LD 1496
pg. 7
Page 6 of 41 An Act To Reduce Maine's Health Insurance Rates and Expand Consumer Choice ... Page 8 of 41
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LR 541
Item 1

 
B.__Is legally domiciled in this State on the date of
application to the plan and is eligible for enrollment in the
risk pool under this chapter as a result of the federal Health
Insurance Portability and Accountability Act of 1996; or

 
C.__Is legally domiciled in this State on the date of
application to the plan and 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.

 
12.__Reinsurer.__"Reinsurer" means an insurer from whom a
person providing health insurance for a resident procures
insurance for itself with the insurer with respect to all or part
of the medical insurance risk of the person.__"Reinsurer"
includes an insurer that provides employee benefits excess
insurance.

 
13.__Third-party administrator.__"Third-party administrator"
means any entity that is paying or processing medical insurance
claims for any resident.

 
§3904.__Comprehensive Health Insurance Risk Pool Association

 
1.__Risk pool established.__The Comprehensive Health Insurance
Risk Pool Association is established as a nonprofit legal entity.__
As a condition of doing business, an insurer that has sold
medical insurance within the previous 12 months or is actively
marketing a medical insurance policy in this State must
participate in the association.

 
2.__Board of directors.__The association is governed by a
board of directors in accordance with the following.

 
A.__The board consists of 10 members appointed as follows:

 
(1)__Six members appointed by the superintendent:__2
members chosen from the general public and who are not
associated with the medical profession, a hospital or
an insurer; 2 members who represent medical providers;
one member who represents a statewide organization that
represents small businesses and that receives a
majority of its funding from small businesses located
in this State; and one member who represents producers.__
A board member appointed by the superintendent may be
removed at any time without cause; and


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