Maine Statutes

§ 24-A §4341 — Limitations on premium transfer

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

The superintendent may deny a request for waiver based on any of the following characteristics:

1.Transfer of 30% of annual aggregate premium. A contract by which 30% or more of the carrier's annual aggregate premium with respect to a contract, plan or product is transferred to a single downstream entity. This transfer is the sum of capitated payments plus the sum of amounts returnable to the carrier through incentive payments or other risk adjustments; or
2.Transfer of 75% of annual aggregate premium. Multiple contracts by which 75% or more of the carrier's annual aggregate premium with respect to a contract, plan or product is transferred to one or more downstream entities. This transfer is the sum of capitated payments plus the sum of amounts returnable to the carrier through incentiv

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Maine § 24-A §4341 (Limitations on premium transfer) — published by Counsel Stack Legal Research, free access to 12M+ legal documents.

Legislative History

PL 1999, c. 609, §20 (NEW).

Nearby Sections

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