LD 903
pg. 1
LD 903 Title Page Resolve, To Amend the 2-year Qualified Medicare Beneficiary Eligibility Rule Re... LD 903 Title Page
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LR 1608
Item 1

 
Sec. 1. Bureau of Insurance to amend rules. Resolved: That by January 1,
2004, the Department of Professional and Financial Regulation,
Bureau of Insurance shall amend Rule Chapter 275, Medicare
Supplement Insurance, to provide under Section 12 of the rule,
Guaranteed Issue for Eligible Persons, that an individual who
had prior coverage under a Medicare supplement policy and who
loses eligibility under the MaineCare program is entitled to
the same Medicare supplement policy in which the beneficiary
was previously enrolled, if available from the same insurer,
without regard to the period of time between the termination
of the prior Medicare supplement policy and the reenrollment
of that beneficiary after the loss of eligibility for the
MaineCare program. The rules must also require that adequate
notice of the guaranteed issue provision be provided to a
Medicare beneficiary at the time the beneficiary enrolls in
the MaineCare program. Rules adopted pursuant to this section
are routine technical rules as defined in the Maine Revised
Statutes, Title 5, chapter 375, subchapter 2-A.

 
SUMMARY

 
This resolve requires the Department of Professional and
Financial Regulation, the Bureau of Insurance to amend its
rule relating to guaranteed issue of Medicare supplement
insurance policies to allow an individual who was previously
enrolled in a Medicare supplement policy to obtain that same
coverage when the individual loses eligibility under the
MaineCare program. The resolve requires the bureau to amend
the rule by January 1, 2004.


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