PART A

Sec. A-1. 24-A MRSA §2736-C, sub-§8-A is enacted to read:

8-A. Primary health care policy.__All carriers offering individual health plans in this State shall offer a primary health care policy, referred to in this subsection as "the policy."__The superintendent shall adopt rules that define the benefit design for the policy in accordance with the following.

A. The policy must provide coverage that emphasizes primary and preventive care, including, but not limited to, well-adult and well-child visits and health screenings.

B. The annual maximum limit payable on the policy must be determined as follows:

(1)__For an individual whose income is between 100% and 200% of the federal nonfarm income federal poverty level, the annual maximum limit payable on the policy is $2,000 per individual covered under the policy;

(2)__For an individual whose income is between 200% and 300% of the federal nonfarm income federal poverty level, the annual maximum limit payable on the policy is $5,000 per individual covered under the policy;

(3)__For an individual whose income is between 300% and 400% of the federal nonfarm income federal poverty level, the annual maximum limit payable on the policy is $10,000 per individual covered under the policy; and

(4)__For an individual whose income is above 400% of the federal nonfarm income federal poverty level, the annual maximum limit payable on the policy is $20,000 per individual covered under the policy.

C. The policy must meet the requirements for mandated benefits under this Title applicable to individual health plans.

D.__Notwithstanding subsection 2, paragraph D, a carrier may offer an additional discount of up to 20% of the premium rate for the policy based on an individual's weight or adherence to a recommended schedule for regular physicals. With respect to weight and regular physicals, the discount must be based on the individual's compliance with the