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| 12.__Plan enrollee.__"Plan enrollee" means an eligible individual | | or eligible employee who enrolls in Dirigo Health Insurance through | | Dirigo Health.__"Plan enrollee" includes an eligible employee who | | is eligible to enroll in MaineCare. |
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| | | 13.__Provider.__"Provider" means any person, organization, | | corporation or association that provides health care services and | | products and is authorized to provide those services and products | | under the laws of this State. |
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| | | 14.__Reinsurance or reinsurer.__"Reinsurance" and "reinsurer" | | have the same meanings as in section 741. |
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| | | 15.__Resident.__"Resident" means a person who is legally | | domiciled in this State and has been for at least 60 days and has | | a Maine driver's license, is registered to vote in this State or | | meets other criteria established by Dirigo Health. |
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| | | 16.__Subsidy.__"Subsidy" means a subsidy as described in | | section 6918. |
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| | | 17.__Third-party administrator.__"Third-party administrator" | | means any person who, on behalf of any person who establishes a | | health insurance plan covering residents, receives or collects | | charges, contributions or premiums for or settles claims on | | residents in connection with any type of health benefit provided | | in or as an alternative to insurance as defined by section 704, | | other than any person listed in section 1901, subsection 1, | | paragraphs A to O. |
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| | | 18.__Unemployed individual.__"Unemployed individual" means an | | individual who does not work more than 15 hours a week for any | | single employer. |
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| | | §6907.__Board of Directors of Dirigo Health |
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| | | 1.__Establishment; appointments.__The Board of Directors of | | Dirigo Health is established and comprises 5 voting members and 3 | | ex officio, nonvoting members. |
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| | | A.__The 5 voting members of the board must be appointed by | | the Governor, subject to review by the joint standing | | committee of the Legislature having jurisdiction over health | | insurance matters and confirmation by the Senate. |
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| | | B.__Ex officio, nonvoting members of the board must include: |
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| | | (1)__The Commissioner of Professional and Financial | | Regulation or the commissioner's designee; |
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