| 1. Definition of paid claims; first assessment year. The |
Board of Directors of Dirigo Health shall adopt rules regarding |
the definition of paid claims under section 1 of this Part for |
the calculation of savings offset payments for the first 12-month |
calendar year period of savings offset payments, referred to in |
this section as "the first assessment year," due from health |
insurance carriers, 3rd-party administrators and employee benefit |
excess insurance carriers pursuant to the Maine Revised Statutes, |
Title 24-A, section 6913. In adopting these rules, the board |
shall take into account the recommendations of the working group |
established under section 1 with respect to the definition of |
paid claims and the methodology for calculating and invoicing |
savings offset payment assessments based on paid claims. Rules |
adopted pursuant to this section are routine technical rules as |
defined in Title 5, chapter 375, subchapter 2-A. For savings |
offset payments after the first assessment year, the board shall |
define paid claims through major substantive rulemaking in |
accordance with Title 24-A, section 6913, subsection 10. |