LD 1181
pg. 3
Page 2 of 4 An Act To Provide Fair Hearings in Health Insurance Rate Proceedings Page 4 of 4
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LR 1341
Item 1

 
Title 1, section 402, subsection 3 and become part of the
official record of any hearing held pursuant to section 2736-A.

 
Sec. 3. 24-A MRSA §2736, sub-§3, as amended by PL 2001, c. 432, §5,
is further amended to read:

 
3. Criteria for special rate hearings. Any Notwithstanding
the requirements of section 235-A, any filing of rates, rating
formulas and modifications for Medicare supplement contracts
as defined in chapter 67 and for individual health plans as
defined in section 2736-C, subsection 1, paragraph C that
satisfies the criteria set forth in this subsection is subject
to the provisions of subsection 4.

 
Sec. 4. 24-A MRSA §2736, sub-§4, śC, as enacted by PL 1997, c. 344,
§8, is amended to read:

 
C. In any hearing conducted under this subsection, the
Bureau of Insurance and any party asserting that the rates
are excessive unreasonable relative to the benefits and
coverage offered have the burden of establishing that the
rates are excessive unreasonable relative to the benefits
and coverage offered. The burden of proving that rates
are adequate and not unfairly discriminatory remains with
the insurer.

 
Sec. 5. 24-A MRSA §2736-A, as repealed and replaced by PL 1979, c.
558, §8, is amended to read:

 
§2736-A. Hearing

 
If at any time the superintendent has reason to believe that
a filing does not meet the requirements that rates shall not
be excessive unreasonable relative to the benefits and
coverage offered, inadequate or unfairly discriminatory or
that the filing violates any of the provisions of chapter 23,
he the superintendent shall cause a hearing to be held.

 
Hearings held under this section shall must conform to the
procedural requirements set forth in the Maine Administrative
Procedure Act, Title 5, chapter 375, subchapter IV 4 and the
requirements of section 235-A.

 
Sec. 6. 24-A MRSA §2839, as amended by PL 1985, c. 648, §11, is
further amended to read:

 
§2839. Rates filed; rate hearings

 
No policy of group health insurance may be delivered in this
State until a copy of the group manual rates to be used in


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