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practices are in accordance with generally accepted actuarial | principles and with the applicable actuarial standards of practice | as promulgated by an actuarial standards board.__The filing must | also certify that the carrier has included in its experience any | savings offset payments or recovery of those savings offset | payments consistent with section 6913. The filing also must state | the number of policyholders, certificate holders and dependents, as | of the close of the preceding calendar year, enrolled in large | group health insurance plans offered by the carrier. A filing and | supporting information are public records except as provided by | Title 1, section 402, subsection 3. |
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| | 3.__Documentation.__Every carrier shall maintain at its | principal place of business a complete and detailed description | of its rating practices, including information and documentation | that demonstrates that its rating methods and practices are in | accordance with generally accepted actuarial principles and with | the applicable actuarial standards of practice as promulgated by | an actuarial standards board. |
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| | Sec. E-18. 24-A MRSA §4203, sub-§3, ¶S, as amended by PL 1997, c. 370, | Pt. F, §1, is further amended to read: |
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| S. A list of the names and addresses of all physicians and | facilities with which the health maintenance organization | has or will have agreements. If products are offered that | pay full benefits only when providers within a subset of the | contracted physicians or facilities are utilized, a list of | the providers in that limited network must be included, as | well as a list of the geographic areas where the products | are offered. This paragraph may not be construed to | prohibit a health maintenance organization from offering a | health plan that includes financial provisions designed to | encourage members to use designated providers in a network | in accordance with section 4303, subsection 1, paragraph A. |
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| | Sec. E-19. 24-A MRSA §4207, sub-§5, as repealed and replaced by PL | 1993, c. 645, Pt. A, §6, is amended to read: |
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| | 5. A schedule or an amendment to a schedule of charge for | enrollee health coverage for health care services may not be used | by any health maintenance organization unless it complies with | section 2736, 2808-B or 2839, whichever is applicable. |
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| | Sec. E-20. 24-A MRSA §4303, sub-§1, as amended by PL 1999, c. 742, §6, | is further amended to read: |
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| | 1. Demonstration of adequate access to providers. A Except | as provided in paragraph A, a carrier offering a managed care | plan shall provide to its members reasonable access to |
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