LD 161
pg. 2
Page 1 of 3 An Act to Allow Certain Discounts on Health Insurance Page 3 of 3
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LR 435
Item 1

 
B. A carrier may not vary the premium rate due to the
gender, health status, claims experience or policy duration
of the eligible group or members of the group. A carrier
may vary the premium rate based on health status only as
permitted in paragraph D.

 
Sec. 4. 24-A MRSA §2808-B, sub-§2, ¶D, as amended by PL 2001, c. 410,
Pt. A, §4 and affected by §10, is further amended to read:

 
D. A carrier may vary the premium rate due to age, health
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 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 that a
carrier may offer an additional discount of up to 20%
of the premium rate based on an individual's weight
or adherence to a recommended schedule for regular
physicals. With respect to weight and regular
physicals, the discount must be based on the
individual's compliance with the American Medical
Association guidelines in effect on the year of
application or renewal.

 
Sec. 5. 24-A MRSA §2808-B, sub-§2, ¶D-1, as amended by PL 2001, c.
410, Pt. A, §5 and affected by §10, is repealed.


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