| | | Be it enacted by the People of the State of Maine as follows: |
|
| | | Sec. 1. 24-A MRSA §2736-C, sub-§10 is enacted to read: |
|
| | | 10. Options included in all health coverage plans.__All | | carriers offering individual health plans in this State shall | | offer, at the time of offering and renewing a health plan, an | | alternate version of that plan in accordance with the | | requirements of this subsection and any rules adopted by the | | superintendent pursuant to this subsection.__The alternate | | version of each plan must provide the identical coverages of | | the primary plan except that additional deductibles and | | coinsurance payments must be required in the alternate plan as | | described in this subsection. |
|
| | | A.__The alternate plan must include an annual deductible | | of $3,000. The alternate plan must include a 20% | | coinsurance payment on health care expenses above $3,000 | | until the annual out-of-pocket payments for covered health | | care expenses reach $6,000. When the $6,000 annual limit | | is met, the coinsurance amount must be reduced to 5% on | | any additional expenses. |
|
| | | B.__A carrier may not enroll an individual in an alternate | | plan as described in this section if the individual has | | any other supplemental insurance coverage for the payment | | of the deductibles and coinsurance associated with the | | alternate plan. |
|
| | | C. The superintendent shall adopt rules to further define | | the options required by this subsection. Rules adopted | | pursuant to this subsection are routine technical rules as | | defined in Title 5, chapter 375, subchapter 2-A. |
|
| | | Sec. 2. 24-A MRSA §2808-B, sub-§10 is enacted to read: |
|
| | | 10.__Options included in all health coverage plans.__All | | carriers offering small group health plans in this State shall | | offer, at the time of offering and renewing a health plan, an | | alternate version of that plan in accordance with the | | requirements of this subsection and any rules adopted by the | | superintendent pursuant to this subsection.__The alternate | | version of each plan must provide the identical coverages of | | the primary plan except that additional deductibles and | | coinsurance payments must be required in the alternate plan as | | described in this subsection. |
|
| | | A.__The alternate plan must include an annual deductible of | | $3,000.__The alternate plan must include a 20% coinsurance | | payment on health care expenses above $3,000 until the |
|
|