LD 1507
pg. 12
Page 11 of 14 PUBLIC Law Chapter 428 Page 13 of 14
Download Chapter Text
LR 1913
Item 1

 
affidavit from the producer affirming the
producer's belief that the employer qualifies
as an eligible group for coverage.

 
In determining if a new business or a business that
adds an owner or a new employee to payroll during the
course of a year qualifies as an eligible group for 2-
person coverage under this subparagraph, the employer
must submit an affidavit stating that all employees
meet the criteria in this subparagraph and that the
documentation and forms required under this
subparagraph will be provided to the carrier when
payroll records become available, when ownership
distribution forms become available or the first
renewal date of the coverage, whichever date is
earlier. A false affidavit or misrepresentation on an
affidavit submitted by an employer may result in the
loss of group coverage and repayment of claims paid.
This subparagraph may not be construed to prohibit a
carrier from recognizing an employer as an eligible
group if the employer has not produced the
documentation required in this subparagraph.

 
This subparagraph applies only to an employer applying
for group health insurance coverage as a 2-person group
on or after October 1, 2001.

 
Sec. H-6. 24-A MRSA §4331, sub-§4, as enacted by PL 1999, c. 609, §20,
is amended to read:

 
4. Downstream risk arrangement. "Downstream risk arrangement"
means any compensation an arrangement between that transfers
insurance risk from a carrier and to a downstream entity that may
directly or indirectly have the effect of reducing or limiting
services furnished to enrollees of the carrier.

 
Sec. H-7. 24-A MRSA §5011, sub-§2, as enacted by PL 1991, c. 740, §13,
is amended to read:

 
2. Discounts. Issuers that do not vary rates for a
standardized plan based on age, gender, health status, claims
experience, policy duration, industry or occupation, and that do
not refuse issue of that plan to any individual or group based on
health status, may provide discounts on that plan to individuals
who purchase coverage during their initial period of eligibility
for enrollment in Medicare Part A by reason of age B at or after
65 years of age, subject to approval by the superintendent. The
superintendent may adopt rules governing the appropriate use of
discounts.


Page 11 of 14 Top of Page Page 13 of 14
Related Pages
  Search Bill Text Legislative Information
Bill Directory Search
Bill
Status
Session Information
119th Legislature Bills Maine Legislature

Office of Legislative Information
100 State House Station
Augusta, ME 04333
voice: (207) 287-1692
fax: (207) 287-1580
tty: (207) 287-6826
Word Viewer for Windows Disclaimer