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| 2.__Carrier.__"Carrier" has the same meaning as in section | 4301, subsection 1. |
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| | 3.__Enrollee.__"Enrollee" means a person enrolled in the | plan. |
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| | 4.__Fund.__"Fund" means the Maine Universal Health Care | Fund. |
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| | 5.__Plan.__"Plan" means the Maine Universal Health Care | Plan. |
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| | 6.__Provider.__"Provider" means any person, organization, | corporation or association that provides health care services | and products and is authorized to provide those services and | products under the laws of this State. |
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| | 7.__Resident.__"Resident" means a person who resides within | the State. |
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| §4163.__Maine Universal Health Care Plan established |
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| | The Maine Universal Health Care Plan is established to | provide universal access to high-quality, affordable health | care for the people of this State.__The plan must offer health | care coverage beginning January 1, 2004 and be administered | and overseen by the agency in accordance with this chapter | that includes the purchase of reinsurance or stop loss | coverage from a reinsurer licensed to do business in this | State.__The plan may be administered through a self-insured | arrangement or through a contract with a carrier licensed to | do business in this State. |
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| | 1. Eligibility.__Residents of the State are eligible to | receive covered health care services under the plan in | accordance with the requirements of this section. The agency | shall adopt rules regarding certification of eligibility for | the plan, application for a plan card and membership in the | plan.__The rules must provide for at least the following. |
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| A.__Each resident of the State is eligible and may become | an enrollee if the agency certifies that the resident has | provided evidence of coverage under a primary health care | policy offered pursuant to section 2736-C, subsection 8-A, | section 2808-B, subsection 8-A and section 4315 and | approved by the superintendent or under a medical savings | account established pursuant to federal or state law. |
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| B.__Eligibility may extend to an enrollee's spouse and | dependents if the evidence of coverage under a primary | health care policy demonstrates coverage for the | enrollee's spouse and dependents. |
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