| 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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| | Sec. A-10. 24-A MRSA §2736-C, sub-§6, ķA, as amended by PL 1995, c. | 332, Pt. K, §1, is further amended to read: |
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| A. Each carrier must actively market individual health plan | coverage, including any standardized plans defined pursuant | to subsection 8, to individuals in this State. |
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| | Sec. A-11. 24-A MRSA §2736-C, sub-§8, as amended by PL 1999, c. 256, | Pt. D, §2, is further amended to read: |
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| | 8. Authority of superintendent. The superintendent may by | rule define one or more standardized individual health plans that | must may be offered by all carriers offering individual health | plans in the State, other than carriers offering only CHAMPUS | supplemental coverage. |
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| | Sec. A-12. 24-A MRSA §2736-C, sub-§9, as enacted by PL 1995, c. 570, | §7, is amended to read: |
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| | 9. Exemption for certain associations. The superintendent | may exempt a group health insurance policy or group nonprofit | hospital or medical service corporation contract issued to an | association group, organized pursuant to section 2805-A, from the | requirements of subsection 3, paragraph A; subsection 6, | paragraph A; and subsection 8 if: |
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| A. Issuance and renewal of coverage under the policy or | contract is guaranteed to all members of the association who | are residents of this State and to their dependents; |
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| B. Rates for the association comply with the premium rate | requirements of subsection 2 or are established on a | nationwide basis and substantially comply with the purposes | of this section, except that exempted associations may be | rated separately from the carrier's other individual health | plans, if any; |
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| C. The group's anticipated loss ratio, as defined in | subsection 5, is at least 75%; |
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| D. The association's membership criteria do not include | age, health status, medical utilization history or any other | factor with a similar purpose or effect; |
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