An Act To Enable Maine Residents To Purchase Health Insurance over State Lines
Sec. 1. 24-A MRSA §405, sub-§6, as enacted by PL 1969, c. 132, §1, is amended to read:
Sec. 2. 24-A MRSA §405, sub-§7 is enacted to read:
Sec. 3. 24-A MRSA §405-A is enacted to read:
§ 405-A. Certification of insurers or health maintenance organizations to transact individual or group health insurance
Except as expressly provided in this section, the requirements of this Title do not apply to an insurer or health maintenance organization permitted to transact individual or group health insurance under this section or section 405.
Sec. 4. 24-A MRSA §405-B is enacted to read:
§ 405-B. Domestic insurers; individual and group health insurance approved in other states
Notwithstanding any other provision of this Title, a domestic insurer or health maintenance organization may offer for sale in this State an individual or group health plan duly authorized for sale in another state by a parent or subsidiary of the domestic insurer or health maintenance organization if the following requirements are met:
Sec. 5. 24-A MRSA §405-C is enacted to read:
§ 405-C. Waiver
A person who purchases individual or group health insurance from an insurer or health maintenance organization pursuant to section 405-A or from a domestic insurer or health maintenance organization pursuant to section 405-B must sign a waiver indicating that the person knows that the insurance policy does not include coverage of certain health care services or benefits mandated by this Title.
Sec. 6. Effective date. This Act takes effect January 1, 2012.
This bill permits insurers authorized to transact individual or group health insurance in any state to offer their individual and group health plans for sale in this State if certain requirements of Maine law are met, including minimum capital and surplus and reserve requirements, disclosure and reporting requirements and grievance procedures. It also permits Maine health insurers to offer individual and group health plans of out-of-state parent or subsidiary health insurers if similar requirements are met. If out-of-state health plans are offered for sale in this State, the bill requires that prospective enrollees be provided adequate disclosure in a format approved by the Superintendent of Insurance of how the plans differ from Maine health plans. This bill also requires a person purchasing such insurance to sign a waiver acknowledging that the insurance policy does not necessarily fully adhere to Maine law. The bill includes an effective date of January 1, 2012.