| | | 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-§11-A is enacted to read: |
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| | | 11-A.__Continued group coverage; groups with fewer than 20 | | employees. Notwithstanding any other provision of this | | section, upon the termination of coverage for a member or | | employee covered under a group policy with 20 or fewer members | | or employees, the insurer shall allow the member or employee | | to elect, within the time period prescribed by paragraph B, to | | continue coverage under the group policy at no higher level | | than the level of benefits or coverage received by the member | | or employee immediately before termination of coverage and at | | the member's or employee's expense or, at the member's or | | employee's option, to convert to a policy of individual | | coverage without evidence of insurability in accordance with | | this section. |
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| | | A.__For the purposes of this subsection, "member or | | employee" includes only those persons who have been a | | member or employee for at least 6 months. |
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| | | B.__The member or employee has 31 days from the | | termination of coverage in which to elect continued | | coverage and make the initial payment under this | | subsection. |
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| | | C.__An insurer is not required to continue coverage under | | a group policy if the member or employee meets the | | conditions set out in subsection 3, paragraph A. |
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| | | D.__The payment amount for continued group coverage under | | this subsection may not exceed 102% of the group rate in | | effect for a group member, including an employer's | | contribution, if any. |
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| | | E.__At the option of the member or employee, the continued | | group coverage may cover the member or employee, the | | member or employee and any dependents or only the | | dependents of the member or employee; provided that, in | | the latter 2 cases, the dependents have been covered for a | | period of at least 3 months under the group policy, unless | | the dependents were not eligible for coverage until after | | the beginning of the 3-month period. |
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| | | F.__Except as provided in paragraph G, coverage provided | | under this subsection continues for 18 months. |
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| | | G.__Coverage provided under this subsection may be | | terminated sooner than provided under paragraph F if: |
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| | | (1) The member or employee fails to make timely | | payment of a required premium amount; or |
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