| Be it enacted by the People of the State of Maine as follows: |
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| | Sec. 1. 24-A MRSA §2809-A, sub-§1-A, ¶B, as repealed and replaced by | PL 1995, c. 625, Pt. A, §25, is repealed. |
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| | Sec. 2. 24-A MRSA §2809-A, sub-§1-A, ¶B-1 is enacted to read: |
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| B-1.__At the time of notification under paragraph A, | notice must be mailed to the certificate holder at the | last address provided by the subgroup sponsor or the group | policyholder to the insurer. The notice must also include | information to the certificate holder about the | availability of individual coverage as described in | subsection 1-B. |
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| | Sec. 3. 24-A MRSA §2809-A, sub-§1-B, as enacted by PL 1997, c. 604, | Pt. B, §3, is amended to read: |
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| | 1-B. Notification of availability of individual coverage. | An insurer must provide forms to group policyholders and | certificate holders as required in subsection 1-A for the | purpose of informing terminating group members of their right | to purchase any individual health plan available in this | State. An adequate supply of forms must be provided to each | group policyholder when the policy is issued and at least | annually thereafter. The superintendent may prescribe the | content of the form by routine technical rule pursuant to | Title 5, chapter 375, subchapter II-A 2-A. The form must | include at least the following: |
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| A. A statement that all state residents not eligible for | Medicare have a right to purchase any individual health | plan available in this State; |
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| B. A statement that in order to avoid a gap in coverage, | the individual should apply for individual coverage prior | to termination of group coverage; |
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| C. A statement that if more than 90 days pass between the | time the group coverage ends and the time individual | coverage begins, the individual coverage may exclude | preexisting conditions for one year; and |
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| D. A statement that information concerning individual | coverage is available from the Bureau of Insurance. The | bureau's toll-free telephone number must also be provided. |
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