HP0979, LD 1333, item 26, Document Text

Amend the amendment in Part A in section 1 by striking out all of paragraph C (page 1, lines 17 to 21 in amendment) and inserting the following:

‘C. A carrier may vary the premium rate due to smoking status and family membership. The superintendent may adopt rules setting forth appropriate methodologies regarding rate discounts based on smoking status. Rules adopted pursuant to this paragraph are routine technical rules as defined in Title 5, chapter 375, subchapter II-A.’

Amend the amendment in Part A by inserting after section 1 the following:

‘Sec. A-2. 24-A MRSA §2736-C, sub-§2, ¶C-1 is enacted to read:

C-1. A carrier may vary the premium rate due to geographic area in accordance with the limitation set out in this paragraph. For all policies, contracts or certificates that are executed, delivered, issued for delivery, continued or renewed in this State on or after July 1, 2012, the rating factor used by a carrier for geographic area may not exceed 1.5.’

Amend the amendment in Part A in section 2 in paragraph D in subparagraph (6) in the 4th line (page 2, line 37 in amendment) by inserting after the following: " 1" the following: ' to the extent permitted by the federal Affordable Care Act'

Amend the amendment in Part A in section 2 in paragraph D in subparagraph (7) in the 4th line (page 2, line 42 in amendment) by inserting after the following: " 1" the following: ' to the extent permitted by the federal Affordable Care Act'

Amend the amendment in Part A in section 4 in paragraph I in the 6th line (page 3, line 13 in amendment) by inserting after the following: " paragraph" the following: ' and paragraphs C and C-1'

Amend the amendment in Part A in section 4 in paragraph I in subparagraph (4) in the 4th line (page 3, line 32 in amendment) by inserting after the following: " 1" the following: ' to the extent permitted by the federal Affordable Care Act'

Amend the amendment in Part A in section 4 in paragraph I in subparagraph (5) in the 4th line (page 3, line 37 in amendment) by inserting after the following: " 1" the following: ' to the extent permitted by the federal Affordable Care Act'

Amend the amendment in Part A in section 5 by striking out all of paragraph C (page 4, lines 16 to 22 in amendment) and inserting the following:

‘C. A carrier may vary the premium rate due to occupation and industry, family membership, smoking status, participation in wellness programs and group size. The superintendent may adopt rules setting forth appropriate methodologies regarding rate discounts for participation in wellness programs and rating for occupation and industry and group size pursuant to this paragraph. Rules adopted pursuant to this paragraph are routine technical rules as defined in Title 5, chapter 375, subchapter II-A 2-A.’

Amend the amendment in Part A by inserting after section 5 the following:

‘Sec. A-6. 24-A MRSA §2808-B, sub-§2, ¶C-1 is enacted to read:

C-1. A carrier may vary the premium rate due to geographic area in accordance with the limitation set out in this paragraph. For all policies, contracts or certificates that are executed, delivered, issued for delivery, continued or renewed in this State on or after October 1, 2011, the rating factor used by a carrier for geographic area may not exceed 1.5.’

Amend the amendment in Part A in section 6 in paragraph D in subparagraph (7) in the 4th line (page 5, line 16 in amendment) by inserting after the following: " 1" the following: ' to the extent permitted by the federal Affordable Care Act'

Amend the amendment in Part A in section 6 in paragraph D in subparagraph (8) in the 4th line (page 5, line 21 in amendment) by inserting after the following: " 1" the following: ' to the extent permitted by the federal Affordable Care Act'

Amend the amendment in Part A in section 8 in paragraph H in the 6th line (page 5, line 35 in amendment) by inserting after the following: " paragraph" the following: ' and paragraphs C and C-1'

Amend the amendment in Part A in section 8 in paragraph H in subparagraph (4) in the 4th line (page 6, line 12 in amendment) by inserting after the following: " 1" the following: ' to the extent permitted by the federal Affordable Care Act'

Amend the amendment in Part A in section 8 in paragraph H in subparagraph (5) in the 4th line (page 6, line 17 in amendment) by inserting after the following: " 1" the following: ' to the extent permitted by the federal Affordable Care Act'

Amend the amendment in Part B in section 6 in subsection 3 by striking out all of paragraph F (page 8, lines 15 to 17 in amendment)

Amend the amendment in Part C in section 4 in §405-B in subsection 1 in the first line (page 19, line 1 in amendment) by striking out the following: " subsidiary" and inserting the following: ' corporate affiliate'

Amend the amendment in Part C in section 4 in §405-B in subsection 3 in the 4th line (page 19, line 13 in amendment) by striking out the following: " subsidiary" and inserting the following: ' corporate affiliate'

Amend the amendment in Part D by striking out all of section 5.

Amend the amendment in Part F by striking out all of sections 5, 7 and 8.

Amend the amendment by relettering or renumbering any nonconsecutive Part letter or section number to read consecutively.

summary

The amendment incorporates the substance of Senate Amendment "H" to Committee Amendment "A" (S-96), except that this amendment retains current law pertaining to geographic access standards.

HP0979 LD 1333	First Regular Session - 125th Maine Legislature H "F" to C "A", Filing Number H-235, Sponsored by MARTIN J		LR 1371 Item 26
	Bill Tracking, Additional Documents	Chamber Status

Bill Tracking		Chamber Status
Amendments	Testimony, Public Hearings & Work Sessions		Committee Information
Other Documents			Title & Section

Search Bill Text		Search Bill Status
Bill Directory	Session Information		Legislative Information
Download MS-Word, Printed PDF		Maine Legislature

Office of Legislative Information 100 State House Station Augusta, ME 04333		voice: (207) 287-1692 fax: (207) 287-1580 tty: (207) 287-6826
Word Viewer for Windows		Disclaimer