| | | B. The member insurer is able to determine through the use | | of individual health statements, claims history or any | | reasonable means that at the time the person applied for | | insurance coverage with the member insurer, the covered | | person was diagnosed with one of the following medical | | conditions: acquired immune deficiency syndrome, angina | | pectoris, ascites, chemical dependency cirrhosis of the | | liver, coronary occlusion, cystic fibrosis, Friedreich's | | ataxia, hemophilia, Hodgkin's disease, Huntington's chorea, | | juvenile diabetes, leukemia, metastatic cancer, motor or | | sensory aphasia, multiple sclerosis, muscular dystrophy, | | myasthenia gravis, myotonia, heart disease causing open | | heart surgery, Parkinson's disease, polycystic kidney, | | psychotic disorders, quadriplegia, stroke, syringomyelia or | | Wilson's disease. |
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| | | 2. Rules.__The superintendent may adopt rules to facilitate | | payment to a carrier pursuant to this section. Rules adopted | | pursuant to this subsection are routine technical rules as | | defined in Title 5, chapter 375, subchapter 2-A. |
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| | | Sec. 13. Application for federal grant. Within 30 days of the effective | | date of this Act, the Superintendent of Insurance shall submit an | | application to the federal Department of Health and Human | | Services, Health Resources and Services Administration for a | | federal seed grant to support the creation and initial operation | | of the Comprehensive Health Insurance Risk Pool Association | | established in the Maine Revised Statutes, Title 24-A, chapter | | 54. |
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| | | Sec. 14. Study of reinsurance. The Comprehensive Health Insurance Risk | | Pool Association established pursuant to the Maine Revised | | Statutes, Title 24-A, section 3904 shall conduct a study of the | | possibility of offering a reinsurance pool for the small group | | medical insurance market in order to spread the cost of high-risk | | individuals for the small group medical insurance market. The | | study must address the cost of the reinsurance pool, potential | | funding mechanisms and the effectiveness of a reinsurance pool. | | The association may address any other issues regarding a | | reinsurance pool that it determines are relevant in the study. | | The association shall submit its report to the joint standing | | committee of the Legislature having jurisdiction over health | | insurance matters by March 1, 2007. |
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| | | Sec. 15. Effective date. Those sections of this Act that repeal the | | Maine Revised Statutes, Title 24-A, section 2736-C, subsection 3, | | paragraphs A and C and that amend Title 24-A, section 2736-C, | | subsection 3, paragraph D and subsection 9 take effect October 1, | | 2005. |
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