Maine Code § 24-A-4339

Contractual provisions to demonstrate financial viability
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If a carrier applies for a waiver under section 4332, subsection 2, the carrier may demonstrate the
financial viability and condition of the downstream entity through the terms of the contract, including
one or more of the following: [PL 1999, c. 609, §20 (NEW).]
1. Books, accounts and records. A contractual provision authorizing the carrier to access the
downstream entity's books, accounts and records according to terms and conditions on which the carrier
and the downstream entity agree;
[PL 1999, c. 609, §20 (NEW).]
2. Financial statements. A contractual provision requiring the downstream entity to provide to
the carrier interim unaudited financial statements on a regular and ongoing basis as well as an annual
financial statement, accompanied by a certified public accountant's opinion, appropriate to the
magnitude of risk involved;
[PL 1999, c. 609, §20 (NEW).]
3. Reserves. A contractual provision authorizing the carrier to receive information regarding the
downstream entity's reserves;
[PL 1999, c. 609, §20 (NEW).]
4. Letter of credit. A contractual provision requiring the downstream entity to post a letter of
credit or other acceptable financial security;
[PL 1999, c. 609, §20 (NEW).]
5. Fees. A contractual provision under which the carrier withholds fees payable to the downstream
entity or to the providers for which it acts;
[PL 1999, c. 609, §20 (NEW).]
6. General liability insurance. A contractual provision requiring the downstream entity to carry
general liability insurance and requiring participating providers to carry professional liability insurance
in an amount and from an insurer mutually acceptable to the carrier and the downstream entity;
[PL 1999, c. 609, §20 (NEW).]
7. Surety bond. A contractual provision requiring the downstream entity to secure a surety bond
to cover the downstream entity's performance under the contract; or
[PL 1999, c. 609, §20 (NEW).]

8. Excess of loss insurance. A contractual provision requiring the downstream entity to secure
excess of loss insurance or reinsurance in an amount and from an insurer mutually acceptable to the
carrier and the downstream entity.
[PL 1999, c. 609, §20 (NEW).]

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