02- 031 C.M.R. ch. 850, § 4 - Affordable Care Act

A. Pursuant to 24-A M.R.S.A. §§ 4218-A and 4309-A, carriers are required to comply with all applicable requirements of the federal Affordable Care Act, in addition to applicable requirements of this rule.

B. A carrier offering one or more health plans entitled to grandfathered status under the federal Affordable Care Act may request an exemption for its grandfathered business from certain requirements of this rule by submitting the following to the Superintendent for approval within 180 days after the effective date of this rule:

1) A letter identifying the provisions of this rule for which an exemption is claimed together with an explanation of why the exemption is permitted pursuant to 24-A M.R.S.A. §4320-G and the federal Affordable Care Act.

2) Copies of notices that have been or will be provided to enrollees advising that an exemption has been claimed from certain requirements of this rule because of the health plan's grandfathered status. This requirement may be satisfied by including information about exemption from the requirements of this rule in the notices of grandfathered status provided to policyholders and enrollees pursuant to federal law, and providing the Bureau with a sample copy of the notice.

3) The number of enrollees impacted by the exemption.

Notes

02- 031 C.M.R. ch. 850, § 4