LD 1363
pg. 1
LD 1363 Title Page An Act To Create Lower-cost Health Insurance Options Page 2 of 3
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LR 273
Item 1

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

 
Sec. 1. 24-A MRSA §2736-C, sub-§10 is enacted to read:

 
10. Options included in all health coverage plans.__All
carriers offering individual health plans in this State shall
offer, at the time of offering and renewing a health plan, an
alternate version of that plan in accordance with the
requirements of this subsection and any rules adopted by the
superintendent pursuant to this subsection.__The alternate
version of each plan must provide the identical coverages of
the primary plan except that additional deductibles and
coinsurance payments must be required in the alternate plan as
described in this subsection.

 
A.__The alternate plan must include an annual deductible
of $3,000. The alternate plan must include a 20%
coinsurance payment on health care expenses above $3,000
until the annual out-of-pocket payments for covered health
care expenses reach $6,000. When the $6,000 annual limit
is met, the coinsurance amount must be reduced to 5% on
any additional expenses.

 
B.__A carrier may not enroll an individual in an alternate
plan as described in this section if the individual has
any other supplemental insurance coverage for the payment
of the deductibles and coinsurance associated with the
alternate plan.

 
C. The superintendent shall adopt rules to further define
the options required by this subsection. Rules adopted
pursuant to this subsection are routine technical rules as
defined in Title 5, chapter 375, subchapter 2-A.

 
Sec. 2. 24-A MRSA §2808-B, sub-§10 is enacted to read:

 
10.__Options included in all health coverage plans.__All
carriers offering small group health plans in this State shall
offer, at the time of offering and renewing a health plan, an
alternate version of that plan in accordance with the
requirements of this subsection and any rules adopted by the
superintendent pursuant to this subsection.__The alternate
version of each plan must provide the identical coverages of
the primary plan except that additional deductibles and
coinsurance payments must be required in the alternate plan as
described in this subsection.

 
A.__The alternate plan must include an annual deductible of
$3,000.__The alternate plan must include a 20% coinsurance
payment on health care expenses above $3,000 until the


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