MGARA will be funded through three mechanisms: (1) assessments on insurers and providers in Maine’s health insurance markets, (2) premiums paid by insurers that reinsure their insureds with MGARA and (3) potential deficit assessments designed to cover net losses should those occur. These funding mechanisms function essentially as follows:
· Base Market Assessment – Assessed to health insurers based on the number of insured lives covered by each at a rate of up to $4 PMPM for all insureds in the Individual, Small Group, Large Group and Self-insured Markets (excluding State and Federal employees)
· Ceded Member Premium to be determined by MGARA
· Optional Assessments to Cover Net Loss -- Up to $2 PMPM to cover losses, if any
FAQ's Document Under Revision.