LD 1577
pg. 7
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LR 1479
Item 1

 
insurance carriers and 3rd-party administrators and must
accrue interest at 12% per annum on or after the due date,
except that:

 
(1) For plan years beginning between January 1, 2006
and March 31, 2006, both days inclusive, savings offset
payments must be made monthly for January 2006,
February 2006 and March 2006 and are due not less than
60 days after the close of each of those calendar
months; and

 
(2) Savings offset payments for 3rd-party
administrators for groups of 500 or fewer members may
be made annually not less than 60 days after the close
of the plan year.

 
G. Savings offset payments received by Dirigo Health must be
pooled with other revenues of the agency in the Dirigo
Health Fund established in section 6915; and

 
H.__Annual savings offset payments received must be
reconciled by Dirigo Health.__Any unused payments must
reduce the next savings offset payment charged to health
insurance carriers, 3rd-party administrators and employee
benefit excess insurance carriers according to a formula
developed by the board.

 
Sec. A-12. 24-A MRSA §6913, sub-§§4 and 6, as enacted by PL 2003, c.
469, Pt. A, §8, are repealed.

 
Sec. A-13. 24-A MRSA §6913, sub-§10 is enacted to read:

 
10. Definition of paid claims; rulemaking.__The board shall
adopt rules regarding the definition of paid claims for the
purposes of calculating savings offset payments for health
insurance carriers, 3rd-party administrators and employee benefit
excess insurance carriers due on or after January 1, 2007. Rules
adopted pursuant to this subsection are major substantive rules
as defined in Title 5, chapter 375, subchapter 2-A.

 
Sec. A-14. 24-A MRSA §6914, as enacted by PL 2003, c. 469, Pt. A,
§8, is amended to read:

 
§6914. Intragovernmental transfer

 
Starting July 1, 2004, Dirigo Health shall transfer funds, as
necessary, to a special dedicated, nonlapsing revenue account
administered by the agency of State Government that administers
MaineCare for the purpose of providing a state match for federal
Medicaid dollars. Dirigo Health shall annually set the amount of


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