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2006 Maine Consumer Guide to Health Insurers

Four performance areas are presented in this Interactive Guide. Select from the toolbar above to view each of the comparative charts. Above each chart is a description on how to read and understand the results.

Some Information About This Brochure...

Maine's Health Plan Improvement Act requires that all licensed insurers that sell health insurance in Maine report specific information about their operation in Maine to the Bureau of Insurance. The information in this brochure covers the period from January 2006 through December 2006.

You can find the following Maine specific information:

• The number of consumer complaints received against insurers.

• The number of utilization review decisions the companies made that were not in favor of the covered person.

• General information on the insurers including the number of people covered under their plans, customer service numbers and hours, the products that they sell in Maine, a web site address, and whether the company has received accreditation from one of the organizations who rates managed care companies based on specific standards of operation.

With the exception of the complaint ranking information, the data in this brochure was reported to the Bureau of Insurance by the companies. Consequently, this information should be just one tool that you use when you evaluate health insurers.

Our Mission

The Bureau of Insurance, within the Department of Professional and Financial Regulation, regulates the insurance industry for solvency and consumer protection. It does so through its examining and licensing procedures of insurance companies, by licensing producers, by reviewing rates and coverage forms, conducting audits, and by sponsoring programs that enhance awareness of and compliance with State laws. The Bureau has statutory authority to enforce the State's laws and rules pertaining to insurance, and it initiates investigations and holds hearings concerning possible infractions of them.

Eric A. Cioppa
Acting Superintendent

Consumer information, including how to file a complaint and how to request an independent external review when you are denied benefits for health care services by your insurer can be found here.

Other ways to contact the Bureau of Insurance:

Printed under Appropriation Number 01402A3041 - November 2007

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