Maine Revised Statutes Title 24-A Sec. 2808 – Other groups
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Group health insurance offered to a resident of this State under a group health insurance policy issued to a group other than one described in sections 2804 to 2807?A is subject to the following requirements. [PL 1981, c. 147, §8 (RPR).]
1. No group health insurance policy may be delivered in this State, pursuant to this section, unless the superintendent finds that:
A. The policyholder is a bona fide group formed for purposes other than procurement of insurance; [PL 1987, c. 476, §4 (AMD).]
B. The issuance of the group policy would be actuarially sound; [PL 1981, c. 147, §8 (NEW).]
C. The issuance of the group policy would result in economies of acquisition or administration; and [PL 1987, c. 476, §4 (AMD).]
D. The benefits are reasonable in relation to the premiums charged. [PL 1981, c. 147, §8 (NEW).]
[PL 1987, c. 476, §4 (AMD).]
Terms Used In Maine Revised Statutes Title 24-A Sec. 2808
- Evidence: Information presented in testimony or in documents that is used to persuade the fact finder (judge or jury) to decide the case for one side or the other.
- health insurance: means insurance of human beings against bodily injury, disablement or death by accident or accidental means, or the expense thereof, or against disablement or expense resulting from sickness, and every insurance appertaining thereto, including provision for the mental and emotional welfare of human beings by defraying the costs of legal services only to the extent provided for in chapter 38. See Maine Revised Statutes Title 24-A Sec. 704
2. No group health insurance coverage may be offered in this State, pursuant to this section, by an insurer under a policy issued in another state, unless the superintendent has made a determination that the requirements of subsection 1, paragraphs A, B, C and D have been met.
[PL 1987, c. 476, §5 (RPR).]
2-A. Notwithstanding subsections 1 and 2, an employee leasing company registered pursuant to Title 32, chapter 125 qualifies as an eligible group for purposes of the purchase of group health insurance as provided in this section.
[PL 1997, c. 393, Pt. A, §26 (AMD).]
3. The premium for the policy shall be paid either from the policyholder’s funds or from funds contributed by the covered persons, or from both.
[PL 1981, c. 147, §8 (NEW).]
4. Except as provided in section 2736?C, section 2808?B and chapter 36, an insurer may exclude or limit the coverage on any person as to whom evidence of individual insurability is not satisfactory to the insurer.
[PL 1999, c. 256, Pt. G, §6 (AMD).]
SECTION HISTORY
PL 1969, c. 132, §1 (NEW). PL 1973, c. 585, §12 (AMD). PL 1981, c. 147, §8 (RPR). PL 1987, c. 476, §§4,5 (AMD). PL 1989, c. 867, §§7,10 (AMD). PL 1995, c. 618, §3 (AMD). PL 1997, c. 393, §A26 (AMD). PL 1999, c. 256, §G6 (AMD).