LD 1499
pg. 4
Page 3 of 12 An Act To Amend the Laws Related to Health Insurance and Confidentiality of Pro... Page 5 of 12
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LR 447
Item 1

 
subsection 2-B, if the increase is pending approval at the time of
notice, the disclosure must state that the increase is subject to
regulatory approval.

 
PART G

 
Sec. G-1. 24-A MRSA §2850-B, sub-§5 is enacted to read:

 
5. Association plans.__The requirements of this subsection
apply to group contracts that are subject to this section and
that are issued to association groups pursuant to section 2805-A.__
Carriers shall renew coverage for association members if coverage
through an association is terminated because the association
ceases to exist, changes its membership eligibility criteria,
fails to pay premiums, commits fraud or misrepresentation or
voluntarily terminates the group policy.

 
A.__If coverage to an employer through an association is
terminated, the carrier shall renew the coverage with the
employer becoming the policyholder.

 
B.__If coverage to an individual member of an association is
terminated, the carrier shall renew the coverage with the
individual becoming the policyholder.__A carrier that has
been granted an exemption pursuant to section 2736-C,
subsection 9 does not lose that exemption simply by virtue
of renewing coverage to individuals under this paragraph.

 
The requirements of this subsection do not apply if the employer
or individual fails to pay premiums, commits fraud or
misrepresentation, voluntarily terminates membership in the
association or ceases to qualify for membership for reasons other
than a change in the association's membership eligibility
criteria.

 
PART H

 
Sec. H-1. 24-A MRSA §2848, sub-§1-B, as amended by PL 2001, c. 258,
Pt. E, §5, is further amended to read:

 
1-B. Federally creditable coverage. "Federally creditable
coverage" is defined as follows.

 
A. "Federally creditable coverage" means health benefits or
coverage provided under any of the following:

 
(1) An employee welfare benefit plan as defined in Section 3(1)
of the federal Employee Retirement Income


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