Sec. F-1. 24-A MRSA §5001, sub-§4-B is enacted to read:
4-B. Open enrollment period. "Open enrollment period" means the 6-month period beginning when an individual of any age first enrolls for benefits under Medicare Part B and the 6-month period beginning on the 65th birthday of an individual who has enrolled for benefits under Medicare Part B before turning 65 years of age.
Sec. F-2. 24-A MRSA §5004, sub-§2, as amended by PL 1991, c. 740, §6, is further amended to read:
2. Medicare supplement policies must provide for a return to policyholders benefits that are reasonable in relation to the premium charged. The superintendent shall issue reasonable rules to establish minimum standards for loss ratios of Medicare supplement policies on the basis of incurred claims experience, or incurred health care expenses where coverage is provided by a health maintenance organization on a service rather than reimbursement basis, and earned premiums in accordance with accepted actuarial principles and practices.
Sec. F-3. 24-A MRSA §5005, sub-§3-B, ¶D, as enacted by PL 1991, c. 740, §7, is repealed.
Sec. F-4. 24-A MRSA §5011, sub-§1, ¶B, as enacted by PL 1991, c. 740, §13, is amended to read:
B. In revising rates for a standardized plan plans, an issuer shall pool all experience for that plan standardized plans under individual policies. Experience may be pooled separately for each standardized plan or experience for similar benefits in different standardized plans may be pooled, including, but not limited to, basing the component of the rate for skilled nursing coinsurance on the pooled experience of all standardized plans that include that benefit. Group plans may be rated separately. A group with credible experience may be rated differently than other groups.
Sec. F-5. 24-A MRSA §5011, sub-§1, ¶¶C and D are enacted to read:
C. An issuer that offers both group and individual plans may not use stricter medical underwriting standards for any group plan than it uses for individual plans.
D. An issuer may not use stricter medical underwriting standards than any affiliated issuer uses for its individual plans.
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