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| Sec. B-11. 24-A MRSA §2808-B, as amended by PL 2003, c. 469, Pt. E, | | §§14 to 16, is repealed. |
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| | | Sec. B-12. 24-A MRSA §2808-C is enacted to read: |
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| | | §2808-C.__Small group health plans |
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| | | 1.__Purpose.__The purpose of this section is to promote the | | availability of health insurance coverage to small employers, to | | prevent abusive rating practices, to require disclosure of rating | | practices to purchasers of small group health plans, to establish | | standards for continuity of coverage__for small employers and | | their covered employees and to improve the efficiency and | | fairness of the small group market. |
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| | | 2.__Definitions.__As used in this section, unless the context | | otherwise indicates, the following terms have the following | | meanings. |
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| | | A.__"Actuarial certification" means a written statement by a | | member of the American Academy of Actuaries or other | | individual acceptable to the superintendent that a carrier | | offering small group health plans is in compliance with the | | provisions of subsection 4 based on the person's examination | | and review of the carrier's appropriate records and the | | actuarial assumptions and methods used by the carrier to | | establish premium rates for its small group health plans. |
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| | | B.__"Base premium rate" means, for each class of business as | | to a rating period, the lowest premium rate charged or which | | could have been charged under a rating system for that class | | of business by a small group carrier to small employers with | | similar case characteristics for health plans with the same | | or similar coverage. |
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| | | C.__"Carrier" means any insurance company, nonprofit | | hospital and medical service organization or health | | maintenance organization authorized to issue small group | | health plans in this State.__For the purposes of this | | section, carriers that are affiliated companies or that are | | eligible to file consolidated tax returns are treated as one | | carrier and any restrictions or limitations imposed by this | | section apply as if all small group health plans delivered | | or issued for delivery in this State by affiliated carriers | | were issued by one carrier.__For purposes of this section, | | health maintenance organizations are treated as separate | | organizations from affiliated insurance companies and | | nonprofit hospital and medical service organizations. |
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