| | Sec. B-18. 24-A MRSA §4207, sub-§5, as amended by PL 2003, c. 469, Pt. | E, §19, is further 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 2808-C or 2839, whichever is applicable. |
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| | Sec. B-19. 24-A MRSA §4210, sub-§1, as amended by PL 1995, c. 332, Pt. | O, §4, is further amended to read: |
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| | 1. After a health maintenance organization has been in | operation 24 months, it shall have an annual open enrollment | period of at least one month during which it accepts enrollees up | to the limits of its capacity, as determined by the health | maintenance organization, in the order in which they apply for | enrollment. To the extent not inconsistent with the requirements | of chapter 36 and sections 2736-C and 2808-B 2808-C as qualified | by section 4222-B, subsection 3, a health maintenance | organization may apply to the superintendent for authorization to | impose such underwriting restrictions upon enrollment as are | necessary to preserve its financial stability, to prevent | excessive adverse selection by prospective enrollees or to avoid | unreasonably high or unmarketable charges for enrollee coverage | for health care services. The superintendent shall approve or | deny the application within 10 days of the receipt of that | application from the health maintenance organization. |
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| | Sec. B-20. 24-A MRSA §4212, sub-§2, ¶C, as enacted by PL 1995, c. 332, | Pt. O, §6, is amended to read: |
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| C. When the provisions of the State's community rating law | are applicable, as provided by section 2736-C, subsection 3, | paragraph B and section 2808-B, subsection 4, paragraph B; | or |
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| | Sec. B-21. 24-A MRSA §4222-B, sub-§3, as enacted by PL 1995, c. 332, | Pt. O, §8, is amended to read: |
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| | 3. The requirements of sections 2736-C and 2808-B, 2808-C | community rating law, apply to health maintenance organizations, | except that a health maintenance organization is not required to | offer coverage or accept applications from an eligible group or | individual located outside the health maintenance organization's | approved service area. |
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| | Sec. B-22. 24-A MRSA §4346, sub-§1, ¶D, as enacted by PL 2001, c. 708, | §3, is amended to read: |
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| D. "Eligible employee" or "employee" means an individual | who: |
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