E.__If approved by the superintendent, the policy may include provisions with financial incentives encouraging a policyholder to receive health care services at a center of excellence or other high-quality provider designated by the carrier based on objective quality indicators.

Rules adopted pursuant to this subsection are routine technical rules as defined in Title 5, chapter 375, subchapter 2-A.

Sec. A-2. 24-A MRSA §2808-B, sub-§8-A is enacted to read:

8-A. Primary health care policy.__All carriers offering small group 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 per member covered under the small group health plan, including dependents, must be determined as follows:

(1)__For a member 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 member covered under the policy;

(2) For a member 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 member covered under the policy;

(3) For a member 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 member covered under the policy; and

(4) For a member whose income is above 400% of the federal nonfarm income federal poverty level, the annual maximum limit payable on the policy is $25,000 per member covered under the policy.