LD 1507
pg. 7
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LR 1913
Item 1

 
§2839. Rates filed

 
No A policy of group health insurance may not be delivered in
this State until a copy of the group manual rates to be used in
calculating the premium for these policies has been filed for
informational purposes with the superintendent. The filing must
include the base rates and a description of any procedures to be
used to adjust the base rates to reflect factors including but
not limited to age, gender, health status, claims experience,
group size and coverage of dependents. Notwithstanding this
section, rates for group Medicare supplement, nursing home care
or long-term care insurance contracts and for certain association
groups and other groups specified in section 2701, subsection 2,
paragraph C must be filed in accordance with section 2736. Rates
for small group health insurance subject to section 2808-B are
subject to the additional filing requirements specified in that
section.

 
PART F

 
Sec. F-1. 24 MRSA §2321, sub-§1, as amended by PL 1997, c. 344, §6, is
further amended to read:

 
1. Filing of rate information. Every nonprofit hospital and
medical service organization shall file with the superintendent,
except as to group subscriber and membership contracts other than
group Medicare supplement contracts as defined in Title 24-A,
chapter 67 and group nursing home or long-term care contracts as
defined in Title 24-A, chapter 68, every rate, rating formula and
every modification of any of the foregoing that it proposes to
use in connection with individual health insurance contracts,
group Medicare supplement contracts as defined in Title 24-A,
chapter 67, group nursing home or long-term care contracts as
defined in Title 24-A, chapter 68 or 68-A, and certain group
contracts included within the definition of "individual health
plan" in Title 24-A, section 2736-C, subsection 1, paragraph C.
Every filing under this subsection must state the effective date
of the filing. Every filing under this subsection must be made
not less than 60 days in advance of the stated effective date
unless the 60-day requirement is waived by the superintendent for
a period of time not to exceed 30 days. In the case of a filing
that meets the criteria in subsection 4, the superintendent may
suspend the effective date for a longer period not to exceed 30
days from the date the organization satisfactorily responds to
any reasonable discovery requests. In the case of nursing home
and long-term contracts, rates filed are effective for no more
than 3 years, except that rates for contracts with guaranteed
level premiums are effective for the duration of the contract.


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