| | | plans as defined by section 2808-B must be filed in accordance | | with that section. |
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| | | Sec. D-10. 24-A MRSA §2839-B is enacted to read: |
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| | | §2839-B.__Large group rates |
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| | | 1.__Application. This section applies to group health | | insurance offered in the large group market as defined in section | | 2850-B, except insurance covering only accidental injury, | | specified disease, hospital indemnity, dental, vision, disability | | income, long-term care, Medicare supplement or other limited | | benefit health insurance. |
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| | | 2.__Annual filing.__Every carrier offering group health | | insurance specified in subsection 1 shall annually file with the | | superintendent on or before April 30th a certification signed by | | a member in good standing of the American Academy of Actuaries or | | a successor organization that the carrier's rating methods and | | practices are in accordance with generally accepted actuarial | | principles and with the applicable actuarial standards of | | practice as promulgated by an actuarial standards board.__The | | filing must also certify that the carrier has not reflected cost | | to the group health carrier of the recovery amount applied in | | accordance with section 6920. The filing also must state the | | number of policyholders and dependents, as of the close of the | | preceding calendar year, enrolled in large group health insurance | | plans offered by the carrier. A filing and supporting information | | are public records except as provided by Title 1, section 402, | | subsection 3. |
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| | | 3.__Documentation.__Every carrier shall maintain at its | | principal place of business a complete and detailed description | | of its rating practices, including information and documentation | | that demonstrates that its rating methods and practices are in | | accordance with generally accepted actuarial principles and with | | the applicable actuarial standards of practice as promulgated by | | an actuarial standards board. |
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| | | Sec. D-11. 24-A MRSA §4207, sub-§5, as repealed and replaced by PL | | 1993, c. 645, Pt. A, §6, is amended to read: |
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| | | 5. A schedule or an amendment to a schedule of charge for | | enrollee health coverage for health care services may not be used | | by any health maintenance organization unless it complies with | | section 2736, 2808-B or 2839, whichever is applicable. |
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| | | Sec. D-12. Effective date. That section of this Part that amends the | | Maine Revised Statutes, Title 24-A, section 2436, subsection 2-A | | takes effect January 1, 2005. |
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