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| Sec. 8. 24-A MRSA §2736-C, sub-§3, ķE is enacted to read: |
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| | | E.__An individual may not be denied health insurance due to | | age or gender.__This paragraph may not be construed to | | require a carrier to actively market health insurance to an | | individual 65 years of age or older. |
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| | | Sec. 9. 24-A MRSA §2736-C, sub-§9, as enacted by PL 1995, c. 570, §7, | | is amended to read: |
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| | | 9. Exemption for certain associations. The superintendent | | may exempt a group health insurance policy or group nonprofit | | hospital or medical service corporation contract issued to an | | association group, organized pursuant to section 2805-A, from the | requirements of subsection 3, paragraph A; subsection 6, | paragraph A; and subsection 8 if: |
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| | | A. Issuance and renewal of coverage under the policy or | | contract is guaranteed to all members of the association who | | are residents of this State and to their dependents; |
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| | | B. Rates for the association comply with the premium rate | | requirements of subsection 2 or are established on a | | nationwide basis and substantially comply with the purposes | | of this section, except that exempted associations may be | | rated separately from the carrier's other individual health | | plans, if any; |
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| | | C. The group's anticipated loss ratio, as defined in | | subsection 5, is at least 75%; |
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| | | D. The association's membership criteria do not include | | age, health status, medical utilization history or any other | | factor with a similar purpose or effect; |
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| | | E. The association's group health plan is not marketed to | | the general public; |
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| | | F. The association does not allow insurance agents or | | brokers to market association memberships, accept | | applications for memberships or enroll members, except when | | the association is an association of insurance agents or | | brokers organized under section 2805-A; |
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| | | G. Insurance is provided as an incidental benefit of | | association membership and the primary purposes of the | | association do not include group buying or mass marketing of | | insurance or other goods and services; and |
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