Maine Code § 24-A-4204-A

Surplus requirements
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1. Initial minimum surplus. To qualify for authority as a health maintenance organization, an
organization shall have an initial minimum surplus of $1,500,000.
[PL 1989, c. 842, §14 (NEW).]
2. Surplus maintained. Except as provided in this section, every health maintenance organization
must maintain a minimum surplus equal to the greater of:
A. One million dollars; [PL 1989, c. 842, §14 (NEW).]
B. Two percent of the first $150,000,000 of annual premium revenues as reported in the most
recent annual financial statement filed with the superintendent by the health maintenance
organization, plus 1% of annual premium in excess of $150,000,000; [PL 2017, c. 169, Pt. A,
§10 (AMD).]

C. An amount equal to the sum of 3 months' uncovered health care expenditures as reported in the
most recent annual financial statement filed with the superintendent by the health maintenance
organization; [PL 2017, c. 169, Pt. A, §10 (AMD).]
D. An amount equal to 8% of the health maintenance organization's annual health care
expenditures, except those paid on a capitated basis, as reported in the most recent annual financial
statement filed with the superintendent by the health maintenance organization; or [PL 2017, c.
169, Pt. A, §10 (AMD).]
E. An amount equal to the company action level risk-based capital as defined in chapter 79. [PL
2001, c. 88, §5 (NEW).]
[PL 2017, c. 169, Pt. A, §10 (AMD).]
2-A. Additional surplus. A health maintenance organization that otherwise possesses surplus
funds as required under this section shall also maintain surplus in a reasonable amount as determined
by the superintendent in relation to indemnity risks assumed through the issuance of a point-of-service
product, net of any applicable reinsurance.
[PL 1991, c. 709, §4 (NEW).]
3. Exceptions. A health maintenance organization licensed before the effective date of this section
must maintain a minimum surplus of:
A. Forty percent of the amount required by subsection 2 until December 31, 1991; [PL 1989, c.
842, §14 (NEW).]
B. Sixty percent of the amount required by subsection 2 until December 31, 1992; [PL 1989, c.
842, §14 (NEW).]
C. Eighty percent of the amount required by subsection 2 until December 31, 1993; and [PL 1989,
c. 842, §14 (NEW).]
D. One hundred percent of the amount required by subsection 2 until December 31, 1994. [PL
1989, c. 842, §14 (NEW).]
[PL 1989, c. 842, §14 (NEW).]
4. Subordinated debt. Any health maintenance organization that issues a subordinated debt
instrument shall structure the debt as follows.
A. In determining surplus, debt may not be considered fully subordinated unless the subordination
clause is in a form approved by the superintendent. Any interest obligation relating to the
repayment of any subordinated debt must be similarly subordinated. [PL 1989, c. 842, §14
(NEW).]
B. Any debt incurred by a note that meets the requirements of this section, and is otherwise
acceptable to the superintendent, may not be considered a liability and must be recorded as equity.
[PL 1989, c. 842, §14 (NEW).]
[PL 1989, c. 842, §14 (NEW).]

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