6353-S AMS QUIG S5359.1

SSB 6353 - S AMD - 177

By Senator Quigley

    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."

EFFECT:  Expands the authority of the high risk pool to structure the reinsurance policy under the act to promote the act's purposes.  Deletes more prescriptive language contained in the Substitute Bill.

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