LD 394
pg. 2
Page 1 of 21 An Act To Create a High-risk Pool in the Health Insurance Market Page 3 of 21
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LR 516
Item 1

 
premium rate may not deviate above or below the community
rate filed by the carrier by more than 20%.

 
(4)__For all policies, contracts or certificates that
are executed, delivered, issued for delivery, continued
or renewed in this State after February 1, 2006, the
maximum rate differential from the community rate filed
by the carrier for age as determined by ratio is 4 to
one.__The limitation does not apply for determining
rates for an attained age of less than 19 or more than
65 years.

 
(5)__For all policies, contracts or certificates that
are executed, delivered, issued for delivery, continued
or renewed in this State after February 1, 2006, the
maximum rate differential from the community rate filed
by the carrier for health status as determined by ratio
is 1.5 to one and the maximum rate differential for
tobacco use as determined by ratio is 1.5 to one.__Rate
variations based on health status do not apply to rate
variations based on an insured's status as a tobacco
user.

 
(6)__A variation in rate is not permitted on the basis
of changes in health status after a policy, contract or
certificate is issued or renewed.

 
Sec. 4. 24-A MRSA §2736-C, sub-§2, ¶G is enacted to read:

 
G.__A carrier that offered individual health plans prior to
February 1, 2006 may close its individual book of business
sold prior to February 1, 2006 and may establish a separate
community rate for individuals applying for coverage under
an individual health plan after February 1, 2006.

 
Sec. 5. 24-A MRSA §2736-C, sub-§3, ¶A, as corrected by RR 2001, c. 1,
§30, is repealed.

 
Sec. 6. 24-A MRSA §2736-C, sub-§3, ¶C, as enacted by PL 1993, c. 477,
Pt. C, §1 and affected by Pt. F, §1, is repealed.

 
Sec. 7. 24-A MRSA §2736-C, sub-§3, ¶D, as enacted by PL 1999, c. 256,
Pt. D, §1, is amended to read:

 
D. Notwithstanding paragraph A, carriers Carriers offering
supplemental coverage for the Civilian Health and Medical
Program for the Uniformed Services, CHAMPUS, are not
required to issue this coverage if the applicant for
insurance does not have CHAMPUS coverage.


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