| | | (4)__Dirigo Health shall require participating | | employers to certify that at least 75% of their | | employees are enrolled in Dirigo Health Insurance, are | | enrolled in the MaineCare program or receive health | | care benefits through another creditable health plan. |
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| | | (5)__Dirigo Health shall reduce the payment amounts for | | plan enrollees eligible for a subsidy under section | | 6918 accordingly.__Dirigo Health shall return any | | payments made by plan enrollees also enrolled in | | MaineCare to those enrollees. |
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| | | (6)__Dirigo Health shall require participating | | employers to pass on any subsidy in section 6918 to the | | plan enrollee qualifying for the subsidy, up to the | | amount of payments made by the plan enrollee. |
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| | | (7)__Dirigo Health may establish other criteria for | | participation. |
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| | | (8)__Dirigo Health may limit the number of | | participating employers. |
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| | | C.__Dirigo Health may permit eligible individuals to | | purchase Dirigo Health Insurance for themselves and their | | 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 may collect payments from eligible | | individuals participating in Dirigo Health Insurance to | | cover the cost of: |
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| | | (a)__Enrollment in Dirigo Health Insurance for | | 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 reduce the payment amounts for | | individuals eligible for a subsidy under section 6918 | | accordingly. |
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