LD 1496
pg. 14
Page 13 of 41 An Act To Reduce Maine's Health Insurance Rates and Expand Consumer Choice ... Page 15 of 41
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LR 541
Item 1

 
§3908.__Assessments against insurers

 
1.__Assessments.__For the purpose of providing the funds
necessary to carry out the powers and duties of the association,
the board shall assess member insurers at such a time and for
such amounts as the board finds necessary.__Assessments are due
not less than 30 days after written notice to the member insurers
and accrue interest at 12% per annum on and after the due date.

 
2.__Maximum assessment.__Each insurer must be assessed by the
board an amount not to exceed $2 per covered person insured or
reinsured by each insurer per month for medical insurance.__An
insurer may not be assessed on policies or contracts insuring
federal or state employees.

 
3.__Determination of assessment.__The board shall make
reasonable efforts to ensure that each covered person is counted
only once with respect to an assessment.__For that purpose, the
board shall require each insurer that obtains excess or stop loss
insurance to include in its count of covered persons all
individuals whose coverage is insured, in whole or in part,
through excess or stop loss coverage.__The board shall allow a
reinsurer to exclude from its number of covered persons those who
have been counted by the primary insurer or by the primary
reinsurer or primary excess or stop loss insurer for the purpose
of determining its assessment under this subsection.__The board
may verify each insurer's assessment based on annual statements
and other reports determined to be necessary by the board.__The
board may use any reasonable method of estimating the number of
covered persons of an insurer if the specific number is unknown.

 
4.__Excess funds.__If assessments and other receipts by the
association, board or plan administrator exceed the actual losses
and administrative expenses of the plan, the board shall hold the
excess as interest and may use those excess funds to offset
future losses or to reduce plan premiums. As used in this
subsection, "future losses" includes reserves for claims incurred
but not reported.

 
5.__Failure to pay assessment.__The superintendent may suspend
or revoke, after notice and hearing, the certificate of authority
to transact insurance in this State of any member insurer that
fails to pay an assessment.__As an alternative, the
superintendent may levy a penalty on any member insurer that
fails to pay an assessment when due.__In addition, the
superintendent may use any power granted to the superintendent by
this Title to collect any unpaid assessment.

 
§3909.__Availability of coverage


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