LD 1577
pg. 5
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LR 1479
Item 1

 
C.__Following a public hearing held in accordance with the
Maine Administrative Procedure Act and no later than 6 weeks
following the receipt of the board's determination, the
superintendent shall issue an order approving, in whole or
in part, or disapproving the filing made under paragraph B.__
The board is designated a party to the hearing.__The
superintendent shall approve the filing upon a determination
that the aggregate measurable cost savings filed by the
board are reasonably supported by the evidence in the
record.

 
Sec. A-11. 24-A MRSA §6913, sub-§§2 and 3, as enacted by PL 2003, c.
469, Pt. A, §8, are repealed and the following enacted in their
place:

 
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
aggregate measurable cost savings, as determined by the
board pursuant to subsection 1; and

 
D. The savings offset amount calculation is limited to the
amount of funds necessary to provide subsidies pursuant to
section 6912 and to support the Maine Quality Forum
established in section 6951 and may not include general
administrative expenses of Dirigo Health, except for general
administrative expenses of the Maine Quality Forum.

 
The savings offset amount determined by the board in accordance
with this subsection is the determining factor for inclusion of
savings offset payments in premiums through rate setting review
by the bureau.

 
3. Savings offset payments required from health insurance
carriers, 3rd-party administrators and employee benefit excess


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