Maine Code § 24-A-2674-A

Requirements for administrators and carriers
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1. Registration fee. All administrators of a preferred provider arrangement shall register with the
superintendent and pay an annual registration fee pursuant to section 601, subsection 20. The
superintendent shall by rule establish criteria for the registration, including minimum solvency
requirements. Rules adopted pursuant to this subsection are routine technical rules pursuant to Title 5,
chapter 375, subchapter II-A.
[PL 1999, c. 609, §10 (NEW).]
2. Compilation of current listing. The bureau shall compile and maintain a current listing of
administrators and carriers offering preferred provider arrangements authorized under this chapter.
[PL 1999, c. 609, §10 (NEW).]
3. Prohibition against insurance risk. Except as specifically authorized in section 2676, an
administrator may provide administrative services only and may not accept insurance risk.
[PL 1999, c. 609, §10 (NEW).]
4. Approval required before marketing or making available. A carrier may not issue a health
plan incorporating a preferred provider arrangement and an administrator may not market or otherwise
make available a preferred provider arrangement until the superintendent pursuant to section 2673-A
has approved the arrangement.
[PL 1999, c. 609, §10 (NEW).]
5. Registration as insurance administrator. In addition to meeting the requirements of the
preferred provider arrangement, each preferred provider administrator who directly or indirectly
transfers funds, manages funds, adjusts claims or asserts control over the transfer of funds for the

purpose of payment of provider services shall register with the superintendent as an insurance
administrator pursuant to chapter 18.
[PL 1999, c. 609, §10 (NEW).]
6. Provision of document to beneficiary. Each preferred provider administrator shall inform all
carriers that the carriers must provide to each enrollee of any health plan subject to this chapter a plan
description that complies with the requirements of and rules adopted under chapter 56-A, subchapter I.
[PL 1999, c. 609, §10 (NEW).]

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