LD 294
pg. 2
Page 1 of 5 An Act To Give Consumers the Option To Buy Cheaper Individual Health Insurance ... Page 3 of 5
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LR 427
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section 410; chapter 11; section 4204, subsection 2-A, paragraph D;
and section 4204-A as applicable;

 
4.__Disclosure and reporting. The foreign insurer or health
maintenance organization meets the requirements of section 4302
for reporting plan information with respect to individual health
plans offered for sale in this State and discloses to prospective
enrollees how the health plans differ from individual health
plans offered by domestic insurers in a format approved by the
superintendent within 90 days of the effective date of this
section. Health plan policies and applications for coverage must
contain the following disclosure statement or a substantially
similar statement: "This policy is issued by a foreign insurer or
health maintenance organization and is governed by the laws and
regulations of the State of (foreign insurer or health
maintenance organization's state of domicile). This policy might
not be subject to all the insurance laws and rules of the State
of Maine, including coverage of certain health care services or
benefits mandated by Maine law.__Before purchasing this policy,
you should carefully review the terms and conditions of coverage
under this policy, including any exclusions or limitations of
coverage";

 
5. Grievance procedures. The foreign insurer or health
maintenance organization meets the requirements of section 4303,
subsection 4 for grievance procedures with respect to health
plans offered for sale in this State;

 
6. Unfair trade practices. The provisions in chapter 23 apply
to the foreign insurer or health maintenance organization;

 
7. Premium taxes; assessments. The foreign insurer or health
maintenance organization is subject to applicable premium and
other taxes or assessments imposed on insurers transacting
individual health insurance in this State pursuant to this Title
and Title 36;

 
8.__Service of process. The foreign insurer or health
maintenance organization designates an agent for receiving
service of legal documents and process in the manner provided in
this Title;

 
9. Compliance with court orders.__The foreign insurer or
health maintenance organization complies with lawful orders from
courts of competent jurisdiction issued on a voluntary
dissolution proceeding or in response to a petition for an
injunction by the superintendent asserting that the foreign


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