LD 1021
pg. 6
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LR 263
Item 1

 
A.__When the effective date of hire of the eligible person is
on or before November 1, 2006, the eligible person must enroll
in the program before January 1, 2007, subject to the
enrollment and eligibility requirements of the applicable
group health plan;

 
B. When the effective date of hire of the eligible person is
after November 1, 2006, the eligible person must enroll in
the program no later than 60 days following the effective
date of hire, subject to the enrollment and eligibility
requirements of the applicable group health plan; or

 
C.__Notwithstanding paragraphs A and B, when the eligible
person, the eligible person's spouse or the eligible
person's dependent experiences an involuntary loss of other
health insurance coverage carried as of January 1, 2007 or
60 days following the date of the eligible person's hire,
whichever is later, the eligible person may elect to enroll
in the program no later than 60 days after the effective
date of the loss of that coverage, subject to the enrollment
and eligibility requirements of the applicable group health
plan.__Involuntary loss of coverage does not include a loss
of coverage arising as a result of nonpayment of premiums.

 
6.__Premiums; subsidy.__Premiums for the program and the
premium subsidy are subject to the provisions of this subsection.__
Premium subsidies are not provided for supplemental health
insurance coverage.

 
A.__An enrollee participating in the majority multiple-
employer welfare arrangement is responsible for the premium
payment associated with the cost of the majority multiple-
employer welfare arrangement benefit option in which the
enrollee is participating, to the extent such premium
obligations exist following the application of any premium
subsidy authorized by law.__An enrollee who fails to remit
the premium payments as established and required by the
majority multiple-employer welfare arrangement must be
disenrolled from the program.__Beginning July 1, 2007, the
State shall provide a premium subsidy for enrollees in the
form of a direct payment to the majority multiple-employer
welfare arrangement for each enrollee. The level of the
subsidy must equal 45% of the individual premium cost for
the enrollee and varies among enrollees depending upon the
terms of the majority multiple-employer welfare arrangement
coverage plan in which each enrollee is participating.
Enrollees are responsible for the balance of the applicable
individual premium, as well as the total cost of the premium
for any applicable dependent coverage, and shall make


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