Code of Maine Rules
02 - DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION
031 - BUREAU OF INSURANCE
Chapter 856 - Combination of the Individual and Small Business Health Insurance Risk Pools
Section 031-856-3 - Definitions

1. "Carrier" has the same meaning as in 24-A M.R.S. §4301-A(3).

2. "Innovation waiver amendment" means a revision of the state innovation waiver that was granted to the State of Maine under Section 1332 of the federal Affordable Care Act and is in force on the effective date of this rule, or any substitute or replacement of that waiver issued or applied for under Section 1332 or a successor federal program.

3. "Maine Guaranteed Access Reinsurance Association" or "Association" has the same meaning as in 24-A M.R.S. §3952(1).

4. "Implementation year" means the first calendar year in which the individual and small group markets are pooled pursuant to this rule.

5. "Pooled market health plan" means any individual or small group health plan, as defined in 24-A M.R.S. §§ 2736-C(1)(C) and 2808-B(1)(G), issued or renewed in this State during or after the implementation year, other than a multiple-employer plan that has been approved as a separate rating pool under 24-A M.R.S. §2808-B(2)(E).

6. "Provisional implementation year" means 2023 or, if applicable, the alternative provisional implementation year most recently established by the Superintendent pursuant to subsection 6(B).

7. "Retrospective reinsurance program" means a reinsurance program under which all eligible policies are covered by the Association, without regard for an insured individual's health condition and without requiring any advance designation for reinsurance.