LD 1168
pg. 6
Page 5 of 20 An Act To Reduce Individual Health Insurance Premiums Page 7 of 20
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LR 790
Item 1

 
1.__Association.__"Association" means the Maine Health
Insurance High-risk Pool Association established in section 3904.

 
2.__Board.__"Board" means the board of directors of the
association.

 
3.__Covered person.__"Covered person" means an individual
resident of this State who:

 
A.__Is eligible to receive benefits from an insurer;

 
B.__Is eligible for benefits under the federal Health
Insurance Portability and Accountability Act of 1996; or

 
C.__Has been certified as eligible for federal trade
adjustment assistance or for pension benefit guarantee
corporation assistance, as provided by the federal Trade
Adjustment Assistance Reform Act of 2002.

 
For the purposes of this chapter, "covered person" does not
include a dependent of a covered person.

 
4.__Dependent.__"Dependent" means a resident spouse, a
resident unmarried child under 19 years of age, a child under 23
years of age who is a student and who is financially dependent
upon the parent or a child of any age who is disabled and
dependent upon the parent.

 
5.__Health maintenance organization.__"Health maintenance
organization" means a health maintenance organization authorized
under chapter 56.

 
6.__Insurer.__"Insurer" means an entity that is authorized to
write medical insurance or that provides medical insurance in
this State. For the purposes of this chapter, "insurer" includes
an insurance company, a nonprofit hospital and medical service
organization, a fraternal benefit society, a health maintenance
organization, a self-insurance arrangement that provides health
care benefits in this State to the extent allowed under the
federal Employee Retirement Income Security Act of 1974, a 3rd-
party administrator, a multiple-employer welfare arrangement,
another entity providing medical insurance or health benefits
subject to state insurance regulation and a reinsurer that
reinsures health insurance in this State.

 
7.__Medical insurance.__"Medical insurance" means a hospital
and medical expense-incurred policy, nonprofit hospital and
medical service plan, health maintenance organization subscriber
contract or other health care plan or arrangement that pays for


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