LD 1190
pg. 5
Page 4 of 18 An Act To Create the Comprehensive Health Insurance Risk Pool Association Page 6 of 18
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LR 436
Item 1

 
10.__Producer.__"Producer" means a person who is licensed to
sell health insurance in this State.

 
11.__Resident.__"Resident" means an individual who:

 
A.__Is legally located in the United States and has been
legally domiciled in this State for a period not to exceed
one year to be established by the board and subject to the
approval of the superintendent;

 
B.__Is legally domiciled in this State on the date of
application to the plan and is eligible for enrollment in
the risk pool under this chapter as a result of the
federal Health Insurance Portability and Accountability
Act of 1996; or

 
C.__Is legally domiciled in this State on the date of
application to the plan and has been certified as eligible
for federal trade adjustment assistance or for pension
benefit guarantee corporation assistance, as provided by
the federal Trade Adjustment Assistance Reform Act of
2002.

 
12.__Reinsurer.__"Reinsurer" means any insurer from whom any
person providing health insurance for any Maine resident
procures insurance for itself with the insurer with respect to
all or part of the medical insurance risk of the person.__
"Reinsurer" includes an insurer that provides employee
benefits excess insurance.

 
13.__Third-party administrator.__"Third-party administrator"
means any entity that is paying or processing medical
insurance claims for any resident.

 
§3904.__Comprehensive Health Insurance Risk Pool Association

 
1.__Risk pool established.__The Comprehensive Health
Insurance Risk Pool Association is established as a nonprofit
legal entity.__As a condition of doing business, every insurer
that has sold medical insurance within the previous 12 months
or is actively marketing a medical insurance policy in this
State must participate in the association.

 
2.__Board of directors.__The association is governed by a
board of directors in accordance with the following.

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

 
(1)__Four members appointed by the superintendent:__2 members
must be chosen from the general public and may


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