| | | Be it enacted by the People of the State of Maine as follows: |
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| | | Sec. 1. 24-A MRSA §235-A is enacted to read: |
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| | | A rate hearing must be conducted with respect to all filings | | of rates, rating formulas and modifications for health | | insurance policies offered by a carrier in this State in | | accordance with the requirements of this section. |
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| | | 1.__Criteria for rate hearings.__In any filing of rates, | | rating formulas and modifications for health insurance | | policies when the requested rates or modifications exceed the | | Consumer Price Index by 100% or more, a rate hearing must be | | conducted pursuant to subsection 2. |
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| | | 2.__Hearings.__A hearing conducted with respect to rate | | filings must be held in the manner provided for in Title 5, | | chapter 375, subchapter 4 and meet the requirements in this | | subsection. |
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| | | A.__The hearing must be conducted by an impartial | | administrative hearing officer other than the | | superintendent or an employee of the bureau.__The hearing | | officer must have sufficient qualifications in education | | and professional experience and training to preside over | | adjudicatory and administrative hearings. |
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| | | B.__Actuarial staff from the bureau shall provide a | | written analysis and report to the administrative hearing | | officer that includes at least the following: |
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| | | (1)__An opinion as to whether the rates requested by | | the carrier are reasonable relative to the benefits | | and coverage offered; |
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| | | (2)__Information regarding the impact of the | | requested rates on affordability for policyholders by | | age group; and |
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| | | (3)__Identification of any coverage or benefit | | changes that have occurred during the 2-year period | | preceding the date of the rate request that would | | reduce the risks or costs to the carrier. |
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| | | C.__A report submitted pursuant to paragraph B is a public | | record as defined in Title 1, section 402, subsection 3 and | | must be provided to any advocacy panel under subsection 3 | | involved in a rate hearing at least 40 days prior to the |
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