§5004. Loss ratio standards
1. Any Medicare supplement policy or contract is subject to the minimum loss ratio standards of section 2413, subsection 1, paragraph F, as well as any other laws of this State as apply to rate filings with respect to health insurance and nonprofit hospital and medical service organizations and nonprofit health care plan contracts.
[PL 1989, c. 27, §4 (NEW).]
2. Medicare supplement policies must return to policyholders benefits that are reasonable in relation to the premium charged. The superintendent shall issue reasonable rules to establish minimum standards for loss ratios of Medicare supplement policies on the basis of incurred claims experience, or incurred health care expenses where coverage is provided by a health maintenance organization on a service rather than reimbursement basis, and earned premiums in accordance with accepted actuarial principles and practices.
[PL 2001, c. 258, Pt. F, §2 (AMD).]
3.
[PL 1989, c. 852, §2 (RP); PL 1989, c. 852, §3 (AFF).]
SECTION HISTORY
PL 1981, c. 234, §4 (NEW). PL 1989, c. 27, §4 (RPR). PL 1989, c. 852, §§2,3 (AMD). PL 1991, c. 740, §6 (AMD). PL 2001, c. 258, §F2 (AMD).
Structure Maine Revised Statutes
TITLE 24-A: MAINE INSURANCE CODE
Chapter 67: MEDICARE SUPPLEMENT INSURANCE POLICIES
24-A §5001-A. Applicability and scope
24-A §5002. Standards for policy provisions (REPEALED)
24-A §5002-A. Standards for policy provisions and authority to adopt rules
24-A §5002-B. Continuity of coverage
24-A §5003. Minimum standards for benefits (REPEALED)
24-A §5004. Loss ratio standards
24-A §5005. Disclosure standards
24-A §5006. Preexisting conditions (REPEALED)
24-A §5006-A. Filing requirements for advertising
24-A §5007. Notice of free examination
24-A §5008. Minimum standards for benefits and claims payment (REPEALED)
24-A §5009. Filing requirements for advertising (REPEALED)
24-A §5010. Replacement of policies issued prior to January 1, 1992
24-A §5010-A. Coverage of the disabled
24-A §5011. Rating restrictions
24-A §5012. Annual guaranteed issue period
24-A §5013. Notice regarding policies that are not Medicare supplement policies
24-A §5014. Additional penalties