§3909.__Availability of coverage

The association shall offer a choice of 2 or more coverage options through the plan. The requirements of this plan become effective April 1, 2003.__Policies offered through the association must be available for sale August 1, 2003. The association shall directly insure the coverage provided by the plan, and the policies must be issued through the plan administrator.

§3910.__Requirements for coverage

1.__Coverage offered. The plan must offer in an annually renewable policy the coverage specified in this section for each eligible person. If an eligible person is also eligible for Medicare coverage, the plan may not pay or reimburse any person for expenses paid by Medicare.__Any person whose health insurance coverage is involuntarily terminated for any reason other than nonpayment of premium may apply for coverage under the plan.__If such coverage is applied for within 90 days after the involuntary termination and if premiums are paid for the entire period of coverage, the effective date of the coverage is the date of termination of the previous coverage.

2.__Major medical expense coverage.__The plan must offer major medical expense coverage to every eligible person who is not eligible for Medicare.__The coverage to be issued by the plan, its schedule of benefits and exclusions and other limitations must be established by the board and may be amended from time to time subject to the approval of the superintendent. In establishing the plan coverage, the board shall take into consideration the levels of health insurance provided in the State and medical economic factors as determined appropriate.

3.__Rates. Rates for coverage issued by the association must meet the requirements of this subsection.

A.__Rates may not be unreasonable in relation to the benefits provided, the risk experience and the reasonable expenses of providing the coverage.