| Be it enacted by the People of the State of Maine as follows: |
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| | Sec. 1. 24-A MRSA §2736-C, sub-§10 is enacted to read: |
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| | 10. Options included in all health coverage plans.__All | carriers offering individual health plans in this State shall | offer, at the time of offering and renewing a health plan, an | alternate version of that plan in accordance with the | requirements of this subsection and any rules adopted by the | superintendent pursuant to this subsection.__The alternate | version of each plan must provide the identical coverages of | the primary plan except that additional deductibles and | coinsurance payments must be required in the alternate plan as | described in this subsection. |
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| A.__The alternate plan must include an annual deductible | of $3,000. The alternate plan must include a 20% | coinsurance payment on health care expenses above $3,000 | until the annual out-of-pocket payments for covered health | care expenses reach $6,000. When the $6,000 annual limit | is met, the coinsurance amount must be reduced to 5% on | any additional expenses. |
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| B.__A carrier may not enroll an individual in an alternate | plan as described in this section if the individual has | any other supplemental insurance coverage for the payment | of the deductibles and coinsurance associated with the | alternate plan. |
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| C. The superintendent shall adopt rules to further define | the options required by this subsection. Rules adopted | pursuant to this subsection are routine technical rules as | defined in Title 5, chapter 375, subchapter 2-A. |
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| | Sec. 2. 24-A MRSA §2808-B, sub-§10 is enacted to read: |
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| | 10.__Options included in all health coverage plans.__All | carriers offering small group health plans in this State shall | offer, at the time of offering and renewing a health plan, an | alternate version of that plan in accordance with the | requirements of this subsection and any rules adopted by the | superintendent pursuant to this subsection.__The alternate | version of each plan must provide the identical coverages of | the primary plan except that additional deductibles and | coinsurance payments must be required in the alternate plan as | described in this subsection. |
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| A.__The alternate plan must include an annual deductible of | $3,000.__The alternate plan must include a 20% coinsurance | payment on health care expenses above $3,000 until the |
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