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Maine.gov > PFR Home > Insurance Regulation > Mega Life and Health Rate Filing Notice of Hearing

 

STATE OF MAINE
DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION
BUREAU OF INSURANCE

In re:

MEGA LIFE AND HEALTH
INSURANCE COMPANY RATES FOR
INDIVIDUAL HEALTH PLANS

Docket No. INS-08-1000

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NOTICE OF PENDING
PROCEEDING AND HEARING

 

This is official notice from the Maine Bureau of Insurance of a public proceeding regarding proposed rate changes for the individual health plans offered by The MEGA Life and Health Insurance Company.

I. PENDING PROCEEDING

Pursuant to 5 M.R.S.A. § 9052, 24-A M.R.S.A. § 230 and Bureau of Insurance Rules, Chapter 350, Superintendent of Insurance Mila Kofman hereby gives notice that The MEGA Life and Health Insurance Company (“MEGA Life”) has submitted a rate filing for its individual health products. Specific rate changes requested in the filing for policy forms and riders range from a decrease of 50% to an increase of 40%, depending on the benefit design offered. The overall average rate change requested is an increase of 7%. The rate changes are proposed to be effective approximately 30 days after issuance of the Superintendent’s Decision and Order.

II. PUBLIC HEARING

Pursuant to requirements and authority set forth in 24-A M.R.S.A. §§ 229 through 235 and 5 M.R.S.A. §§ 9051 through 9064, Superintendent Kofman will hold a public hearing in the above-captioned matter at 9:00 a.m. on August 18, 2008 in Central Conference Room of the Maine Department of Professional and Financial Regulation, 122 Northern Avenue, Gardiner, Maine. Members of the public are invited to attend and participate in the hearing.

III. HEARING OBJECTIVE

The purpose of the hearing is to consider whether the rates requested are excessive, inadequate, or unfairly discriminatory under 24-A M.R.S.A. § 2736; whether the rates requested satisfy the provisions of 24-A M.R.S.A. § 1736-C and Maine Bureau of Insurance Rules, Chapter 940, “Requirements for Health Insurance Rate Filings and Data Reporting”; and whether the rates requested otherwise meet the requirements of the Maine Insurance Code and regulations promulgated thereunder.

IV. INTERVENTION

At this time, the only parties to this proceeding are MEGA Life and the Office of the Maine Attorney General, which intervened as a matter of right. Any other person wishing to intervene as a party must submit a written application to Superintendent of Insurance Mila Kofman, no later than 5:00 p.m. on July 17, 2008. Applications for intervention should be either hand delivered to the Superintendent at the Bureau of Insurance, 124 Northern Avenue, Gardiner, Maine or mailed to the Superintendent at the following address:

Mila Kofman, Superintendent of Insurance
Attention: Vanessa J. Leon (Docket No. INS-08-1000)
Bureau of Insurance
Maine Department of Professional and Financial Regulation
34 State House Station
Augusta, Maine 04333-0034.

Persons seeking intervenor status must be willing to undertake the responsibilities placed upon parties to an adjudicatory proceeding by Bureau of Insurance Rule 350.

Applications for intervention as of right pursuant to 5 M.R.S.A. § 9054(1) must either explain how the applicant is or may be, or is a member of a class that is or may be, substantially and directly affected by the proceeding or identify the applicant as an agency of federal, state, or local government. Applications for permissive intervention pursuant to 5 M.R.S.A. § 9054(2) shall explain and substantiate the applicant’s interest in the proceeding. The Superintendent will not grant a late application without a showing of good cause.

A person need not intervene, in order to testify at the hearing. Members of the public, including persons who have not been authorized to intervene as parties in this proceeding, may make unsworn statements or testify under oath about the proposed rate increases. Persons who present testimony under oath are subject to questioning by the parties and the Superintendent. The Superintendent, as a basis for her decision in this proceeding, may rely upon only that testimony that has been presented under oath.

Any party that opposes an application for intervention shall file a statement in opposition to the application with the Superintendent by 5:00 p.m. on July 22, 2008.

V. HEARING PROCEDURE

The Superintendent will conduct this proceeding in accordance with the provisions of the Maine Administrative Procedure Act, 5 M.R.S.A. Chapter 375,
subchapter IV; 24-A M.R.S.A. §§ 229 through 235; and Bureau of Insurance Rule 350. All parties to this proceeding have the right to present evidence and witnesses at the hearing and have the right to be represented by counsel. Failure of any party to appear may result in disposition by default with respect to that party, provided that the Superintendent may set aside any default for good cause shown.

The Department of Professional and Financial Regulation does not discriminate on the basis of disability in the admission to, access to, or operation of its programs, services, or activities. Individuals in need of auxiliary aid for effective communication in this hearing are invited to make their needs and preferences known to Vanessa J. Leon at the Bureau of Insurance, sufficiently in advance of the hearing so that appropriate arrangements can be made. Ms. Leon’s telephone number is (207) 624-8452.

 

Dated: June 26, 2008 ___________________________________
MILA KOFMAN
Superintendent of Insurance

 

Last Updated: October 1, 2008