Sections
Subchapter 1 General Provisions 2301 – 2332-N
Subchapter 2-A Licensure of Medical Utilization Review Entities 2342 – 2345
Subchapter 2-B Community of Health Insurance Coverage 2349-A
Subchapter 4 Notification 2370

Terms Used In Maine Revised Statutes > Title 24 > Chapter 19 - Nonprofit Hospital or Medical Service Organizations

  • Admitted assets: means those assets owned by the corporation, recognized pursuant to Title 24?A, section 901?A, reduced in amount by any applicable provision of this Title or Title 24?A. See Maine Revised Statutes Title 24 Sec. 2301
  • Bureau: means the Department of Health and Human Services, Bureau of Health. See Maine Revised Statutes Title 5 Sec. 19251
  • Charitable trust: has the meaning set forth in Title 5, section 194?A, subsection 1, paragraph C. See Maine Revised Statutes Title 24 Sec. 2301
  • Charitable trust plan: means the plan submitted to the Attorney General pursuant to Title 5, section 194?A, subsection 5. See Maine Revised Statutes Title 24 Sec. 2301
  • Conversion: means the process by which an organization, with the approval of the superintendent, converts to a domestic stock insurer pursuant to this subsection. See Maine Revised Statutes Title 24 Sec. 2301
  • Conversion plan: means a written plan that sets forth the provisions required by the superintendent, that is filed with the superintendent pursuant to this subsection, that sets forth a complete description of the proposed conversion and that contains sufficient detail to permit the superintendent to make the findings required under this subsection. See Maine Revised Statutes Title 24 Sec. 2301
  • Converted stock insurer: means the domestic stock insurer resulting from a conversion pursuant to this subsection. See Maine Revised Statutes Title 24 Sec. 2301
  • Fair market value: means the value of an organization or an affiliate or the value of the assets of such an entity determined as if the entity had voting stock outstanding and 100% of its stock were freely transferrable and available for purchase without restrictions. See Maine Revised Statutes Title 24 Sec. 2301
  • Fiscal agent: means an incorporated community organization, agency or institution designated by a community-based AIDS organization and authorized by the bureau to receive and distribute grants to that community-based AIDS organization. See Maine Revised Statutes Title 5 Sec. 19251
  • Genetic characteristic: means any inherited gene or chromosome, or alteration of a gene or chromosome, that is scientifically or medically believed to predispose an individual to a disease, disorder or syndrome or to be associated with a statistically significant increased risk of development of a disease, disorder or syndrome. See Maine Revised Statutes Title 5 Sec. 19301
  • Genetic information: means the information concerning genes, gene products or inherited characteristics that may be obtained from an individual or family member. See Maine Revised Statutes Title 5 Sec. 19301
  • Genetic test: means a test for determining the presence or absence of an inherited genetic characteristic in an individual, including tests of nucleic acids such as deoxyribonucleic acid, or DNA, ribonucleic acid, or RNA, or mitochondrial DNA, and tests of chromosomes or proteins in order to identify a predisposing genetic characteristic. See Maine Revised Statutes Title 5 Sec. 19301
  • Infant: means a person who has not attained the age of 18 years. See Maine Revised Statutes Title 1 Sec. 72
  • medical utilization review services: means a program or process by which a person, partnership or corporation, on behalf of an insurer, nonprofit service organization, 3rd-party administrator, or health maintenance organization, preferred provider organization or employer that is a payor for or that arranges for payment of medical services, seeks to review the utilization, appropriateness or quality of medical services provided to a person whose medical services are paid for, partially or entirely, by that insurer, nonprofit service organization, 3rd-party administrator, health maintenance organization, preferred provider organization or employer. See Maine Revised Statutes Title 24 Sec. 2344
  • Member: means a member of the organization entitled to vote under the articles or bylaws of the organization. See Maine Revised Statutes Title 24 Sec. 2301
  • Municipal officers: means :
A. See Maine Revised Statutes Title 30-A Sec. 2001
  • Municipality: means a city or town, except as provided in chapter 225. See Maine Revised Statutes Title 30-A Sec. 2001
  • organization: means a corporation or other entity authorized by the superintendent or organized pursuant to this chapter for the purpose of providing nonprofit hospital service plans within the meaning of subsection 1, nonprofit medical service plans within the meaning of subsection 2 and any organization that provides only nonprofit health care plans within the meaning of subsection 3. See Maine Revised Statutes Title 24 Sec. 2301
  • Pawn transaction: means the lending of money on the security of pledged tangible personal property that is delivered to a pawnbroker and held by the pawnbroker. See Maine Revised Statutes Title 30-A Sec. 3960
  • Pawnbroker: means a person who engages in pawn transactions. See Maine Revised Statutes Title 30-A Sec. 3960
  • Person: means an individual, corporation, partnership, firm, organization or other legal entity. See Maine Revised Statutes Title 30-A Sec. 2001
  • Real estate: means land and structures attached to it. See Maine Revised Statutes Title 30-A Sec. 2001
  • Subscriber: means an individual who has subscribed to one or more of the hospital, medical or health care service plans or contracts offered or issued by the organization or health insurance affiliate as defined in section 2308?A through an individual or family policy or group policy. See Maine Revised Statutes Title 24 Sec. 2301
  • Subscriber reserves: means those reserves held by the corporation for the protection of subscribers that are the excess of the corporation's assets over its liabilities as set forth in the annual statement of the corporation as of December 31st of the year next preceding the making of the investment or contained in an audited financial report, as defined in Title 24?A, section 221?A, of more current origin prepared on the basis of statutory accounting principles; [PL 2001, c. See Maine Revised Statutes Title 24 Sec. 2301
  • superintendent: means the Superintendent of Insurance of this State; and
  • [PL 1993, c. See Maine Revised Statutes Title 24 Sec. 2301
  • Tangible personal property: includes motor vehicles, but does not include documents evidencing title to motor vehicles. See Maine Revised Statutes Title 30-A Sec. 3960