LD 1507
pg. 3
Page 2 of 12 An Act To Clarify and Update the Laws Related to Health Insurance Page 4 of 12
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LR 1913
Item 1

 
(a)__The total of any increases in benefits may
not increase the actuarial value of the total
benefit package by more than 5%.

 
(b)__The total of any decreases in benefits may
not decrease the actuarial value of the total
benefit package by more than 5%.

 
(c)__For purposes of the calculations in divisions
(a) and (b), increases and decreases must be
considered separately and may not offset one
another.

 
(5)__A carrier must give 60 days' notice of any
modification pursuant to this paragraph to all affected
policyholders and certificate holders.

 
PART B

 
Sec. B-1. 24 MRSA §2317-B, sub-§15-A is enacted to read:

 
15-A.__Title 24-A, section 2809-A.__Conversion on termination
of policy or eligibility, Title 24-A, section 2809-A;

 
Sec. B-2. 24-A MRSA §2809-A, sub-§1-A, as repealed and replaced by PL
1995, c. 625, Pt. A, §25, is amended to read:

 
1-A. Notification of cancellation. An insurer must provide
by first class mail at least 10 days' prior notification of
cancellation for nonpayment of premium may not cancel or refuse
to renew any policy for hospital, surgical, dental or major
medical expense insurance until the insurer has provided by first
class mail at least 10 days' prior notification according to this
section. The notice must include the date of cancellation of
coverage and, if applicable, the time period for exercising
policy conversion rights. The notice also must include an
explanation of any applicable grace period. Notification is not
required when the insurer has received written notice from the
group policyholder that replacement coverage has been obtained.

 
A. Notice must be mailed to the group policyholder or
subgroup sponsor.

 
B. At the time of notification under paragraph A, notice
must be mailed to the certificate holder at: the last
address provided to the insurer by the group policyholder,
the subgroup sponsor or the certificate holder.

 
(1) The last address provided by the subgroup sponsor
or the group policyholder to the insurer; or


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