| | Sec. H-1. 24-A MRSA §1951, sub-§2, as corrected by RR 2001, c. 2, Pt. | B, §42 and affected by §58, is amended to read: |
|
| | 2. Private purchasing alliance. "Private purchasing | alliance" or "alliance" means a corporation licensed pursuant to | this section established under former Title 13-A, Title 13-B or | Title 13-C to provide health insurance to its members through one | or more participating carriers. |
|
| | Sec. H-2. 24-A MRSA §1952, as enacted by PL 1995, c. 673, Pt. A, | §3, is amended to read: |
|
| | A person or entity private purchasing alliance may not market, | sell, offer or arrange for a package of one or more health | benefit plans underwritten by 2 one or more carriers without | first being licensed by the superintendent. The superintendent | shall specify by rule standards and procedures for the issuance | and renewal of licenses for private purchasing alliances. A rule | may require an application fee of not more than $400 and an | annual license fee of not more than $100. A license may not be | issued until the rulemaking required by this chapter has been | undertaken and all required rules are in effect. |
|
| | Sec. H-3. 24-A MRSA §2736-C, sub-§5, as enacted by PL 1993, c. 477, | Pt. C, §1 and affected by Pt. F, §1, is amended to read: |
|
| | 5. Loss ratios. For all policies and certificates issued on | or after the effective date of this section, the superintendent | shall disapprove any premium rates filed by any carrier, whether | initial or revised, for an individual health policy unless it is | anticipated that the aggregate benefits estimated to be paid | under all the individual health policies maintained in force by | the carrier for the period for which coverage is to be provided | will return to policyholders at least 65% of the aggregate | premiums collected for those policies, as determined in | accordance with accepted actuarial principles and practices and | on the basis of incurred claims experience and earned premiums. |
|
| | Sec. H-4. 24-A MRSA §2747, sub-§1, as enacted by PL 1981, c. 205, §2, | is amended to read: |
|
| | 1. Any insurer denying medical expense reimbursement benefits | on any of the grounds specified in subsection 2 for a |
|
|