LD 905
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LD 905 Title Page An Act To Protect Employees if Their Employer Fails To Pay Premiums for Employe... Page 2 of 2
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LR 1598
Item 1

 
Be it enacted by the People of the State of Maine as follows:

 
Sec. 1. 24-A MRSA §2809-A, sub-§1-A, ¶B, as repealed and replaced by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 A, §25, is repealed.

 
Sec. 2. 24-A MRSA §2809-A, sub-§1-A, ¶B-1 is enacted to read:

 
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.

 
Sec. 3. 24-A MRSA §2809-A, sub-§1-B, as enacted by PL 1997, c. 604,
Pt. B, §3, is amended to read:

 
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:

 
A. A statement that all state residents not eligible for
Medicare have a right to purchase any individual health
plan available in this State;

 
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;

 
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

 
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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