| | | Be it enacted by the People of the State of Maine as follows: |
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| | | Sec. 1. 24-A MRSA §2736-C, sub-§1, ¶B, as enacted by PL 1993, c. 477, | | Pt. C, §1 and affected by Pt. F, §1, is amended to read: |
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| | | B. "Community rate" means the rate charged to all eligible | | individuals for individual health plans prior to any | | adjustments pursuant to subsection 2, paragraphs B-1 and C | and D. |
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| | | Sec. 2. 24-A MRSA §2736-C, sub-§2, as amended by PL 1999, c. 44, §1 | | and affected by §2, is further amended to read: |
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| | | 2. Rating practices. The following requirements apply to the | | rating practices of carriers providing individual health plans. |
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| | | A. A carrier issuing an individual health plan after | | December 1, 1993 must file the carrier's community rate and | | any formulas and factors used to adjust that rate with the | | superintendent prior to issuance of any individual health | | plan. |
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| | | B. A carrier may not vary the premium rate due to the | gender, health status, claims experience or policy duration | | of the individual. |
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| | | B-1.__A carrier may vary the premium rate due to the health | | status of the individual only as permitted by this | | paragraph. |
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| | | (1)__The carrier may have one or more classes of | | substandard rating and one or more classes of | | superstandard rating. |
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| | | (2)__Applicants may be offered a substandard or | | superstandard rate based on health status, health | | history or healthy lifestyle. |
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| | | (3)__The highest rating class may not exceed 150% of | | the lowest rating class. |
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| | | (4)__The carrier may reduce the multiple that an | | individual is charged on any renewal date based on | | improved health status, but may never increase the | | multiple. |
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| | | The superintendent may adopt rules setting forth appropriate | | methodologies regarding substandard and superstandard ratings | | based on health status, health history or healthy |
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