| | | Be it enacted by the People of the State of Maine as follows: |
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| | | Sec. 1. 24-A MRSA §2910-A, sub-§1, as enacted by PL 1997, c. 369, §2, | | is amended to read: |
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| | | 1. Policy requirements. A casualty insurance policy subject | | to this chapter may not provide for subrogation or priority over | | the insured of payment for any hospital, nursing, medical or | | surgical services or of any expenses paid or reimbursed under the | | medical payments coverage in the policy in the event the insured | | is entitled to receive payment or reimbursement from any other | | person as a result of legal action or claim, except as provided | | in this section. |
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| | The coverage may contain a provision that allows the payments if | that provision is approved by the superintendent and if that | provision required the prior written approval of the insured and | provides that the insurer's subrogation right is subject to | subtraction to account for the pro rata share of the insured's | attorney's fees incurred in obtaining the recovery from another | source. |
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| | | The coverage may contain a provision that allows the payments if: |
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| | | A.__That provision is approved by the superintendent; |
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| | | B.__That provision requires the prior written approval of | | the insured after notice to the insured; |
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| | | C.__Approval of the insured is obtained within 30 days prior | | to any action by the insurer to recover medical payments | | from any source other than through the insured's action for | | recovery; and |
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| | | D.__That provision provides that the insurer's subrogation | | right is subject to subtraction to account for the pro rata | | share of the insured's attorney's fees incurred in obtaining | | the recovery from another source. |
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| | | Sec. 2. 24-A MRSA §2910-A, sub-§3, as enacted by PL 1997, c. 369, §2, | | is amended to read: |
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| | | 3. Exception. Nothing in this section prevents an insurer | | from exercising its subrogation rights directly against any | | person legally responsible for the insured's injury. In the | | event that the insurer pursues its subrogation rights directly | | against such a person, the insurer's subrogation right is not | | subject to any subtraction to account for attorney's fees and the | | insurer is entitled to full recovery. This section does preclude | | an insurer from exercising its subrogation rights against the |
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