7.__Lifetime maximum.__The board shall establish a single subscriber and family subscriber lifetime maximum, an amount above which the enrollee is no longer required to satisfy an annual deductible prior to receiving coverage.

8.__Community rating.__Notwithstanding the requirements of sections 2736-C and 2808-B relating to community rating for individual and small group health plans, a prospective and actuarially determined community rate must be calculated annually.__A single subscriber premium and a family subscriber premium that are actuarially based on this community rate must be established by the board.

9.__Premium payments.__All eligible residents are required to participate in the plan.__Single subscriber or family subscriber premium payments may be voluntarily paid on behalf of an enrollee by an employer.__This subsection does not require any self-insured employer plan to participate in premium payments.__Compliance by a self-insured employer plan is entirely voluntary.__In the event that there is no employer contribution for an enrollee, single subscriber or family subscriber premiums must be collected directly from the enrollee by the State.

10.__Claims payments.__Upon satisfaction of the deductible, the plan shall reimburse at a rate consistent with current average reimbursement levels in the State.__If a health plan or self-insured employer has incurred, for an enrollee, medical costs eligible for reimbursement that are in excess of the deductible, the plan shall reimburse the health plan or self-insured employer, and this payment must be considered full and complete.__Adjustments to this payment amount must be made to reflect the expected efficiency and effectiveness of the health