Me. Rev. Stat. tit. 24-A, ch. 33 – Health Insurance Contracts | Midpage

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Maine Revised Statutes

Chapter 33

Me. Rev. Stat. tit. 24-A, ch. 33

Health Insurance Contracts

2701Scope of chapter 2702Short title 2703Scope, format of policy 2704Required provisions; captions -- omissions -- substitutions 2705Entire contract -- changes 2706Time limit on certain defenses 2707Grace period 2707-ANotification prior to cancellation; restrictions on lapse or termination due to cognitive impairment or functional incapacity 2708Reinstatement 2709Notice of claim 2710Claim forms 2711Proofs of loss 2712Time of payment of claims 2713Payment of claims 2713-AExplanation and notice to parent 2714Physical examination, autopsy 2715Legal actions 2716Change of beneficiary 2717Right to examine and return policy 2717-ADisability benefit offsets 2718Optional policy provisions 2719Change of occupation 2720Misstatement of age 2721-AOverinsurance in accident policies; same insurer 2722Insurance with other insurers, provision of service or expense incurred basis 2723Insurance with other insurers -- other benefits 2723-ACoordination of benefits 2724Relation of earnings to insurance 2725Unpaid premiums 2726Conformity with state statutes 2727Illegal occupation 2728Intoxicants and narcotics 2729Renewability 2729-ALimits on priority liens 2730Order of certain provisions 2731Third party ownership 2732Requirements of other jurisdictions 2733Policies issued for delivery in another state 2734Conforming to statute 2735Age limit 2735-ANotice of rate filing and rate increase 2736Rate filings on individual health insurance policies 2736-AHearing 2736-BOrder 2736-CIndividual health plans 2737Noncancellable disability insurance defined 2738Notice as to renewability 2739Lapse of policy, advance notice; limitation of action 2741Maternity benefits for unmarried women policyholders and the minor dependents of policyholders with dependent or family coverage required 2741-AMandated offer of domestic partner benefits 2742Child coverage 2742-AExtension of coverage for dependent children 2742-BMandatory offer to extend coverage for dependent children up to 26 years of age 2742-CMandatory offer of coverage for certain adults with disabilities 2743Newborn children coverage 2743-AMaternity and routine newborn care 2743-BMaternity and postpartum care 2744Mental health services 2745Home health care coverage 2745-ACoverage for screening mammograms and diagnostic and supplemental breast examinations 2745-BAcupuncture services 2745-CCoverage for breast cancer treatment 2745-DMedical food coverage for inborn error of metabolism 2745-EOff-label use of prescription drugs for cancer 2745-FOff-label use of prescription drugs for HIV or AIDS 2747Review and arbitration 2748Coverage for chiropractic services 2749Utilization review data 2749-APenalty for failure to notify of hospitalization 2749-BPenalty for noncompliance with utilization review programs 2749-CMental health services coverage 2750Acquired Immune Deficiency Syndrome 2752Mandated health legislation procedures 2753Standardized claim forms 2754Coverage for diabetes supplies 2755Assignment of benefits 2756Coverage for contraceptives 2759Coverage for hospice care services 2761Offer of coverage for breast reduction surgery and symptomatic varicose vein surgery 2762Coverage for hearing aids 2763Coverage for colorectal cancer screening 2765Coverage for services provided by independent practice dental hygienist or dental hygienist 2765-ACoverage for services provided by dental therapist 2766Enrollment of dependent children in dental coverage 2766-ADental benefit waiting period 2769Prescription synchronization 2770Absolute discretion clauses 2770-AFees for covered dental services