02-031-851 Me. Code R. § 6

Current through 2024-46, November 13, 2024
Section 031-851-6 - Alternative Plan Designs
1. A carrier may request approval, in accordance with this section, to offer up to three Alternative Plan Designs in any plan year.
2. The carrier's application shall be submitted no later than the deadline announced by the Superintendent for rate and form filings, and shall include:
A. An actuarial certification, including an explanation why the Alternative Plan Design is not expected to promote adverse selection, a description of the significant consumer benefits that are anticipated, and an explanation why those benefits are not available from any Clear Choice Design or from any of the carrier's other Alternative Plan Designs;
B. Copies of all policy forms the carrier proposes to use in conformance with the Alternative Plan Design, and if there are multiple forms, optional endorsements, or variable language, an explanation why the variations should not be considered distinct plan designs for purposes of this rule; and
C. If the carrier is proposing to modify or discontinue an Alternative Plan Design already in use, an explanation why the modification or discontinuance is permitted under 24-A M.R.S. §2850- B(3)(G) or (I), including a proposed mapping for existing policyholders.
3. If an Alternative Plan Design is approved, the carrier may only offer it in service areas where the carrier offers at least one Clear Choice Plan in the same metal tier.

02-031 C.M.R. ch. 851, § 6