LD 1496
pg. 3
Page 2 of 41 An Act To Reduce Maine's Health Insurance Rates and Expand Consumer Choice ... Page 4 of 41
Download Bill Text
LR 541
Item 1

 
E. The association's group health plan is not marketed to
the general public;

 
F. The association does not allow insurance agents or
brokers to market association memberships, accept
applications for memberships or enroll members, except when
the association is an association of insurance agents or
brokers organized under section 2805-A;

 
G. Insurance is provided as an incidental benefit of
association membership and the primary purposes of the
association do not include group buying or mass marketing of
insurance or other goods and services; and

 
H. Granting an exemption to the association does not
conflict with the purposes of this section.

 
Sec. A-13. 24-A MRSA §2848, sub-§1-B, ķA, as amended by PL 1999, c.
256, Pt. L, §2, is further amended to read:

 
A. "Federally creditable coverage" means health benefits or
coverage provided under any of the following:

 
(1) An employee welfare benefit plan as defined in
Section 3(1) of the federal Employee Retirement Income
Security Act of 1974, 29 United States Code, Section
1001, or a plan that would be an employee welfare
benefit plan but for the "governmental plan" or
"nonelecting church plan" exceptions, if the plan
provides medical care as defined in subsection 2-A, and
includes items and services paid for as medical care
directly or through insurance, reimbursement or
otherwise;

 
(2) Benefits consisting of medical care provided
directly, through insurance or reimbursement and
including items and services paid for as medical care
under a policy, contract or certificate offered by a
carrier;

 
(3) Part A or Part B of Title XVIII of the Social
Security Act, Medicare;

 
(4) Title XIX of the Social Security Act, Medicaid,
other than coverage consisting solely of benefits under
Section 1928 of the Social Security Act or a state
children's health insurance program under Title XXI of
the Social Security Act;


Page 2 of 41 Top of Page Page 4 of 41