§ 2301 Purposes
§ 2301-A Continuity of licensure; business combinations
§ 2302 Incorporation
§ 2302-A Utilization review data
§ 2302-B Penalty for failure to notify of hospitalization
§ 2302-C Penalty for noncompliance with utilization review programs
§ 2303 Mental health services
§ 2304 Licenses
§ 2305 — Issuance of
§ 2305-A Conditions of certificate of authority
§ 2306 Reports
§ 2307 Examination
§ 2307-A Rules
§ 2308-A Health insurance affiliates
§ 2309 Disputes
§ 2310 Dissolution
§ 2311 Taxation
§ 2314 Suspension or revocation of certificate of authority
§ 2315 Penalties
§ 2316 Certificates or contracts; approval by superintendent
§ 2317 Other provisions applicable
§ 2317-B Applicability of provisions
§ 2318 Maternity benefits and dependent coverage
§ 2318-A Maternity and routine newborn care
§ 2319 Newborn children coverage
§ 2319-A Mandated offer of domestic partner benefits
§ 2320 Home health care coverage
§ 2320-A Screening mammograms
§ 2320-B Acupuncture services
§ 2320-C Coverage for breast cancer treatment
§ 2320-D Medical food coverage for inborn error of metabolism
§ 2320-E Coverage for Pap tests
§ 2320-F Off-label use of prescription drugs for cancer
§ 2320-G Off-label use of prescription drugs for HIV or AIDS
§ 2321 Rate filings on individual subscriber and membership contracts
§ 2321-A Standards for when filings are inadequate
§ 2321-B Appropriate level of subscriber reserves
§ 2322 Hearing
§ 2323 Order
§ 2324 Certified ambulatory health care center outpatient coverage
§ 2325-A Mental health services coverage
§ 2325-C Coverage for prostate cancer screening
§ 2326 Appeals from order or decision of the superintendent
§ 2327 Group rates
§ 2329 Equitable health care for substance use disorder treatment
§ 2331 Optional coverage for optometric services
§ 2332 Assessment for the recoupment of expenses related to the regulation of nonprofit hospital or medical service organizations and nonprofit health care plans
§ 2332-A Coordination of benefits
§ 2332-B Acquired Immune Deficiency Syndrome
§ 2332-D Jury service
§ 2332-E Standardized claim forms
§ 2332-F Coverage for diabetes supplies
§ 2332-G Gynecological and obstetrical services
§ 2332-H Assignment of benefits
§ 2332-I Effective date of cancellation
§ 2332-J Coverage for contraceptives
§ 2332-K Coverage for services of certified nurse practitioners; certified midwives; certified nurse midwives
§ 2332-L Coverage for services provided by registered nurse first assistants
§ 2332-M Coverage for general anesthesia for dentistry
§ 2332-N Offer of coverage for breast reduction surgery and symptomatic varicose vein surgery

Terms Used In Maine Revised Statutes > Title 24 > Chapter 19 > Subchapter 1 - General Provisions

  • 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
  • Affidavit: A written statement of facts confirmed by the oath of the party making it, before a notary or officer having authority to administer oaths.
  • Annuity: A periodic (usually annual) payment of a fixed sum of money for either the life of the recipient or for a fixed number of years. A series of payments under a contract from an insurance company, a trust company, or an individual. Annuity payments are made at regular intervals over a period of more than one full year.
  • 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.
  • Appraisal: A determination of property value.
  • Assets: (1) The property comprising the estate of a deceased person, or (2) the property in a trust account.
  • 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
  • Charity: An agency, institution, or organization in existence and operating for the benefit of an indefinite number of persons and conducted for educational, religious, scientific, medical, or other beneficent purposes.
  • Complaint: A written statement by the plaintiff stating the wrongs allegedly committed by the defendant.
  • Contract: A legal written agreement that becomes binding when signed.
  • 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
  • Corporation: A legal entity owned by the holders of shares of stock that have been issued, and that can own, receive, and transfer property, and carry on business in its own name.
  • Damages: Money paid by defendants to successful plaintiffs in civil cases to compensate the plaintiffs for their injuries.
  • Deed: The legal instrument used to transfer title in real property from one person to another.
  • Dependent: A person dependent for support upon another.
  • Discovery: Lawyers' examination, before trial, of facts and documents in possession of the opponents to help the lawyers prepare for trial.
  • Domestic partner: means one of 2 unmarried adults who are domiciled together under long-term arrangements that evidence a commitment to remain responsible indefinitely for each other's welfare. See Maine Revised Statutes Title 1 Sec. 72
  • Equitable: Pertaining to civil suits in "equity" rather than in "law." In English legal history, the courts of "law" could order the payment of damages and could afford no other remedy. See damages. A separate court of "equity" could order someone to do something or to cease to do something. See, e.g., injunction. In American jurisprudence, the federal courts have both legal and equitable power, but the distinction is still an important one. For example, a trial by jury is normally available in "law" cases but not in "equity" cases. Source: U.S. Courts
  • 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.
  • Fair market value: The price at which an asset would change hands in a transaction between a willing, informed buyer and a willing, informed seller.
  • 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
  • Fiduciary: A trustee, executor, or administrator.
  • Fiscal year: The fiscal year is the accounting period for the government. For the federal government, this begins on October 1 and ends on September 30. The fiscal year is designated by the calendar year in which it ends; for example, fiscal year 2006 begins on October 1, 2005 and ends on September 30, 2006.
  • in writing: include printing and other modes of making legible words. See Maine Revised Statutes Title 1 Sec. 72
  • Infant: means a person who has not attained the age of 18 years. See Maine Revised Statutes Title 1 Sec. 72
  • Jurisdiction: (1) The legal authority of a court to hear and decide a case. Concurrent jurisdiction exists when two courts have simultaneous responsibility for the same case. (2) The geographic area over which the court has authority to decide cases.
  • Lease: A contract transferring the use of property or occupancy of land, space, structures, or equipment in consideration of a payment (e.g., rent). Source: OCC
  • Liabilities: The aggregate of all debts and other legal obligations of a particular person or legal entity.
  • Majority: when used in reference to age shall mean the age of 18 and over. See Maine Revised Statutes Title 1 Sec. 72
  • 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
  • Mortgage: The written agreement pledging property to a creditor as collateral for a loan.
  • Obligation: An order placed, contract awarded, service received, or similar transaction during a given period that will require payments during the same or a future period.
  • 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
  • Oversight: Committee review of the activities of a Federal agency or program.
  • Partnership: A voluntary contract between two or more persons to pool some or all of their assets into a business, with the agreement that there will be a proportional sharing of profits and losses.
  • Public law: A public bill or joint resolution that has passed both chambers and been enacted into law. Public laws have general applicability nationwide.
  • Real estate: includes lands and all tenements and hereditaments connected therewith, and all rights thereto and interests therein. See Maine Revised Statutes Title 1 Sec. 72
  • Real property: Land, and all immovable fixtures erected on, growing on, or affixed to the land.
  • Service of process: The service of writs or summonses to the appropriate party.
  • 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
  • Town: includes cities and plantations, unless otherwise expressed or implied. See Maine Revised Statutes Title 1 Sec. 72
  • United States: includes territories and the District of Columbia. See Maine Revised Statutes Title 1 Sec. 72
  • Year: means a calendar year, unless otherwise expressed. See Maine Revised Statutes Title 1 Sec. 72