02-031 C.M.R. ch. 940, 031-940 app A - Annual Data Collection

Current through 2022-14, April 6, 2022

To enable the Bureau to monitor the impact of small group and individual health insurance reform laws on those markets, all carriers in those markets must submit the following information (unless otherwise specified) annually on or before April 30. This information must be filed in an electronic format prescribed by the Superintendent.

All carriers offering or renewing individual health plans subject to Title 24-A § 2736-C and carriers offering small group health plans subject to Title 24-A M.R.S.A. § 2808-B must provide the following data:

A. Demographic information: For on-exchange and off-exchange separately for each type of metal level plan ((Catastrophic, Bronze, Silver (including 73, 87 and 94% cost sharing reduction plans and no cost sharing reduction plans), Gold and Platinum)) including grandfathered and transitional coverage, report the number of Maine covered persons by age as of the current year to reflect open enrollment results.

B. Experience data for individual and small group separately: For all plans combined, provide earned premium and incurred claims for the prior calendar year.


02-031 C.M.R. ch. 940, 031-940 app A

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