| | |
received by employees and their dependents or a | | governmental program, including, but not limited to, those | | listed in section 2848, subsection 1-B, paragraph A, | | subparagraphs (3) to (10). For purposes of this section, | | the individual or group policy under which the person is | seeking coverage is the "succeeding policy." The group or | individual | | plan or governmental program that previously covered the | | person is the "prior contract or policy"; and |
|
| | | Sec. 6. 24-A MRSA c. 54 is enacted to read: |
|
| | | COMPREHENSIVE HEALTH INSURANCE RISK POOL ASSOCIATION |
|
| | | This chapter may be cited as "the Comprehensive Health | | Insurance Risk Pool Association Act." |
|
| | | It is the purpose of this chapter to establish a mechanism | | to spread among all insurers doing business in this State the | | cost of providing health and accident insurance coverage to | | those residents of this State who because of health conditions | | consume unusually large amounts of health care and to ensure a | | competitive insurance market. |
|
| | | As used in this chapter, unless the context otherwise | | indicates, the following terms have the following meanings. |
|
| | | 1. Association. "Association" means the Comprehensive Health | | Insurance Risk Pool Association established in section 3904. |
|
| | | 2.__Board. "Board" means the board of directors of the | | association. |
|
| | | 3.__Covered person.__"Covered person" means any individual | | resident of this State, not including dependents, who: |
|
| | | A. Is eligible to receive benefits from any insurer; |
|
| | | B.__Is eligible for benefits under the federal Health | | Insurance Portability and Accountability Act of 1996; or |
|
|
