Code of Maine Rules
02 - DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION
031 - BUREAU OF INSURANCE
Chapter 857 - Small Business Health Insurance Premium Support Program
Section 031-857-8 - Reporting of Program-related Information

1. Small group health insurance carriers shall provide the Superintendent with a spreadsheet each month through the duration of the program and any required time period following the end of the program showing details of the prior month's eligible small business premium billings and premium relief credits by subscriber number and showing total enrollment numbers. The report shall include the following data:

For each subscriber

* Subscriber type (employee-only, employee + spouse/partner, etc.),

* Subscriber number

* Number of covered lives per subscriber

* Policy number

* Product/plan name

* Coverage period

* Billed premium

* Invoice date

* Premium credits (including any corrections for prior months due to timing of reporting of employee or dependent adds/drops)

Monthly totals

* Total number of small groups

* Total number of each subscriber type

* Total number of covered lives

* Total amount of credits provided for each subscriber type

2. The Superintendent shall notify small group health insurance carriers of the requirements for this reporting, including the reporting format, and any additional required data elements.

3. Small group health insurance carriers shall also report information necessary to reimburse reasonable administrative costs on a monthly basis in a format prescribed by the Superintendent. The Superintendent shall review the submitted documentation and facilitate payment to the small group health insurance carriers under the terms of an agreement between the Superintendent and each small group health insurance carrier.