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ME LD519

ME LD519
An Act to Remove the Requirement That Individual and Small Group Health Plans Be Offered Through a Pooled Market and to Eliminate the Provision of Law Establishing a Pooled Market for Those Plans


summary

Introduced
02/07/2025
In Committee
02/07/2025
Crossed Over
Passed
Dead

Introduced Session

132nd Legislature

Bill Summary

This bill repeals the provisions of the Maine Insurance Code that establish a pooled market for individual and small group health plans, removing the requirement that those types of plans must be offered through a pooled market. The bill also eliminates related provisions that require the Maine Guaranteed Access Reinsurance Association to operate a retrospective reinsurance program providing coverage to member insurers for all individual and small group health plans issued in any plan year in which a pooled market is operating.

AI Summary

This bill removes the requirement for individual and small group health plans to be offered through a pooled market in Maine, effectively eliminating provisions related to a previously established pooled market system. The legislation systematically repeals sections of the Maine Insurance Code that established and regulated the pooled market, including removing references to pooled market requirements from various sections of existing law. Specifically, the bill amends chapter headings, repeals sections related to the pooled market, and modifies language about rate filings, clear choice designs, and reinsurance programs to remove pooled market-specific provisions. The bill also eliminates the requirement for the Maine Guaranteed Access Reinsurance Association to operate a retrospective reinsurance program for individual and small group health plans in a pooled market. These changes essentially streamline health insurance regulations by removing a previously established market structure, potentially giving insurers more flexibility in how they offer and structure individual and small group health plans in Maine.

Committee Categories

Health and Social Services

Sponsors (6)

Last Action

Carried over, in the same posture, to any special or regular session of the 132nd Legislature, pursuant to Joint Order SP 800. (on 06/25/2025)

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