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above or below the community rate filed by the carrier | | by more than 20%. |
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| | | (4)__For all policies, contracts or certificates that | | are executed, delivered, issued for delivery, | | continued or renewed in this State on or after | | October 15, 2003, the premium rate may not deviate | | above or below the community rate filed by the | | carrier. |
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| | | Sec. 9. 24-A MRSA §2808-B, sub-§6, ķI, as enacted by PL 1993, c. 477, | | Pt. B, §3 and affected by Pt. F, §1, is amended to read: |
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| | | I. Notwithstanding any other provision of this section, a | carrier may choose whether it will | having only one member coverage under the carrier's | individual health policies offered to other individuals in | this State in accordance with section 2736-C or coverage | | under a small group health plan in accordance with this | section, or both, but the carrier need not offer to groups | of one both small group and individual health coverage |
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| | | Sec. 10. 24-A MRSA §2808-B, sub-§8, as repealed by PL 2001, c. 410, | | Pt. A, §7, is reenacted to read: |
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| | | 8.__Standardized plans.__The superintendent shall by rule | | define 2 standardized small group health plans that must be | | offered by all carriers offering small group health plans in | | the State.__An association group organized pursuant to section | | 2805-A or a trustee group organized pursuant to section 2806 | | may offer one or both__plans to its subgroups.__The plans must | | consist of a standard plan and a basic plan.__Both plans must | | meet the requirements for mandated coverage for specific | | health services, specific diseases and for certain providers | | of health services under Title 24 and this Title applicable to | | small group health plans.__As used in this subsection: |
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| | | A.__"Standard plan" means a plan that is similar to those | | plans typically sold to small employers; and |
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| | | B.__"Basic plan" means a plan that emphasizes preventative | | care and that contains reasonable but lesser benefits than | | the standard plan to the extent necessary to reduce the | | anticipated cost of the plan by 20%. |
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| | | The premium rate charged by a carrier for the basic plan may | | not exceed 80% of the corresponding premium rate charged by | | that carrier for the standard plan. |
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