LD 111
pg. 1
LD 111 Title Page An Act To Promote Health Insurance Coverage for Employees of Small Businesses ... Page 2 of 3
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LR 119
Item 1

 
Be it enacted by the People of the State of Maine as follows:

 
Sec. 1. 24-A MRSA §2809-A, sub-§11, as amended by PL 1991, c. 885, Pt.
E, §30 and affected by §47, is repealed.

 
Sec. 2. 24-A MRSA §2809-A, sub-§11-A is enacted to read:

 
11-A.__Continued group coverage; groups with fewer than 20
employees.__Notwithstanding any other provision of this section,
if the termination of a member's or employee's coverage under a
group policy with 20 or fewer members is a result of the
reduction of hours or termination of the covered employee's
employment, other than termination for gross misconduct, the
insurer shall allow the member or employee to elect, within the
time period prescribed by paragraph C, to continue coverage under
the group policy at the same level of benefits or coverage
offered to employees whose employment has not been terminated or
reduced and at the member's or employee's expense or, at the
member's or employee's option, to convert to a policy of
individual coverage without evidence of insurability in
accordance with this section.__If the level of benefits or
coverage offered to employees whose employment has not been
terminated or reduced is modified, the level of benefits or
coverage offered to a member or employee pursuant to this
subsection must be modified in the same manner.

 
A.__For the purposes of this subsection, "member or
employee" means a person who has been a member or employee
for at least 6 months.

 
B.__The employer's decision to terminate an employee for
gross misconduct is conclusive as to the employee's
ineligibility for continued coverage under this subsection.

 
C.__Within 14 days of a member's or employee's termination
of employment or reduction of hours of employment, other
than for gross misconduct, the employer shall give the
insurer written notice on a form provided by the insurer of
a member's or employee's eligibility for an election to
continue coverage under this subsection.

 
D.__Within 14 days of the receipt of written notice from the
employer pursuant to paragraph C, the insurer shall send the
member or employee an election and premium notice form approved
by the superintendent.__The form must provide the member or
employee an opportunity to elect or decline to elect continued
coverage under the group policy and notify the member or employee
of the applicable premium amount due after the election to
continue coverage.__The notice must be


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