02-031-856 Me. Code R. § 6

Current through 2024-46, November 13, 2024
Section 031-856-6 - Reinsurance Coverage by the Association
1.Pooled Reinsurance Program. During and after the implementation year, the Association shall administer a retrospective reinsurance program for pooled market health plans.
2.Amendments to Plan of Operation. Within 45 days after the Superintendent issues a final decision to implement the pooled market, the Association shall file with the Superintendent all amendments to its Plan of Operation that the Association's board determines to be necessary, including, without limitation:
A. The number of layers of coverage, the attachment point and coinsurance percentage for each layer, and the cap, if any, for the top layer of coverage;
B. The ceding premium, if any, to be charged;
C. The accumulation of claims for participants enrolled in non-calendar-year small group plans; and D. Any other material terms of coverage.
3.Coverage While Implementation is Deferred. Until the implementation year, the Association shall continue to provide prospective coverage for individual health plans in accordance with 24-A M.R.S. §3959, unless the Association elects to change to a retrospective reinsurance program as permitted by 24-A M.R.S. §3958(1) (A-1).

02-031 C.M.R. ch. 856, § 6