Maine § 24-A §4336 Disclosure requirements for organizations with downstream risk arrangements

Maine Statutes

§ 24-A §4336 — Disclosure requirements for organizations with downstream risk arrangements

Maine·Title 24-A MAINE INSURANCE CODE·Ch. 56-A HEALTH PLAN IMPROVEMENT ACT

1.Disclosure to superintendent. Each carrier shall provide information concerning the carrier's downstream risk arrangements as required or requested by the superintendent. The disclosure must contain the following information in sufficient detail to enable the superintendent to determine whether the risk arrangement complies with the following requirements:

2.Annual disclosure. A carrier shall provide this information to the superintendent at least annually. A carrier shall provide the capitation data required under subsection 1 for the previous calendar year to the superintendent by April 1st of each year.

3.Disclosure to enrollees. A carrier shall provide the following information to any enrollee upon request:

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1.
Disclosure to superintendent.
Each carrier shall provide information concerning the carrier's downstream risk arrangements as required or requested by the superintendent. The disclosure must contain the following information in sufficient detail to enable the superintendent to determine whether the risk arrangement complies with the following requirements:
2.
Annual disclosure.
A carrier shall provide this information to the superintendent at least annually. A carrier shall provide the capitation data required under subsection 1 for the previous calendar year to the superintendent by April 1st of each year.
3.
Disclosure to enrollees.
A carrier shall provide the following information to any enrollee upon request:

Maine § 24-A §4336 (Disclosure requirements for organizations with downstream risk arrangements) — published by Counsel Stack Legal Research, free access to 12M+ legal documents.