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class mail of a rate increase to all affected policyholders or | | others who are directly billed for group coverage at least 60 days | | before the effective date of any increase in premium rates. An | | increase in premium rates may not be implemented until 60 days | | after the notice is provided. For small group health plan rates | | subject to section 2808-B, subsection 2-B, if the increase is | | pending approval at the time of notice, the disclosure must state | | that the increase is subject to regulatory approval. |
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| | | 2. Notice of rate increase on new business. When an insurer | | offering group health insurance, except for accidental injury, | | specified disease, hospital indemnity, disability income, | | Medicare supplement, long-term care or other limited benefit | | group health insurance, quotes a rate for new business, it must | | disclose any rate increase that the insurer anticipates | | implementing within the following 90 days. If the quote is in | | writing, the disclosure must also be in writing. If such | | disclosure is not provided, an increase may not be implemented | | until at least 90 days after the date the quote is provided. For | | small group health plan rates subject to section 2808-B, | | subsection 2-B, if the increase is pending approval at the time | | of notice, the disclosure must state that the increase is subject | | to regulatory approval. |
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| | | Sec. G-1. 24-A MRSA §2850-B, sub-§5 is enacted to read: |
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| | | 5. Association plans.__The requirements of this subsection | | apply to group contracts that are subject to this section and | | that are issued to association groups pursuant to section 2805-A.__ | | Carriers shall renew coverage for association members if coverage | | through an association is terminated because the association | | ceases to exist, changes its membership eligibility criteria, | | fails to pay premiums, commits fraud or misrepresentation or | | voluntarily terminates the group policy. |
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| | | A.__If coverage to an employer through an association is | | terminated, the carrier shall renew the coverage with the | | employer becoming the policyholder. |
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| | | B.__If coverage to an individual member of an association is | | terminated, the carrier shall renew the coverage with the | | individual becoming the policyholder.__A carrier that has | | been granted an exemption pursuant to section 2736-C, | | subsection 9 does not lose that exemption simply by virtue | | of renewing coverage to individuals under this paragraph. |
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