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Terms Used In Maine Revised Statutes Title 24-A Sec. 4340

  • Carrier: means :
A. See Maine Revised Statutes Title 24-A Sec. 4301-A
  • Downstream entity: means a person other than a carrier that has assumed all or part of the insurance risk of one or more health plans under a contractual relationship with a carrier or another downstream entity. See Maine Revised Statutes Title 24-A Sec. 4331
  • Downstream risk arrangement: means an arrangement that transfers insurance risk from a carrier to a downstream entity. See Maine Revised Statutes Title 24-A Sec. 4331
  • Each carrier and downstream entity requesting a waiver shall file with the superintendent a plan for managing financial exposure under those downstream risk arrangement contracts and thereafter operate in substantial conformance with the terms of that plan and of the corresponding waiver. At least 60 days before any material change in a filed and approved exposure management plan, the carrier and downstream entity shall file for the superintendent’s review and approval a modified plan, along with any changes in related contracts. [PL 1999, c. 609, §20 (NEW).]
    SECTION HISTORY

    PL 1999, c. 609, §20 (NEW).