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catastrophic health insurance protection to eligible state | | residents. The plan shall operate in accordance with the | | requirements of this section. |
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| | | 1.__Organization. The plan is established as an independent, | | nonprofit insurance company and is authorized to conduct all | | activities described in this chapter, either directly or | | through subcontractual arrangements with other appropriate | | entities.__The plan is also authorized to identify and | | purchase reinsurance coverage. |
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| | | 2.__Board of directors.__The plan is governed by a board of | | directors, referred to in this chapter as "the board." |
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| | | A. The board consists of 9 members appointed as follows: |
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| | | (1)__Three members appointed by the Governor; |
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| | | (2)__Three members appointed by the President of the | | Senate; and |
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| | | (3)__Three members appointed by the Speaker of the | | House of Representatives. |
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| | | For each set of initially selected directors, one-year, 2-year | | and 3-year terms of office must be randomly assigned.__After | | the initial terms are completed, directors are appointed for | | 3-year terms.__An individual may not serve more than 3 | | consecutive terms. |
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| | | 3.__Executive director.__The board shall hire an executive | | director to administer and oversee the plan.__The executive | | director serves at the direction of the board. |
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| | | 4.__Eligibility.__All eligible state residents, except those | | covered by Medicare or MaineCare, must be annually enrolled in | | the plan as of July 1st.__To be eligible, a person must have | | established legal residence in this State for the entire | | calendar year preceding the date of the person's enrollment.__ | | Eligible residents filing personal tax returns as a single | | person with no dependents must be considered single | | subscribers in the plan; those residents filing all other | | personal tax returns must be considered family subscribers in | | the plan. |
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| | | 5.__Benefit coverage.__The plan covers medical expenses, | | generally defined to be those hospital, professional, | | diagnostic, therapeutic, pharmacy and similar services | | associated with acute medical care, after satisfaction of an | | annual deductible established in subsection 6. |
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