LD 1652
pg. 1
LD 1652 Title Page An Act to Promote Healthy Lifestyles and to Reallocate the Cost of Health Care ... Page 2 of 2
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LR 1662
Item 1

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

 
Sec. 1. 24-A MRSA §2736-C, sub-§1, ¶B, as enacted by PL 1993, c. 477,
Pt. C, §1 and affected by Pt. F, §1, is amended to read:

 
B. "Community rate" means the rate charged to all eligible
individuals for individual health plans prior to any
adjustments pursuant to subsection 2, paragraphs B-1 and C
and D.

 
Sec. 2. 24-A MRSA §2736-C, sub-§2, as amended by PL 1999, c. 44, §1
and affected by §2, is further amended to read:

 
2. Rating practices. The following requirements apply to the
rating practices of carriers providing individual health plans.

 
A. A carrier issuing an individual health plan after
December 1, 1993 must file the carrier's community rate and
any formulas and factors used to adjust that rate with the
superintendent prior to issuance of any individual health
plan.

 
B. A carrier may not vary the premium rate due to the
gender, health status, claims experience or policy duration
of the individual.

 
B-1.__A carrier may vary the premium rate due to the health
status of the individual only as permitted by this
paragraph.

 
(1)__The carrier may have one or more classes of
substandard rating and one or more classes of
superstandard rating.

 
(2)__Applicants may be offered a substandard or
superstandard rate based on health status, health
history or healthy lifestyle.

 
(3)__The highest rating class may not exceed 150% of
the lowest rating class.

 
(4)__The carrier may reduce the multiple that an
individual is charged on any renewal date based on
improved health status, but may never increase the
multiple.

 
The superintendent may adopt rules setting forth appropriate
methodologies regarding substandard and superstandard ratings
based on health status, health history or healthy


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