| (4)__Dirigo Health shall require participating | employers to certify that at least 75% of their | employees are enrolled in Dirigo Health Insurance, are | enrolled in the MaineCare program or receive health | care benefits through another creditable health plan. |
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| (5)__Dirigo Health shall reduce the payment amounts for | plan enrollees eligible for a subsidy under section | 6918 accordingly.__Dirigo Health shall return any | payments made by plan enrollees also enrolled in | MaineCare to those enrollees. |
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| (6)__Dirigo Health shall require participating | employers to pass on any subsidy in section 6918 to the | plan enrollee qualifying for the subsidy, up to the | amount of payments made by the plan enrollee. |
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| (7)__Dirigo Health may establish other criteria for | participation. |
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| (8)__Dirigo Health may limit the number of | participating employers. |
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| C.__Dirigo Health may permit eligible individuals to | purchase Dirigo Health Insurance for themselves and their | dependents as set out in this paragraph. |
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| (1)__Dirigo Health may establish contract and other | reporting forms and procedures necessary for the | efficient administration of contracts. |
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| (2)__Dirigo Health may collect payments from eligible | individuals participating in Dirigo Health Insurance to | cover the cost of: |
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| (a)__Enrollment in Dirigo Health Insurance for | dependents; |
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| (b)__Dirigo Health's quality assurance, disease | management and cost-containment programs; |
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| (c)__Dirigo Health's administrative services; and |
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| (d)__Other health promotion costs. |
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| (3)__Dirigo Health shall reduce the payment amounts for | individuals eligible for a subsidy under section 6918 | accordingly. |
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