§ 2848 Definitions
§ 2848-A Applicability to certain self-insured employers
§ 2849 Continuity on replacement of group policy
§ 2849-A Extension of benefits for disabled persons
§ 2849-B Continuity for individual who changes groups
§ 2849-C Certifications of coverage
§ 2850 Limitations on exclusion and waiting periods
§ 2850-A Gynecological and obstetrical services
§ 2850-B Guaranteed renewal; cessation of business
§ 2850-C Nondiscrimination
§ 2850-D Rules

Terms Used In Maine Revised Statutes > Title 24-A > Chapter 36 - Continuity of Health Insurance Coverage

  • Acquired brain injury: means an insult to the brain resulting directly or indirectly from trauma, anoxia, vascular lesions or infection, which:
A. See Maine Revised Statutes Title 22 Sec. 3086
  • Adult: means a person who has attained the age of 18 years. See Maine Revised Statutes Title 1 Sec. 72
  • Amendment: A proposal to alter the text of a pending bill or other measure by striking out some of it, by inserting new language, or both. Before an amendment becomes part of the measure, thelegislature must agree to it.
  • Appeal: A request made after a trial, asking another court (usually the court of appeals) to decide whether the trial was conducted properly. To make such a request is "to appeal" or "to take an appeal." One who appeals is called the appellant.
  • Assets: (1) The property comprising the estate of a deceased person, or (2) the property in a trust account.
  • COBRA continuation provision: means any of the following:
  • A. See Maine Revised Statutes Title 24-A Sec. 2848
  • Commissioner: means the Commissioner of Health and Human Services. See Maine Revised Statutes Title 22 Sec. 1-A
  • Conviction: A judgement of guilt against a criminal defendant.
  • Department: means the Department of Health and Human Services. See Maine Revised Statutes Title 22 Sec. 1-A
  • Dependent: A person dependent for support upon another.
  • Escrow: Money given to a third party to be held for payment until certain conditions are met.
  • federal Affordable Care Act: means the federal Patient Protection and Affordable Care Act, Public Law 111-148, as amended by the federal Health Care and Education Reconciliation Act of 2010, Public Law 111-152, and any amendments to or regulations or guidance issued under those acts. See Maine Revised Statutes Title 24-A Sec. 14
  • 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 Security Act of 1974, 29 United States Code § 1001, or a plan that would be an employee welfare benefit plan but for the "governmental plan" or "nonelecting church plan" exceptions, if the plan provides medical care as defined in subsection 2?A, and includes items and services paid for as medical care directly or through insurance, reimbursement or otherwise;
    (2) Benefits consisting of medical care provided directly, through insurance or reimbursement and including items and services paid for as medical care under a policy, contract or certificate offered by a carrier;
    (3) Part A or Part B of Title XVIII of the Social Security Act, Medicare;
    (4) Title XIX of the Social Security Act, Medicaid, other than coverage consisting solely of benefits under Section 1928 of the Social Security Act;
    (4-A) A state children's health insurance program under Title XXI of the Social Security Act;
    (5) The Civilian Health and Medical Program for the Uniformed Services, CHAMPUS, 10 United States Code, Chapter 55;
    (6) A medical care program of the federal Indian Health Care Improvement Act, 25 United States Code § 1601 et seq. See Maine Revised Statutes Title 24-A Sec. 2848
  • Federally eligible individual: means an individual:
  • A. See Maine Revised Statutes Title 24-A Sec. 2848
  • Fraud: Intentional deception resulting in injury to another.
  • Governmental plan: has the meaning given under Section 3(32) of the federal Employee Retirement Income Security Act of 1974 or any federal governmental employee plan. See Maine Revised Statutes Title 24-A Sec. 2848
  • Group: means any of the types of groups under sections 2804 to 2808. See Maine Revised Statutes Title 24-A Sec. 2848
  • 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
  • Intangible property: Property that has no intrinsic value, but is merely the evidence of value such as stock certificates, bonds, and promissory notes.
  • Month: means a calendar month. See Maine Revised Statutes Title 1 Sec. 72
  • period of continuing federally creditable coverage: means a period in which an individual has maintained federally creditable coverage through one or more plans or programs, with no break in coverage exceeding 63 days. See Maine Revised Statutes Title 24-A Sec. 2848
  • Probation: A sentencing alternative to imprisonment in which the court releases convicted defendants under supervision as long as certain conditions are observed.
  • Rescission: The cancellation of budget authority previously provided by Congress. The Impoundment Control Act of 1974 specifies that the President may propose to Congress that funds be rescinded. If both Houses have not approved a rescission proposal (by passing legislation) within 45 days of continuous session, any funds being withheld must be made available for obligation.
  • Subgroup: means an employer covered under a contract issued to a multiple employer trust or to an association. See Maine Revised Statutes Title 24-A Sec. 2848
  • Waiting period: means a period of time after the date of enrollment during which a health insurance plan excludes coverage for the diagnosis or treatment of any or all medical conditions. See Maine Revised Statutes Title 24-A Sec. 2848