee amounts normally payable by the insolvent | | health maintenance organization; and |
|
| | | (2)__A provider or agent, trustee or assignee of the | | provider may not maintain any action at law against a | | subscriber or enrollee of the insolvent health | | maintenance organization to collect amounts for covered | | services normally payable by the insolvent health | | maintenance organization. |
|
| | | Nothing in this subsection prohibits a provider from | | collecting or attempting to collect from a subscriber or | | enrollee any amounts for services not normally payable by | | the insolvent health maintenance organization, including | | applicable copayments or deductibles. |
|
| | | Sec. 3. 24-A MRSA §4204-A, sub-§2, ¶C, as enacted by PL 1989, c. 842, | | §14, is amended to read: |
|
| | | C. An amount equal to the sum of 3 months uncovered health | | care expenditures as reported on the financial statement | | covering the health maintenance organization's immediately | preceding fiscal year as filed with the superintendent; or |
|
| | | Sec. 4. 24-A MRSA §4204-A, sub-§2, ¶D, as enacted by PL 1989, c. 842, | | §14, is repealed and the following enacted in its place: |
|
|