LD 1611
pg. 18
Page 17 of 73 PUBLIC Law Chapter 469 Page 19 of 73
Download Chapter Text
LR 2137
Item 1

 
participating in Dirigo Health, including medical expense
reimbursement accounts and dependent care reimbursement
accounts.

 
B.__Dirigo Health shall contract with eligible businesses
seeking assistance from Dirigo Health in arranging for
health benefits coverage by Dirigo Health Insurance for
their employees and dependents as set out in this paragraph.

 
(1)__Dirigo Health may establish contract and other
reporting forms and procedures necessary for the
efficient administration of contracts.

 
(2)__Dirigo Health shall collect payments from
participating employers and plan enrollees to cover the
cost of:

 
(a)__Dirigo Health Insurance for enrolled
employees and dependents in contribution amounts
determined by the board;

 
(b)__Dirigo Health's quality assurance, disease
prevention, disease management and cost-
containment programs;

 
(c)__Dirigo Health's administrative services; and

 
(d)__Other health promotion costs.

 
(3)__Dirigo Health shall establish the minimum required
contribution levels, not to exceed 60%, to be paid by
employers toward the aggregate payment in subparagraph
(2) and establish an equivalent minimum amount to be
paid by employers or plan enrollees and their
dependents who are enrolled in MaineCare.__The minimum
required contribution level to be paid by employers
must be prorated for employees that work less than the
number of hours of a full-time equivalent employee as
determined by the employer.__Dirigo Health may
establish a separate minimum contribution level to be
paid by employers toward coverage for dependents of the
employers' enrolled employees.

 
(4)__Dirigo Health shall require participating
employers to certify that at least 75% of their
employees that work 30 hours or more per week and who
do not have other creditable coverage are enrolled in
Dirigo Health Insurance and that the employer group
otherwise meets the minimum participation requirements
specified by section
2808-B, subsection 4, paragraph A.


Page 17 of 73 Top of Page Page 19 of 73
Related Pages
  Search Bill Text Legislative Information
Bill Directory Search
Bill
Status
Session Information
119th Legislature Bills Maine Legislature

Office of Legislative Information
100 State House Station
Augusta, ME 04333
voice: (207) 287-1692
fax: (207) 287-1580
tty: (207) 287-6826
Word Viewer for Windows Disclaimer