LD 1175
pg. 2
Page 1 of 7 An Act To Improve the Affordability of Individual and Small Group Health Insura... Page 3 of 7
Download Bill Text
LR 1542
Item 1

 
the premium rate may not deviate above or below the
community rate filed by the carrier.

 
Sec. 3. 24-A MRSA §2736-C, sub-§2, ¶E, as amended by PL 1999, c. 44,
§1 and affected by §2, is repealed.

 
Sec. 4. 24-A MRSA §2736-C, sub-§5, as enacted by PL 1993, c. 477, Pt.
C, §1 and affected by Pt. F, §1, is amended to read:

 
5. Loss ratios. For all policies issued on or after the
effective date of this section October 15, 2003, the
superintendent shall disapprove any premium rates filed by any
carrier, whether initial or revised, for an individual health
policy unless it is anticipated that the aggregate benefits
estimated to be paid under all the individual health policies
maintained in force by the carrier for the period for which
coverage is to be provided will return to policyholders at
least 65% 85% of the aggregate premiums collected for those
policies, as determined in accordance with accepted actuarial
principles and practices and on the basis of incurred claims
experience and earned premiums.

 
Sec. 5. 24-A MRSA §2736-C, sub-§9, ¶C, as enacted by PL 1995, c. 570,
§7, is amended to read:

 
C. The group's anticipated loss ratio, as defined in
subsection 5, is at least 75% 85%;

 
Sec. 6. 24-A MRSA §2736-C, sub-§10 is enacted to read:

 
10.__ ______________________________________________.

 
Sec. 7. 24-A MRSA §2808-B, sub-§2, ¶D, as amended by PL 2001, c. 410,
Pt. A, §4 and affected by §10, is further amended to read:

 
D. A carrier may vary the premium rate due to age,
occupation or industry and geographic area only under the
following schedule and within the listed percentage bands.

 
(1) For all policies, contracts or certificates that are
executed, delivered, issued for delivery, continued or renewed
in this State between July 15, 1993 and July 14, 1994, the
premium rate may not deviate above or


Page 1 of 7 Top of Page Page 3 of 7