LD 801
pg. 1
LD 801 Title Page An Act to Authorize the State and Participating Municipalities to Pool Health C... Page 2 of 2
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LR 1011
Item 1

 
Be it enacted by the People of the State of Maine as follows:

 
Sec. 1. 5 MRSA §286-B is enacted to read:

 
§286-B.__Joint venture for self-funded group health plan

 
1.__Joint venture. The State, through the State Employee
Health Commission, and counties and municipalities that choose to
participate, through the Maine Municipal Association or its
successor organization, may establish a self-funded group health
plan through a joint venture.

 
2.__Competitive bidding.__The State Employee Health Commission
and the Maine Municipal Association or its successor organization
shall contract by competitive bidding with a 3rd-party
administrator or any organization to administer and manage the
self-funded group health plan under subsection 1.__A written
contract must be fully executed within 90 days of notification of
bid acceptance to the administrator.__Notwithstanding any other
provision of law, the term of the contract may not exceed 3
years.

 
3.__Eligibility.__The following persons are eligible for
participation in a self-funded group health plan established
pursuant to this section:

 
A.__Those persons eligible for a group health plan pursuant
to section 285, subsections 1 and 1-A; and

 
B. Employees of counties and municipalities and
instrumentalities of those counties and municipalities,
including quasi-municipal corporations, as determined by
those counties and municipalities and employees of members
of the Maine Municipal Association or its successor
organization, as determined by the association,
notwithstanding section 285, subsection 1-B.

 
4.__Restrictions on self-funded group health plan.__A self-
funded group health plan established through a joint venture
pursuant to this section must meet the requirements of section
285, subsection 9.

 
5.__Not insurance.__The operation of a joint venture for a
self-funded group health plan pursuant to this section does not
constitute the business of insurance.


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