LD 1499
pg. 5
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LR 447
Item 1

 
The requirements of this subsection do not apply if the employer
or individual fails to pay premiums, commits fraud or
misrepresentation, voluntarily terminates membership in the
association or ceases to qualify for membership for reasons other
than a change in the association's membership eligibility
criteria.

 
PART H

 
Sec. H-1. 24-A MRSA §2848, sub-§1-B, as amended by PL 2001, c. 258,
Pt. E, §5, is further amended to read:

 
1-B. Federally creditable coverage. "Federally creditable
coverage" is defined as follows.

 
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;

 
(5) The Civilian Health and Medical Program for the
Uniformed Services, CHAMPUS, 10 United States Code,
Chapter 55;


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