Access Payment Payers

Pursuant to new Legislation, 24-A MRSA §6917, an Access Payment of 2.14% will apply to claims paid beginning on or after September 1, 2009 regardless of plan year.

Access Payments must be made monthly to the Dirigo Health Agency and are due 30 days after the end of each month (24-A MRSA §6917(1)(C)).

The new legislation does not affect any existing obligations under the Second or Third Year savings offset payments through August 31, 2009. In addition, the Fourth Year savings offset payment will apply to claims paid through August 31, 2009 for plan years beginning on or after July 1, 2009 (24-A MRSA §6913(3)(D)).

A payment schedule for the SOP to Access Payment transition is available here.
A required remittance form is available here. (Microsoft Word Document)

Who must make access payments and what are access payments based on?

Health Insurance Carriers: 2.14% of annual paid claims for health care policies as provided in PL 2009 Chapter 359
Third-Party Administrators: 2.14% of annual paid claims for health care for residents of this State as provided in PL 2009 Chapter 359
Employee Benefit Excess Insurance Carriers: 2.14% annual paid claims on employee benefit excess insurance carriers as provided in PL 2009 Chapter 359

For the definition of paid claims, please click here.

If you have questions about making SOP payments, please refer to the SOP Q&A. If you have additional questions, please contact Gloria Tomsa at (207) 287-9963.

SOP payment submission forms:

SOP 2 (Microsoft Word Document)
SOP 3 (Microsoft Word Document)