LD 394
pg. 4
Page 3 of 21 An Act To Create a High-risk Pool in the Health Insurance Market Page 5 of 21
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LR 516
Item 1

 
H. Granting an exemption to the association does not
conflict with the purposes of this section.

 
Sec. 10. 24-A MRSA §2848, sub-§1-B, ķA, as amended by PL 1999, c. 256,
Pt. L, §2, is further amended to read:

 
A. "Federally creditable coverage" means health benefits or
coverage provided under any of the following:

 
(1) An employee welfare benefit plan as defined in
Section 3(1) of the federal Employee Retirement Income
Security Act of 1974, 29 United States Code, Section
1001, or a plan that would be an employee welfare
benefit plan but for the "governmental plan" or
"nonelecting church plan" exceptions, if the plan
provides medical care as defined in subsection 2-A, and
includes items and services paid for as medical care
directly or through insurance, reimbursement or
otherwise;

 
(2) Benefits consisting of medical care provided
directly, through insurance or reimbursement and
including items and services paid for as medical care
under a policy, contract or certificate offered by a
carrier;

 
(3) Part A or Part B of Title XVIII of the Social
Security Act, Medicare;

 
(4) Title XIX of the Social Security Act, Medicaid,
other than coverage consisting solely of benefits under
Section 1928 of the Social Security Act or a state
children's health insurance program under Title XXI of
the Social Security Act;

 
(5) The Civilian Health and Medical Program for the
Uniformed Services, CHAMPUS, 10 United States Code,
Chapter 55;

 
(6) A medical care program of the federal Indian
Health Care Improvement Act, 25 United States Code,
Section 1601 or of a tribal organization;

 
(7) A state health benefits risk pool;

 
(8) A health plan offered under the federal Employees
Health Benefits Amendments Act, 5 United States Code,
Chapter 89;


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