This bill amends the provisions of the Maine Insurance Code related to pooled market and clear choice design. The bill eliminates the requirement that health insurance carriers offering individual health plans must make those plans available to all eligible small employers within the plan's approved service area. It also eliminates the requirement that health insurance carriers offering small group health plans make those plans available to all eligible individuals residing within the plan's approved service area. The bill eliminates requirements related to premium rate adjustments for health plans that are issued on other than a calendar year basis. The bill requires the Superintendent of Insurance to develop separate clear choice designs for individual health plans and small group health plans and requires that on January 31st of each year, the superintendent must release the proposed clear choice designs to be used in the following plan year for review and comment by stakeholders. The bill modifies provisions related to alternative designs to allow carriers to offer up to 3 alternative individual health plan designs and up to 3 alternative small group health plan designs.

Statutes affected:
Bill Text LD 520, HP 338: 24-A.2792, 24-A.2793