| | |
of estimating the number of covered persons of an insurer if the | | specific number is unknown. |
|
| | | 4.__Failure to pay recovery payment.__The superintendent may | | suspend or revoke, after notice and hearing, the certificate of | | authority to transact insurance in this State of any insurer or | | reinsurer that fails to pay a recovery payment.__As an | | alternative, the superintendent may levy a penalty on any insurer | | or reinsurer that fails to pay a recovery payment when due.__In | | addition, the superintendent may use any power granted to the | | superintendent by this Title to collect any unpaid recovery | | payments. |
|
| | | 5.__Excess payments.__Dirigo Health may return unused payments | | in accordance with a formula established by the board. |
|
| | | §6951.__Maine Quality Forum |
|
| | | The Maine Quality Forum, referred to in this subchapter as | | "the forum," is established within Dirigo Health.__The forum is | | governed by the board with advice from an advisory council | | pursuant to section 6952.__The forum must be funded, at least in | | part, through the recovery against insurers established in | | section 6920 and may seek and receive grants and contracts to | | advance its work. |
|
| | | §6952.__Advisory council appointment; composition |
|
| | | The Maine Quality Forum Advisory Council, referred to in this | | subchapter as "the advisory council," is a 15-member body | | established by Title 5, section 12004-I, subsection 31-A.__The | | Governor shall appoint the following members with the approval of | | the joint standing committee of the Legislature having | | jurisdiction over health affairs: |
|
| | | 1.__Providers. Five members representing providers, including | | one allopathic physician, one osteopathic physician, one | | registered nurse, one representative of hospitals and one mental | | health provider; |
|
| | | 2.__Consumers.__Four members representing consumers, including | | one employee who receives health care through a commercially | | insured product, one representative of organized labor, one | | representative of a consumer health advocacy group and one | | representative of the uninsured or MaineCare recipients; |
|
|