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insurance carriers.__Except for the carriers and 3rd-party | administrators that are specifically excluded in subsection 2, each | health insurance carrier, 3rd-party administrator and employee | benefit excess insurance carrier shall pay a savings offset | payment. The following provisions govern savings offset payments. |
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| A. The board shall calculate savings offset payments as a | percentage of paid claims, as defined by the board pursuant | to subsection 10. The board shall make reasonable efforts to | ensure that paid claims are counted only once with respect | to any savings offset payment. The board may verify each | health insurance carrier's, 3rd-party administrator's and | employee benefit excess insurance carrier's savings offset | payment based on annual statements and other reports the | board determines to be necessary. |
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| B. Maximum savings offset payments are as follows: |
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| (1) For health insurance carriers, the savings offset | payment may not exceed 4.0% of annual paid claims for | health care on policies issued pursuant to the laws of | this State that insure residents of this State; |
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| (2) For 3rd-party administrators, the savings offset | payment may not exceed 4.0% of annual paid claims for | health care for residents of this State; and |
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| (3) For employee benefit excess insurance carriers, the | savings offset payment may not exceed 4.0% of annual | paid claims on employee benefit excess insurance | policies, as defined in section 707, subsection 1, | paragraph C-1, issued pursuant to the laws of this | State that insure residents of this State. |
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| C.__A health insurance and employee benefit excess insurance | carrier may not be required to pay a savings offset payment | on policies or contracts insuring federal employees. |
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| D. Savings offset payments apply to claims paid for plan | years beginning on or after January 1, 2006. |
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| E. Savings offset payments may not begin until 12 months | after Dirigo Health begins providing health insurance | coverage; |
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| F. Savings offset payments must be made quarterly and are | due not less than 60 days after the close of the quarter and |
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| with a minimum of 30 days' written notice by Dirigo Health to | health insurance carriers, employee benefit excess |
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