LD 1611
pg. 57
Page 56 of 73 PUBLIC Law Chapter 469 Page 58 of 73
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LR 2137
Item 1

 
Hearings held under this section shall must conform to the
procedural requirements set forth in the Maine Administrative
Procedure Act, Title 5, chapter 375, subchapter IV 4.

 
Sec. E-12. 24-A MRSA §2736-C, sub-§2, ¶F is enacted to read:

 
F.__A carrier that adjusts its rate shall account for the
savings offset payment or any recovery in that offset
payment in its experience consistent with this section and
section 6913.

 
Sec. E-13. 24-A MRSA §2736-C, sub-§5, as amended by PL 2003, c. 428,
Pt. H, §3, is further amended to read:

 
5. Loss ratios. For all policies and certificates issued on
or after the effective date of this section, the superintendent
shall disapprove any premium rates filed by any carrier, whether
initial or revised, for an individual health policy unless it is
anticipated that the aggregate benefits estimated to be paid
under all the individual health policies maintained in force by
the carrier for the period for which coverage is to be provided
will return to policyholders at least 65% of the aggregate
premiums collected for those policies, as determined in
accordance with accepted actuarial principles and practices and
on the basis of incurred claims experience and earned premiums.
For the purposes of this calculation, any savings offset payments
paid pursuant to section 6913 must be treated as incurred claims.

 
Sec. E-14. 24-A MRSA §2808-B, sub-§2, ¶A, as amended by PL 2003, c. 313,
§1, is repealed.

 
Sec. E-15. 24-A MRSA §2808-B, sub-§2, ¶G, as enacted by PL 2003, c.
313, §2, is repealed.

 
Sec. E-16. 24-A MRSA §2808-B, sub-§§2-A to 2-C are enacted to read:

 
2-A.__Rate filings.__A carrier offering small group health
plans shall file with the superintendent the community rates for
each plan and every rate, rating formula and classification of
risks and every modification of any formula or classification
that it proposes to use.

 
A.__Every filing must state the effective date of the filing.__
Every filing 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.__The effective date may be suspended by the
superintendent for a period of


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