Within 30 days after the effective date of this Rule,
carriers offering health insurance plans in this state shall provide the
Superintendent with the following information.
1. The name and contact information for an
officer of the company primarily responsible for public insurance emergency
planning in Maine. If this contact information changes the carrier shall notify
the Superintendent within 72 hours.
A description of health insurance coverage
in force in Maine, which must be updated at least annually. Carriers shall
provide updated descriptions within 72 hours after a request by the
Superintendent. At a minimum, the description must include the following:
i. The number of group and blanket policy
ii. The number of
individual policy enrollees.
The number of enrollees who have coverage for prescription
iv. The number of
enrollees who have coverage for influenza and pneumococcal
description of the carrier's plans for assuring adequate staffing and business
continuity during a public health emergency.
4. A description of the carrier's plans for
working closely with state and federal regulatory and emergency agencies to
respond to the needs of enrollees and the public during a public health
5. A description of the
carrier's plans for providing enrollees and providers with essential
information during a public health emergency.
6. A description of the carrier's assessment
and planning to address increased need and decreased availability of medical
supplies, prescription drugs and vaccinations during a public health
A description of the
carrier's contingency plans for minimizing barriers for enrollees to access
health care services and health insurance benefits during a public health
emergency, including the carrier's own guidelines for deciding when to
implement contingency plans. The plans and guidelines must be flexible and must
include specific actions to assist the public in maintaining access to health
care services and health insurance benefits depending on the nature, scope, and
extent of the emergency. At a minimum contingency plans and guidelines must
include the ability to implement the actions described in Section
of this Rule within 72 hours after a
direction, rule, or order to do so issued pursuant to