Sec. 1. 24-A MRSA §4203, sub-§3, ¶R, as enacted by PL 1989, c. 842, §7, is amended to read:

R. A description of procedures to be implemented to meet the protection against insolvency requirements in section 4204, subsection 2-A, paragraph D and section 4204-A; and

Sec. 2. 24-A MRSA §4203, sub-§3, ¶S, as amended by PL 1997, c. 370, Pt. F, §1, is further amended to read:

S. A list of the names and addresses of all physicians and facilities with which the health maintenance organization has or will have agreements. If products are offered that pay full benefits only when providers within a subset of the contracted physicians or facilities are utilized, a list of the providers in that limited network must be included, as well as a list of the geographic areas where the products are offered.; and

Sec. 3. 24-A MRSA §4203, sub-§3, ¶T is enacted to read:

T.__Proof of insurance adequate to ensure payment for at least 120 days worth of managed care claims payments owed to participating providers in the event of insolvency.

SUMMARY

This bill requires that health maintenance organizations carry insurance adequate to ensure payment for at least 120 days worth of managed care claims payments owed to participating providers in the event of insolvency.