LD 1611
pg. 8
Page 7 of 73 PUBLIC Law Chapter 469 Page 9 of 73
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LR 2137
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Insurance through Dirigo Health.__"Plan enrollee" includes an
eligible employee who is eligible to enroll in MaineCare.

 
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.

 
15.__Reinsurance or reinsurer.__"Reinsurance" and "reinsurer"
have the same meanings as in section 741.

 
16.__Resident.__"Resident" has the same meaning as in section
2736-C, subsection 1, paragraph C-2.

 
17.__Subsidy.__"Subsidy" means a subsidy as described in
section 6912.

 
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:

 
A. Any person listed in section 1901, subsection 1,
paragraphs A to C and paragraphs E to O; or

 
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.

 
19.__Unemployed individual.__"Unemployed individual" means an
individual who does not work more than 20 hours a week for any
single employer.

 
§6904.__Board of Directors of Dirigo Health

 
Dirigo Health operates under the supervision of a Board of
Directors established in accordance with this section.

 
1.__Appointments.__The board consists of 5 voting members and
3 ex officio, nonvoting members as follows.

 
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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