HP0136, LD 161, item 2, ‘An Act To Restrict a Health Insurance Carrier to Rating on the Basis of One Geographic Area’

Amend the bill by striking out the title and substituting the following:

‘An Act To Restrict a Health Insurance Carrier to Rating on the Basis of One Geographic Area’

Amend the bill by striking out everything after the enacting clause and before the summary and inserting the following:

‘Sec. 1. 24-A MRSA §2736-C, sub-§2, ¶C-1, as enacted by PL 2011, c. 90, Pt. A, §2, is amended to read:

C-1. A carrier may vary the premium rate due to geographic area in accordance with the limitation set out in this paragraph. For all policies, contracts or certificates that are executed, delivered, issued for delivery, continued or renewed in this State on or after July 1, 2012 and until December 31, 2014, the rating factor used by a carrier for geographic area may not exceed 1.5. For all policies, contracts or certificates that are executed, delivered, issued for delivery, continued or renewed in this State on or after January 1, 2015, a carrier may use only one rating area based on geography within the State.

Sec. 2. 24-A MRSA §2808-B, sub-§2, ¶C-1, as enacted by PL 2011, c. 90, Pt. A, §7, is amended to read:

C-1. A carrier may vary the premium rate due to geographic area in accordance with the limitation set out in this paragraph. For all policies, contracts or certificates that are executed, delivered, issued for delivery, continued or renewed in this State on or after October 1, 2011 and until December 31, 2014, the rating factor used by a carrier for geographic area may not exceed 1.5. For all policies, contracts or certificates that are executed, delivered, issued for delivery, continued or renewed in this State on or after January 1, 2015, a carrier may use only one rating area based on geography within the State.’

summary

This amendment is the majority report of the committee and replaces the bill. The amendment requires health insurance carriers to use only one rating area based on geography within the State when establishing rates for individual and small group health plans issued or renewed on or after January 1, 2015.

HP0136 LD 161	Session - 126th Maine Legislature C "A", Filing Number H-288, Sponsored by		LR 634 Item 2
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