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or may arrange for the provision of such services through | | contracts with other entities; |
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| | | (3)__Dirigo Health shall require participating health | | insurance carriers to offer a benefit plan identical to | | Dirigo Health Insurance, for which no Dirigo Health | | subsidies are available, in the general small group | | market; |
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| | | (4)__Dirigo Health shall make payments to participating | | health insurance carriers under a Dirigo Health | | Insurance contract to provide Dirigo Health Insurance | | benefits to plan enrollees not enrolled in MaineCare; | | and |
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| | | (5)__Dirigo Health may set allowable rates for | | administration and underwriting gains for contracting | | health insurance carriers. |
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| | | B.__Dirigo Health shall contract with eligible businesses | | seeking assistance from Dirigo Health in arranging for | | health benefits coverage by Dirigo Health Insurance for | | their employees and dependents as set out in this paragraph. |
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| | | (1)__Dirigo Health may establish contract and other | | reporting forms and procedures necessary for the | | efficient administration of contracts. |
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| | | (2)__Dirigo Health shall collect payments from | | participating employers and plan enrollees to cover the | | cost of: |
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| | | (a)__Dirigo Health Insurance for enrolled | | employees and dependents; |
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| | | (b)__Dirigo Health's quality assurance, disease | | management and cost-containment programs; |
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| | | (c)__Dirigo Health's administrative services; and |
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| | | (d)__Other health promotion costs. |
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| | | (3)__Dirigo Health shall establish the minimum required | | contribution levels, not to exceed 60%, to be paid by | | employers toward the aggregate payment in subparagraph | | (2) and establish an equivalent minimum amount to be | | paid by employers for plan enrollees and their | | dependents who are enrolled in MaineCare. |
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