LD 1935
pg. 2
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LR 2809
Item 1

 
section and section 6913, but the carrier may not adjust its
rate to reflect the savings offset payment amount paid by the
carrier.

 
Sec. 3. 24-A MRSA §2839-B, sub-§2, as enacted by PL 2003, c. 469, Pt.
E, §17, is amended to read:

 
2. Annual filing. Every carrier offering group health
insurance specified in subsection 1 shall annually file with the
superintendent on or before April 30th a certification signed by
a member in good standing of the American Academy of Actuaries or
a successor organization that the carrier's 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. The
filing must certify that the carrier has not included in its
experience any savings offset payments paid in accordance with
section 6913. 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.

 
Sec. 4. 24-A MRSA §6913, sub-§2, as repealed and replaced by PL 2005,
c. 400, Pt. A, §11, is amended to read:

 
2. Determination of savings offset amount. The board shall
determine annually a savings offset amount to be paid by health
insurance carriers, employee benefit excess insurance carriers
and 3rd-party administrators, not including carriers and 3rd-
party administrators with respect to accidental injury, specified
disease, hospital indemnity, dental, vision, disability income,
long-term care, Medicare supplement or other limited benefit
health insurance. The board shall determine the savings offset
amount in accordance with the following:

 
A. Not later than April of each year, the board shall
prospectively determine the savings offset amount to be
applied during each 12-month calendar year period;

 
B. To determine the savings offset amount, the board shall
use the criteria and reports described in subsections 7 and
8;

 
C. The savings offset amount must reflect and may not exceed


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