6353-S AAS 2/13/96

SSB 6353 - S AMD - 175

By Senator Hargrove

                                                   ADOPTED 2/13/96

    On page 9, line 9, after "reinsurance," insert "(i) the numerator shall not include the total number of resident insured persons, including spouses and dependents, in health plans sold by pool members that cover groups of fifty persons or less, and (ii)"

SSB 6353 - S AMD - 176

By Senator Quigley

                                                   ADOPTED 2/13/96

    On page 10, beginning on line 14, after "insurance" strike all material through "plan" on line 15

SSB 6353 - S AMD - 177

By Senator Quigley

                                                   ADOPTED 2/13/96

    On page 11, beginning on line 9, strike all of subsection (5) and insert the following:

    "(5) A pool reinsurance policy shall be developed by the pool in accordance with this chapter using the system the pool finds most conducive to promoting access to affordable health insurance, containing health care costs, and stabilizing individual insurance premiums at rates no higher than those of comparable insurance sold to groups.  The pool may apply deductibles, copayments, and thresholds for such reinsurance at any levels or in any forms it believes will best accomplish these purposes.  The pool shall apply any managed care and claims handling techniques it may determine the need for, so long as they are applied consistently with respect to all reinsured members."

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