An Act To Increase Access to Insurance Products to H.P. Health Amend the amendment in section in section in subsection 5 by striking out all of paragraph C (page 11, lines to 26 in amendment) and inserting in its place the following: C. After initial approval of the self-administered plan in accordance with law, the board shall annually submit the recommendations and presentation of the actuary pursuant to paragraph B to the superintendent for review. The super intendent shall review the actuary's presentation and provide comments to the board. Further amend the amendment by inserting after section 10 the following: , Sec. 11. Initial approval by Superintendent of Insurance. Notwithstanding the Maine Revised Statutes, Title 24-A, section 6981, subsection 9, the Dirigo Health Self-administered Plan may not commence operations unless the Superintendent of Insurance has approved the self-administered plan in accordance with this section. The superintendent may not approve the self-administered plan unless the superintendent determines that the self-administered plan will be operated in accordance with sound actuarial principles to provide sufficient revenues to pay current and future liabilities and that the self-administered Page 1-LR2927(11) SENATE AMENDMENT
Maine Legislature, Session 122, LD 1845
Committee Amendment CA_A-SA_C_S640 (Senate)

SENATE 
AMENDMENT 
"~,, to COMMITTEE 
AMENDMENT 
"A" 
1285, 
L.D. 
1845, Bill, 
"An Act To 
Increase Access to 
Insurance Products" 
to H.P. 
Health 
Amend 
the 
amendment 
in 
section 
in 
section 
6981 
in 
subsection 5 by striking out all of paragraph C (page 11, lines 
to 26 in amendment) and inserting in its place the following: 
'C. After initial approval of the self-administered plan in 
accordance with law, 
the board shall annually submit the 
recommendations and presentation of the actuary pursuant to 
paragraph 
B 
to 
the 
superintendent 
for 
review. 
The 
super intendent shall review the actuary's presentation and 
provide comments to the board.' 
Further amend the amendment by inserting after section 10 
the following: 
, Sec. 
11. 
Initial 
approval 
by 
Superintendent 
of Insurance. 
Notwithstanding the Maine Revised Statutes, Title 24-A, section 
6981, subsection 9, the Dirigo Health Self-administered Plan may 
not commence operations unless the Superintendent of Insurance 
has approved the self-administered plan in accordance with this 
section. The superintendent may not approve the self-administered 
plan 
unless 
the 
superintendent 
determines 
that 
the 
self-administered plan will be operated in accordance with sound 
actuarial 
principles 
to 
provide 
sufficient 
revenues 
to 
pay 
current and future liabilities and that the self-administered 
SENATE AMENDMENT 
~~. 
~. 
SENATE AMENDMENT ,,6, to COMMITTEE AMENDMENT "A" to H.P. 
1285, 
L.D. 1845 
plan has demonstrated compliance with all of the requirements of 
Title 24-A, section 6981.' 
SUMMARY 
This 
amendment 
requires 
that 
the 
Dirigo 
Health 
Self-administered Plan must be approved by the Superintendent of 
Insurance before the plan may commence operations. The amendment 
requires that the superintendent determine that the plan will be 
operated in accordance with sound actuarial principles and has 
demonstrated 
compliance 
with 
the 
requirements 
of 
the 
Maine 
Revised Statutes, Title 24-A, section 6981. 
The 
amendment 
also 
clarifies 
that, 
approval of the self-administered plan, the 
of 
Trustees 
must 
submit 
its 
actuarial 
Superintendent of Insurance annually for 
review and comment. 
after 
the 
initial 
Dirigo Health Board 
assumptions 
to 
the 
the superintendent's 
SPONSORED BY, J;~ J. W~ 
(Senator MITCHELL) 
COUNTY: 
Kennebec 
FISCAL :-'OTE REQLIRED 
(See attached) 
SENATE AMENDMENT 
Approved: 04/26/06 ;::t?ac:.. 
LD 1845 
LR 2927(11) 
An Act To Increase Access to Health Insurance Products 
Fiscal Note for Senate Amendment 6to Committee Amendment it" 
Sponsor: Sen. Mitchell 
Fiscal Note Required: Yes 
Fiscal Note 
Undetermined current biennium cost increase - Other Special Revenue Funds 
Fiscal Detail and Notes 
Requiring the Superintendent of Insurance to review and approve the Dirigo Health Self-administered Plan before it 
may commence operations and to review and comment annually on Dirigo Health actuarial assumptions after the 
initial approval would increase costs to the Bureau of Insurance in the Department of Professional and Financial 
Services. The amount of additional costs, including possible outside actuarial services, and whether they can be 
absorbed within existing budgeted resources cannot be determined at this time. 
LR2927(l1) - Fiscal Note - Page 1 of 1