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Insurance through Dirigo Health.__"Plan enrollee" includes an | | eligible employee who is eligible to enroll in MaineCare. |
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| | | 14.__Provider.__"Provider" means any person, organization, | | corporation or association that provides health care services and | | products and is authorized to provide those services and products | | under the laws of this State. |
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| | | 15.__Reinsurance or reinsurer.__"Reinsurance" and "reinsurer" | | have the same meanings as in section 741. |
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| | | 16.__Resident.__"Resident" has the same meaning as in section | | 2736-C, subsection 1, paragraph C-2. |
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| | | 17.__Subsidy.__"Subsidy" means a subsidy as described in | | section 6912. |
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| | | 18.__Third-party administrator.__"Third-party administrator" | | means any person who, on behalf of any person who establishes a | | health insurance plan covering residents, receives or collects | | charges, contributions or premiums for or settles claims on | | residents in connection with any type of health benefit provided | | in or as an alternative to insurance as defined by section 704, | | other than: |
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| | | A. Any person listed in section 1901, subsection 1, | | paragraphs A to C and paragraphs E to O; or |
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| | | B. Any person who provides those services in connection with | | a group health plan sponsored by an agricultural cooperative | | association located outside of this State that provides | | heath insurance coverage to members and employees of | | agricultural cooperative associations located within this | | State. |
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| | | 19.__Unemployed individual.__"Unemployed individual" means an | | individual who does not work more than 20 hours a week for any | | single employer. |
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| | | §6904.__Board of Directors of Dirigo Health |
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| | | Dirigo Health operates under the supervision of a Board of | | Directors established in accordance with this section. |
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| | | 1.__Appointments.__The board consists of 5 voting members and | | 3 ex officio, nonvoting members as follows. |
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| | | A.__The 5 voting members of the board must be appointed by the | | Governor, subject to review by the joint standing |
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