|
class mail of a rate increase to all affected policyholders or | others who are directly billed for group coverage at least 60 days | before the effective date of any increase in premium rates. An | increase in premium rates may not be implemented until 60 days | after the notice is provided. For small group health plan rates | subject to section 2808-B, subsection 2-B, if the increase is | pending approval at the time of notice, the disclosure must state | that the increase is subject to regulatory approval. |
|
| | 2. Notice of rate increase on new business. When an insurer | offering group health insurance, except for accidental injury, | specified disease, hospital indemnity, disability income, | Medicare supplement, long-term care or other limited benefit | group health insurance, quotes a rate for new business, it must | disclose any rate increase that the insurer anticipates | implementing within the following 90 days. If the quote is in | writing, the disclosure must also be in writing. If such | disclosure is not provided, an increase may not be implemented | until at least 90 days after the date the quote is provided. For | small group health plan rates subject to section 2808-B, | subsection 2-B, if the increase is pending approval at the time | of notice, the disclosure must state that the increase is subject | to regulatory approval. |
|
| | Sec. G-1. 24-A MRSA §2850-B, sub-§5 is enacted to read: |
|
| | 5. Association plans.__The requirements of this subsection | apply to group contracts that are subject to this section and | that are issued to association groups pursuant to section 2805-A.__ | Carriers shall renew coverage for association members if coverage | through an association is terminated because the association | ceases to exist, changes its membership eligibility criteria, | fails to pay premiums, commits fraud or misrepresentation or | voluntarily terminates the group policy. |
|
| A.__If coverage to an employer through an association is | terminated, the carrier shall renew the coverage with the | employer becoming the policyholder. |
|
| B.__If coverage to an individual member of an association is | terminated, the carrier shall renew the coverage with the | individual becoming the policyholder.__A carrier that has | been granted an exemption pursuant to section 2736-C, | subsection 9 does not lose that exemption simply by virtue | of renewing coverage to individuals under this paragraph. |
|
|