| Be it enacted by the People of the State of Maine as follows: |
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| | Sec. 1. 24-A MRSA §2164-D, sub-§9, as enacted by PL 1997, c. 634, Pt. | A, §1, is amended to read: |
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| | 9. Applicability. This section does not apply to claims | involving workers' compensation, medical malpractice, fidelity, | suretyship or boiler and machinery insurance. |
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| | Sec. 2. 24-A MRSA c. 26-A is enacted to read: |
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| MONITORING, AUDITING AND ENFORCEMENT |
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| §2398.__Development of audit, enforcement and monitoring program |
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| | The superintendent shall establish an audit, enforcement and | monitoring program to ensure that all obligations under Title 39- | A are met.__The functions of the audit and enforcement program | include, but are not limited to, auditing timeliness of payments | and claims handling practices of insurers, self-insurers and 3rd- | party administrators; determining whether insurers, self-insurers | and 3rd-party administrators are unreasonably contesting claims; | and ensuring that all reporting requirements are met. |
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| §2398-A.__Auditing of claims |
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| | 1.__Audits.__The superintendent shall audit claims records, | including files held by insurers, self-insurers and 3rd-party | administrators, on an ongoing basis to determine whether | insurers, self-insured employers and 3rd-party administrators | have met their obligations under Title 39-A and to identify | disputes that arose, the reasons for disputes, the method and | manner of their resolution, the costs incurred, the reasons for | attorney involvement and the services rendered by the attorneys. |
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| | 2.__Notice of assessment.__If, any as a result of an | examination and after providing an opportunity for a hearing, the | superintendent determines that any compensation, interest, | penalty or other obligation is due and unpaid to an employee, | dependent or service provider, the superintendent shall issue a | notice of assessment detailing the amounts due and unpaid in each | case and shall order the amounts paid to the unpaid party or | parties. |
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| | 3.__Penalty.__In addition to any other penalty permitted under | law, the superintendent may assess civil penalties not to exceed | $10,000 upon finding, after hearing, that an employer, insurer or | 3rd-party administrator for an employer has engaged in |
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