LD 1745
pg. 1
LD 1745 Title Page An Act to Address Issues in the Maine Health Insurance Market Page 2 of 2
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LR 740
Item 1

 
Be it enacted by the People of the State of Maine as follows:

 
PART A

 
Sec. A-1. 24-A MRSA §1951, sub-§2, as amended by PL 1997, c. 616, §1,
is further amended to read:

 
2. Private purchasing alliance. "Private purchasing
alliance" or "alliance" means a corporation licensed pursuant to
this section established under Title 13-A or Title 13-B to
provide health insurance to its members through multiple
unaffiliated one or more participating carriers.

 
Sec. A-2. 24-A MRSA §1954, sub-§2, as amended by PL 1997, c. 370, Pt.
A, §§1 and 2, is repealed.

 
Sec. A-3. 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 F, §1, is repealed and the
following enacted in its place:

 
B.__"Community rate" means a carrier's average rate for a
given benefit package for a given family status such as
individual, couple or family.__The average must be based on
the anticipated mix of business during the rating period.

 
Sec. A-4. 24-A MRSA §2736-C, sub-§1, ¶B-1 is enacted to read:

 
B-1.__"Adjusted rate" means a carrier's rate for a given
benefit plan, family status, age and geographic area before
any variation based on health status, smoking status or
healthy lifestyle.

 
Sec. A-5. 24-A MRSA §2736-C, sub-§2, ¶B, as enacted by PL 1993, c. 477,
Pt. C, §1 and affected by Pt. F, §1, is amended to read:

 
B. A carrier may not vary the premium rate due to the
gender, health status occupation or industry, claims
experience or policy duration of the individual.

 
Sec. A-6. 24-A MRSA §2736-C, sub-§2, ¶D, as amended by PL 1995, c. 177,
§1, is further amended to read:

 
D. 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.


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