LD 1577
pg. 15
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LR 1479
Item 1

 
A. Dirigo Health may contract with health insurance
carriers licensed to sell health insurance in this State or
other private or public third-party administrators to
provide Dirigo Health Insurance Program coverage. In
addition:

 
(1) Dirigo Health shall issue requests for proposals
from health insurance carriers;

 
(2) Dirigo Health may include quality improvement,
disease prevention, disease management and cost-
containment provisions in the contracts with
participating health insurance carriers or may arrange
for the provision of such services through contracts
with other entities;

 
(3) Dirigo Health shall require participating health
insurance carriers to offer a benefit plan identical to
the Dirigo Health Insurance Program, for which no
Dirigo Health subsidies are available, in the general
small group market;

 
(4) Dirigo Health shall make payments to participating
health insurance carriers under a Dirigo Health
Insurance Program contract to provide Dirigo Health
Insurance Program benefits to plan enrollees not
enrolled in MaineCare;

 
(5) Dirigo Health may set allowable rates for
administration and underwriting gains for the Dirigo
Health Insurance Program;

 
(6) Dirigo Health may administer continuation benefits
for eligible individuals from employers with 20 or more
employees who have purchased health insurance coverage
through Dirigo Health for the duration of their
eligibility periods for continuation benefits pursuant
to the federal Consolidated Omnibus Budget
Reconciliation Act, Public Law 99-272, Title X, Private
Health Insurance Coverage, Sections 10001 to 10003; and

 
(7) Dirigo Health may administer or contract to
administer the United States Internal Revenue Code of
1986, Section 125 plans for employers and employees
participating in Dirigo Health, including medical
expense reimbursement accounts and dependent care
reimbursement accounts.

 
B. Dirigo Health shall contract with eligible businesses seeking
assistance from Dirigo Health in arranging for


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