LD 1190
pg. 9
Page 8 of 18 An Act To Create the Comprehensive Health Insurance Risk Pool Association Page 10 of 18
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LR 436
Item 1

 
coverage to individuals otherwise eligible for plan
coverage in their own names;

 
J.__Prepare and distribute application forms and
enrollment instruction forms to insurance producers and to
the general public;

 
K.__Provide for reinsurance of risks incurred by the
association. The provision of reinsurance may__not subject
the association to any of the capital or surplus
requirements, if any, otherwise applicable to reinsurers;

 
L.__Issue additional types of health insurance policies to
provide optional coverage, including Medicare supplement
health insurance;

 
M.__Provide for and employ cost-containment measures and
requirements, including, but not limited to, preadmission
screening, 2nd surgical opinion, concurrent utilization
review and individual case management for the purpose of
making the benefit plan more cost-effective;

 
N.__Design, utilize, contract or otherwise arrange for the
delivery of cost-effective health care services, including
establishing or contracting with preferred provider
organizations, health maintenance organizations and other
limited network provider arrangements; and

 
O.__Apply for funds or grants from public or private
sources, including federal grants provided to qualified
high-risk pools.

 
3.__Additional duties and powers.__The superintendent may,
by rule, establish additional powers and duties of the board
and may adopt such rules as are necessary and proper to
implement this chapter.__Rules adopted pursuant to this
subsection are routine technical rules as defined in Title 5,
chapter 375, subchapter 2-A.

 
4.__Review for solvency.__The superintendent shall review
the association at least every 3 years to determine its
solvency.__If the superintendent determines that the funds of
the association are insufficient to support enrollment of
additional persons, the superintendent may order the
association to increase its assessment or increase its premium
rates.__If the superintendent determines that the funds of the
association are insufficient to support the enrollment of
additional persons and that the cap of assessments in section
3908 is too low to support the enrollment of additional
persons, the superintendent may


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