Maine § 24-A §6917 Access payment

Maine Statutes

§ 24-A §6917 — Access payment

Maine·Title 24-A MAINE INSURANCE CODE·Ch. 87 DIRIGO HEALTH

1.Access payments required from health insurance carriers, 3rd-party administrators and employee benefit excess insurance carriers. All health insurance carriers, 3rd-party administrators and employee benefit excess insurance carriers shall pay an access payment on all paid claims, except claims under accidental injury, specified disease, hospital indemnity, dental, vision, disability income, long-term care, Medicare supplement or other limited benefit health insurance. The amount of the access payment is 2.14% on claims for services provided through June 30, 2011, 1.87% on claims for services provided from July 1, 2011 to June 30, 2012, 1.64% on claims for services provided from July 1, 2012 to June 30, 2013 and 1.14% on claims for services provided from July 1, 2013 to December 31, 2013

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1.
Access payments required from health insurance carriers, 3rd-party administrators and employee benefit excess insurance carriers.
All health insurance carriers, 3rd-party administrators and employee benefit excess insurance carriers shall pay an access payment on all paid claims, except claims under accidental injury, specified disease, hospital indemnity, dental, vision, disability income, long-term care, Medicare supplement or other limited benefit health insurance. The amount of the access payment is 2.14% on claims for services provided through June 30, 2011, 1.87% on claims for services provided from July 1, 2011 to June 30, 2012, 1.64% on claims for services provided from July 1, 2012 to June 30, 2013 and 1.14% on claims for services provided from July 1, 2013 to December 31, 2013. No access payment may be charged for any claims for services provided on January 1, 2014 or thereafter. The following provisions govern access payments.
2.
Failure to pay access payments.
The superintendent may suspend or revoke, after notice and hearing, the certificate of authority to transact insurance in this State of any health insurance carrier or employee benefit excess insurance carrier or the license of any 3rd-party administrator to operate in this State that fails to pay an access payment. In addition, the superintendent may assess civil penalties in accordance with section 12‑A against any health insurance carrier, employee benefit excess insurance carrier or 3rd-party administrator that fails to pay an access payment or may take any other enforcement action authorized under section 12‑A to collect any unpaid access payments and may collect the cost of enforcement including attorney’s fees from those who fail to pay an access payment.
3.
Definitions.
As used in this section, the following terms have the following meanings.
4.
Rulemaking.
The board may adopt any rules necessary to implement this section. Rules adopted pursuant to this subsection are routine technical rules as defined in Title 5, chapter 375, subchapter 2‑A.

Maine § 24-A §6917 (Access payment) — published by Counsel Stack Legal Research, free access to 12M+ legal documents.

Legislative History

PL 2009, c. 359, §4 (NEW). PL 2009, c. 359, §8 (AFF). PL 2011, c. 380, Pt. BBB, §2 (AMD). PL 2017, c. 407, Pt. A, §99 (AMD). RR 2025, c. 1, Pt. B, §7 (COR).