Maine Code § 24-A-4210

Open enrollment
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1. After a health maintenance organization has been in operation 24 months, it shall have an annual
open enrollment period of at least one month during which it accepts enrollees up to the limits of its
capacity, as determined by the health maintenance organization, in the order in which they apply for
enrollment. To the extent not inconsistent with the requirements of chapter 36 and sections 2736-C
and 2808-B as qualified by section 4222-B, subsection 3, a health maintenance organization may apply
to the superintendent for authorization to impose such underwriting restrictions upon enrollment as are
necessary to preserve its financial stability, to prevent excessive adverse selection by prospective
enrollees or to avoid unreasonably high or unmarketable charges for enrollee coverage for health care
services. The superintendent shall approve or deny the application within 10 days of the receipt of that
application from the health maintenance organization.
[PL 1995, c. 332, Pt. O, §4 (AMD).]
2. Health maintenance organizations providing or arranging for services exclusively on a group
contract basis may limit the open enrollment provided for in this section to all members of the group or
groups covered by such contracts.
[PL 1975, c. 503 (NEW).]

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