LD 1496
pg. 30
Page 29 of 41 An Act To Reduce Maine's Health Insurance Rates and Expand Consumer Choice ... Page 31 of 41
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LR 541
Item 1

 
(a) The carrier shall replace the product with a
product that complies with the requirements of
this section, including renewability, and with
section 2808-B 2808-C;

 
(b) The superintendent shall find that the
replacement is in the best interests of the
policyholders; and

 
(c) The carrier shall provide notice to the
policyholder and to the insureds at least 90 days
before replacement; or

 
(3) In the individual market:

 
(a) The carrier shall replace the product with a
product that complies with the requirements of
this section, including renewability, and with
section 2736-C;

 
(b) The superintendent shall find that the
replacement is in the best interests of the
policyholders; and

 
(c) The carrier shall provide notice to the
policyholder and, if a group policy, to the
insureds at least 90 days before replacement;

 
Sec. B-16. 24-A MRSA §2850-B, sub-§4, ¶B, as amended by PL 2001, c. 258,
Pt. E, §11, is further amended to read:

 
B. Carriers that cease to write new small group business
continue to be governed by section 2808-B 2808-C with
respect to small group contracts in force and their renewal
or replacement contracts.

 
Sec. B-17. 24-A MRSA §4202-A, sub-§10, ¶B, as amended by PL 1993, c.
645, Pt. A, §5, is further amended to read:

 
B. Is compensated, except for reasonable copayments, for
basic health care services to enrolled participants solely
on a predetermined periodic rate basis, except that the
organization is not prohibited from having a provision in a
group contract allowing an adjustment of premiums based upon
the actual health services utilization of the enrollees
covered under the contract, and except that such a contract
may not be sold to an eligible group subject to the
community rating requirements of section 2808-B 2808-C;


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