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plan enrollees under section 6910, subsection 4, paragraph C to 40% | | of the payment to more closely parallel the subsidy received by | | employees.__In no case may the subsidy granted to eligible | | individuals in accordance with subsection 2, paragraph A exceed the | | maximum subsidy level available to other eligible individuals. |
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| | | 5.__Notification of subsidy.__Dirigo Health shall notify | | applicants and their employers in writing of their eligibility | | and approved level of subsidy. |
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| | | 6.__Report. Within 30 days after any subsidies are | | established pursuant to this section, the board shall report on | | the amount of the subsidies, the funding required for the | | subsidies and the estimated number of Dirigo Health enrollees | | eligible for the subsidies and submit the report to__the joint | | standing committee of the Legislature having jurisdiction over | | appropriations and financial affairs, the joint standing | | committee of the Legislature having jurisdiction over insurance | | and financial services matters and the joint standing committee | | of the Legislature having jurisdiction over health and human | | services matters. |
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| | | §6913.__Savings offset payments against health insurance |
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| | | carriers, employee benefit excess insurance carriers and |
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| | | third-party administrators |
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| | | 1.__Determination of cost savings.__After an opportunity for a | | hearing conducted pursuant to Title 5, chapter 375, subchapter 4, | | the board shall determine annually not later than April the | | aggregate measurable cost savings, including any reduction or | | avoidance of bad debt and charity care costs to health care | | providers in this State as a result of the operation of Dirigo | | Health and any increased enrollment due to an expansion in | | MaineCare eligibility occurring after June 30, 2004. |
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| | | 2.__Savings offset payments. For the purpose of providing the | | funds necessary to provide subsidies pursuant to section 6912 and | | support the Maine Quality Forum established pursuant to | | subchapter 2, the board shall establish a savings offset amount | | to be paid by health insurance carriers, employee benefit excess | | insurance carriers and third-party administrators, not including | | carriers and third-party administrators with respect to | | accidental injury, specified disease, hospital indemnity, dental, | | vision, disability, income, long-term care, Medicare supplement | | or other limited benefit health insurance, annually at a rate | | that may not exceed savings resulting from decreasing rates of | | growth in the State's health care spending and in bad debt and | | charity care costs.__Payment of the savings offset amount must | | begin 12 months after Dirigo Health begins providing health | | insurance coverage. The | | savings offset payment amount, as |
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