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on or after the effective date of this section, the superintendent | | shall disapprove any premium rates filed by any carrier, whether | | initial or revised, for an individual health policy unless it is | | anticipated that the aggregate benefits estimated to be paid under | | all the individual health policies maintained in force by the | | carrier for the period for which coverage is to be provided will | | return to policyholders at least 65% of the aggregate premiums | | collected for those policies, as determined in accordance with | | accepted actuarial principles and practices and on the basis of | incurred claims experience and earned premiums. For the purposes | of this calculation, any savings offset payments paid pursuant to | section 6913 must be treated as incurred claims. |
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| | | Sec. B-8. 24-A MRSA §2839-B, as enacted by PL 2003, c. 469, Pt. E, | | §17, is repealed. |
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| | | Sec. C-1. 24-A MRSA §6903, sub-§3, as enacted by PL 2003, c. 469, Pt. | | A, §8, is amended to read: |
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| | | 3. Dependent. "Dependent" means a spouse, an unmarried child | | under 19 years of age, a child who is a student under 23 years of | | age and is financially dependent upon a plan enrollee or a person | | of any age who is the child of a plan enrollee and is disabled | | and dependent upon that plan enrollee. "Dependent" may include a | domestic partner consistent with sections 2741-A, | | and Title 24, section 2319-A. |
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| | | Sec. C-2. 24-A MRSA §6951, first ¶, as enacted by PL 2003, c. 469, Pt. | | A, §8, is amended to read: |
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| | | The Maine Quality Forum, referred to in this subchapter as | | "the forum," is established within Dirigo Health. The forum is | | governed by the board with advice from the Maine Quality Forum | Advisory Council pursuant to section 6952. The forum must be | funded, at least in part, through the savings offset payments | made pursuant to section 6913. | | 6907, subsection 2, information obtained by the forum is a public | | record as provided by Title 1, chapter 13, subchapter 1. The | | forum shall perform the following duties. |
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| | | This bill does the following: |
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| | | Part A expands the Dirigo Health Insurance program to all |
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