LD 1174
pg. 2
Page 1 of 5 An Act Relating to Options for Health Insurance Coverage Page 3 of 5
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LR 1301
Item 1

 
catastrophic health insurance protection to eligible state
residents. The plan shall operate in accordance with the
requirements of this section.

 
1.__Organization. The plan is established as an independent,
nonprofit insurance company and is authorized to conduct all
activities described in this chapter, either directly or
through subcontractual arrangements with other appropriate
entities.__The plan is also authorized to identify and
purchase reinsurance coverage.

 
2.__Board of directors.__The plan is governed by a board of
directors, referred to in this chapter as "the board."

 
A. The board consists of 9 members appointed as follows:

 
(1)__Three members appointed by the Governor;

 
(2)__Three members appointed by the President of the
Senate; and

 
(3)__Three members appointed by the Speaker of the
House of Representatives.

 
For each set of initially selected directors, one-year, 2-year
and 3-year terms of office must be randomly assigned.__After
the initial terms are completed, directors are appointed for
3-year terms.__An individual may not serve more than 3
consecutive terms.

 
3.__Executive director.__The board shall hire an executive
director to administer and oversee the plan.__The executive
director serves at the direction of the board.

 
4.__Eligibility.__All eligible state residents, except those
covered by Medicare or MaineCare, must be annually enrolled in
the plan as of July 1st.__To be eligible, a person must have
established legal residence in this State for the entire
calendar year preceding the date of the person's enrollment.__
Eligible residents filing personal tax returns as a single
person with no dependents must be considered single
subscribers in the plan; those residents filing all other
personal tax returns must be considered family subscribers in
the plan.

 
5.__Benefit coverage.__The plan covers medical expenses,
generally defined to be those hospital, professional,
diagnostic, therapeutic, pharmacy and similar services
associated with acute medical care, after satisfaction of an
annual deductible established in subsection 6.


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