§2736. Rate filings on individual health insurance policies
1. Filing of rate information. Every insurer shall file for approval by the superintendent every rate, rating formula, classification of risks and every modification of any formula or classification that it proposes to use in connection with individual health insurance policies and certain group policies specified in section 2701. If the filing applies to individual health plans as defined in section 2736‑C, the insurer shall simultaneously file a copy with the Attorney General. Every such filing must state the effective date of the filing. Every such filing must be made not less than 60 days in advance of the stated effective date, unless the 60-day requirement is waived by the superintendent, and the effective date may be suspended by the superintendent for a period of time not to exceed 30 days. A filing required under this section must be made electronically in a format required by the superintendent unless exempted by rule adopted by the superintendent. Rules adopted pursuant to this subsection are routine technical rules as defined in Title 5, chapter 375, subchapter 2‑A.
[PL 2009, c. 439, Pt. C, §1 (RPR).]
2. Filing; information. When a filing is not accompanied by the information upon which the insurer supports such filing, or the superintendent does not have sufficient information to determine whether such filing meets the requirements that rates not be excessive, inadequate or unfairly discriminatory, the superintendent shall require the insurer to furnish the information upon which it supports the filing. A filing and all supporting information, except for protected health information required to be kept confidential by state or federal statute and descriptions of the amount and terms or conditions or reimbursement in a contract between an insurer and a 3rd party, are public records notwithstanding Title 1, section 402, subsection 3, paragraph B and become part of the official record of any hearing held pursuant to section 2736‑A.
[PL 2009, c. 439, Pt. C, §2 (AMD).]
3. Criteria for special rate hearings.
[PL 2009, c. 244, Pt. C, §5 (RP).]
4. Special rate hearing.
[PL 2009, c. 244, Pt. C, §6 (RP).]
SECTION HISTORY
PL 1969, c. 132, §1 (NEW). PL 1973, c. 585, §12 (AMD). PL 1977, c. 493, §3 (RPR). PL 1979, c. 558, §§6,7 (AMD). PL 1985, c. 648, §10 (AMD). PL 1997, c. 344, §8 (AMD). PL 2001, c. 432, §§5,6 (AMD). PL 2003, c. 428, §F2 (AMD). PL 2003, c. 469, §§E9,10 (AMD). PL 2007, c. 629, Pt. M, §§1, 2 (AMD). PL 2009, c. 14, §4 (AMD). PL 2009, c. 244, Pt. C, §§5, 6 (AMD). PL 2009, c. 244, Pt. G, §1 (AMD). PL 2009, c. 439, Pt. C, §§1, 2 (AMD).
Structure Maine Revised Statutes
TITLE 24-A: MAINE INSURANCE CODE
Chapter 33: HEALTH INSURANCE CONTRACTS
24-A §2703. Scope, format of policy
24-A §2704. Required provisions; captions -- omissions -- substitutions
24-A §2705. Entire contract -- changes
24-A §2706. Time limit on certain defenses
24-A §2712. Time of payment of claims
24-A §2713-A. Explanation and notice to parent
24-A §2714. Physical examination, autopsy
24-A §2716. Change of beneficiary
24-A §2717. Right to examine and return policy
24-A §2717-A. Disability benefit offsets
24-A §2718. Optional policy provisions
24-A §2719. Change of occupation
24-A §2720. Misstatement of age
24-A §2721. Overinsurance -- same insurer (REPEALED)
24-A §2721-A. Overinsurance in accident policies; same insurer
24-A §2721-B. Flight insurance limitation (REPEALED)
24-A §2722. Insurance with other insurers, provision of service or expense incurred basis
24-A §2723. Insurance with other insurers -- other benefits
24-A §2723-A. Coordination of benefits
24-A §2724. Relation of earnings to insurance
24-A §2726. Conformity with state statutes
24-A §2727. Illegal occupation
24-A §2728. Intoxicants and narcotics
24-A §2729-A. Limits on priority liens
24-A §2730. Order of certain provisions
24-A §2731. Third party ownership
24-A §2731-A. "Medically necessary mastectomy surgery" defined (REPEALED)
24-A §2732. Requirements of other jurisdictions
24-A §2733. Policies issued for delivery in another state
24-A §2734. Conforming to statute
24-A §2735-A. Notice of rate filing and rate increase
24-A §2736. Rate filings on individual health insurance policies
24-A §2736-C. Individual health plans
24-A §2737. Noncancellable disability insurance defined
24-A §2738. Notice as to renewability
24-A §2739. Lapse of policy, advance notice; limitation of action
24-A §2740. Franchise health insurance law (REPEALED)
24-A §2741-A. Mandated offer of domestic partner benefits
24-A §2742-A. Extension of coverage for dependent children
24-A §2742-B. Mandatory offer to extend coverage for dependent children up to 26 years of age
24-A §2742-C. Mandatory offer of coverage for certain adults with disabilities
24-A §2743. Newborn children coverage
24-A §2743-A. Maternity and routine newborn care
24-A §2743-B. Maternity and postpartum care
24-A §2744. Mental health services
24-A §2745. Home health care coverage
24-A §2745-A. Screening mammograms
24-A §2745-B. Acupuncture services
24-A §2745-C. Coverage for breast cancer treatment
24-A §2745-D. Medical food coverage for inborn error of metabolism
24-A §2745-E. Off-label use of prescription drugs for cancer
24-A §2745-F. Off-label use of prescription drugs for HIV or AIDS
24-A §2745-G. Coverage for prostate cancer screening (REALLOCATED FROM TITLE 24-A, SECTION 2745-E)
24-A §2746. Optional coverage for chiropractic services (REALLOCATED TO TITLE 24-A, SECTION 2840)
24-A §2747. Review and arbitration
24-A §2748. Coverage for chiropractic services
24-A §2749. Utilization review data
24-A §2749-A. Penalty for failure to notify of hospitalization
24-A §2749-B. Penalty for noncompliance with utilization review programs
24-A §2749-C. Mental health services coverage
24-A §2750. Acquired Immune Deficiency Syndrome
24-A §2752. Mandated health legislation procedures
24-A §2753. Standardized claim forms
24-A §2754. Coverage for diabetes supplies
24-A §2755. Assignment of benefits
24-A §2756. Coverage for contraceptives
24-A §2759. Coverage for hospice care services
24-A §2761. Offer of coverage for breast reduction surgery and symptomatic varicose vein surgery
24-A §2762. Coverage for hearing aids
24-A §2763. Coverage for colorectal cancer screening
24-A §2765. Coverage for services provided by independent practice dental hygienist
24-A §2765-A. Coverage for services provided by dental therapist
24-A §2766. Enrollment of dependent children in dental coverage
24-A §2766-A. Dental benefit waiting period