02-031-745 Me. Code R. § 9

Current through 2024-46, November 13, 2024
Section 031-745-9 - REPORTING REQUIREMENTS

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.

02-031 C.M.R. ch. 745, § 9