24-A §3951. Short title
§3951. Short title This chapter may be known and cited as “the Maine Guaranteed Access Reinsurance Association Act.” [PL 2011, c. 90, Pt. B, §8 (NEW).] SECTION HISTORY PL 2011, c. 90, Pt. B, §8 (NEW).
§3951. Short title This chapter may be known and cited as “the Maine Guaranteed Access Reinsurance Association Act.” [PL 2011, c. 90, Pt. B, §8 (NEW).] SECTION HISTORY PL 2011, c. 90, Pt. B, §8 (NEW).
§3952. Definitions As used in this chapter, unless the context otherwise indicates, the following terms have the following meanings. [PL 2011, c. 90, Pt. B, §8 (NEW).] 1. Association. “Association” means the Maine Guaranteed Access Reinsurance Association under section 3953. [PL 2011, c. 90, Pt. B, §8 (NEW).] 2. Board. “Board” means the […]
§3953. Maine Guaranteed Access Reinsurance Association 1. Guaranteed access reinsurance mechanism established. The Maine Guaranteed Access Reinsurance Association is established as a nonprofit legal entity. As a condition of doing business in the State, an insurer that has issued or administered medical insurance within the previous 12 months or is actively marketing a medical insurance […]
§3954. Liability and indemnification 1. Liability. The board and its employees may not be held liable for any obligations of the association. A cause of action may not arise against the association; the board, its agents or its employees; a member insurer or its agents, employees or producers; or the superintendent for any action or […]
§3955. Duties and powers of association 1. Duties. The association shall: A. Establish administrative and accounting procedures for the operation of the association; [PL 2011, c. 90, Pt. B, §8 (NEW).] B. Select an association administrator in accordance with section 3956; [PL 2011, c. 90, Pt. B, §8 (NEW).] C. Collect the […]
§3956. Selection of administrator 1. Selection of administrator. The board shall select an insurer or 3rd-party administrator through a competitive bidding process to administer the reinsurance provided by the association. [PL 2011, c. 90, Pt. B, §8 (NEW).] 2. Contract with administrator. The administrator selected pursuant to subsection 1 serves for a period of […]
§3957. Assessments against insurers 1. Assessments. For the purpose of providing the funds necessary to carry out the powers and duties of the association under section 3955, the board shall assess insurers at such a time and for such amounts as the board finds necessary. Assessments are due not less than 30 days after written […]
§3958. Reinsurance; premium rates 1. Reinsurance amount. A member insurer offering an individual health plan under section 2736‑C must be reinsured by the association to the level of coverage provided in this subsection and is liable to the association for any applicable reinsurance premium at the rate established in accordance with subsection 2. For calendar […]
§3959. Designation for reinsurance 1. Designation. The association shall provide reinsurance to a member insurer for a person designated for reinsurance by a member insurer, if the designation was made: A. By using the person’s claims history or risk scores or any other reasonable means; [PL 2019, c. 653, Pt. B, §19 (AMD).] […]
§3960. Actions against association or insurers based upon joint or collective actions Participation in the association, the establishment of reinsurance rates, forms or procedures or any other joint or collective action required by this chapter may not be the basis of any legal action or criminal or civil liability or penalty against the association or […]
§3961. Reimbursement of member insurer (REPEALED) SECTION HISTORY PL 2011, c. 90, Pt. B, §8 (NEW). PL 2011, c. 621, §§7, 8 (AMD). PL 2019, c. 653, Pt. B, §21 (RP).
§3962. Activities authorized during suspension period (REPEALED) SECTION HISTORY PL 2013, c. 273, §4 (NEW). PL 2015, c. 404, §§2, 3 (AMD). PL 2019, c. 653, Pt. B, §22 (RP).
§3963. State-federal health coverage partnerships involving the association 1. Consultation with board. The superintendent shall consult with the board before developing any proposal to apply for a state-federal health coverage partnership as defined in section 2781, subsection 1 or to modify the terms of an existing state-federal health coverage partnership involving federal funding for the […]