Code of Maine Rules
02 - DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION
031 - BUREAU OF INSURANCE
Chapter 745 - INDIVIDUAL HEALTH INSURANCE PILOT PROJECTS FOR PERSONS UNDER 30 YEARS OF AGE
Section 031-745-9 - REPORTING REQUIREMENTS
Current through 2024-38, September 18, 2024
Carriers offering health plans pursuant to this Rule must submit reports to the Superintendent by January 31st of each year that include all of the following information. Carriers may submit a written request for an extension of up to 15 days.
1. The total number of enrollees.
2. The number of enrollees who have left the plan.
3. The ages of new enrollees.
4. An analysis of services used by enrollees, in a format approved by the Superintendent.
5. A statement regarding the impact of the plan on premiums and availability of coverage in the individual market in Maine.
6. The number of enrollees who have reached the plan per condition or illness maximum, the plan out of pocket maximum, the plan annual maximum, or the plan lifetime maximum.
7. The number of new enrollees who had coverage within the 90 days prior to applying for the pilot project plan and the number who were uninsured. To the extent that the information is available from the enrollee's application, the number whose prior coverage was in the individual market and the number who were dependents covered under their parents' policies.
