An Act To Extend Health Insurance Coverage for Dependent Children up to 25 Years of Age
Maine Legislature, Session 123, LD 0841
Committee Amendment CA_A_H130 (House)
Amends: 24-A MRSA §2742-B, 24-A MRSA §2833-B, 24-A MRSA §4233-A, 24-A MRSA §4233-B

COMMITTEE AMENDMENT" A " to H.P. 640, L.D. 841, Bill, "An Act To 
Extend Health Insurance Coverage for Dependent Children up to 25 Years of Age" 
Amend the bill by striking out everything after the enacting clause and before the 
summary and inserting the following: 
'Sec. 1. 24-A MRSA §2742-B is enacted to read: 
§2742-B. Mandatory offer to extend coverage for dependent children up to 25 years 
of age 
1. Dependent child; definition. As used in this section, "dependent child" means 
the child of a person covered under an individual health insurance policy when that child: 
A. Is unmarried; 
B. Has no dependent of the child's own; 
C. Is a resident of this State or is enrolled as a full-time student at an accredited 
public or private institution of higher education; and 
D. Is not provided coverage under any other individual or group health insurance 
policy or health maintenance organization contract or under a federal or state 
government program. 
2. 
Offer to extend coverage. 
Notwithstanding section 2703, subsection 3, an 
individual health insurance policy that provides coverage for a dependent child must offer 
to extend coverage, at the option of the policyholder, until the dependent child is 25 years 
of age. An insurer may require, as a condition of eligibility for continued coverage in 
accordance with this section, that a covered person seeking continued coverage for a 
dependent child provide written documentation on an annual basis that the dependent 
child meets or continues to meet the requirements in subsection I. 
Sec. 2. 24-A MRSA §2833-B is enacted to read: 
COMMITTEE AMENDMENT 
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COMMITTEE AMENDMENT" A" to H.P. 640, L.D. 841 
§2833-B. Mandatory offer to extend coverage for dependent children up to 25 years 
of age 
1. Dependent child; definition. As used in this section, "dependent child" means 
the child of a person covered under a group health insurance policy when that child: 
A. Is unmarried; 
B. Has no dependent of the child's own; 
C. Is a resident of this State or is enrolled as a full-time student at an accredited 
public or private institution of higher education; and 
D. Is not provided coverage under any other individual or group health insurance 
policy or health maintenance organization contract or under a federal or state 
government program. 
2. 
Offer to extend coverage. 
Notwithstanding section 2822, a group health 
insurance policy that provides coverage for a dependent child must offer to extend 
coverage, at the option of the policyholder, until the dependent child is 25 years of age. 
An insurer may require, as a condition of eligibility for continued coverage in accordance 
with this section, that a covered person seeking continued coverage for a dependent child 
provide written documentation on an annual basis that the dependent child meets or 
continues to meet the requirements in subsection 1. 
Sec. 3. 24-A MRSA §4233-A, as enacted by PL 2005, c. 532, §3, is amended to 
read: 
§4233-A. Extension of coverage for dependent children 
An individual or group health maintenance organization contract that provides 
coverage for a dependent child at certain ages only if the child is a student must continue 
that coverage if the child is unable to remain enrolled in school on a full-time basis due to 
a mental or physical illness or an accidental injury. This coverage may be terminated at 
the age at which coverage for students terminates under the terms of the contract. Aft 
insHrer A health maintenance organization may require, as a condition of eligibility for 
continued coverage in accordance with this section, that the student provide written 
documentation from a health care provider and the student's school that the student is no 
longer enrolled in school on a full-time basis due to a mental or physical illness or 
accidental injury. 
Sec. 4. 24-A MRSA §4233-B is enacted to read: 
§4233-B. Mandatory offer to extend coverage for dependent children up to 25 years 
of age 
1. Dependent child; definition. As used in this section, "dependent child" means 
the child of a person covered under an individual or group health maintenance 
organization contract when that child: 
A. Is unmarried; 
B. Has no dependent of the child's own; 
COMMITTEE AMENDMENT 
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COMMITTEE AMENDMENT" A" to H.P. 640, L.D. 841 
C. Is a resident of this State or is enrolled as a full-time student at an accredited 
public or private institution of higher education; and 
D. Is not provided coverage under any other individual or group health insurance 
policy or health maintenance organization contract or under a federal or state 
government program. 
2. 
Offer to extend coverage. 
An individual or group health maintenance 
organization contract that provides coverage for a dependent child shall offer to extend 
coverage, at the option of the contract holder, until the dependent child is 25 years of age. 
An insurer may require, as a condition of eligibility for continued coverage in accordance 
with this section, that a covered person seeking continued coverage for a dependent child 
provide written documentation on an annual basis that the dependent child meets or 
continues to meet the requirements in subsection 1. ' 
Sec. 5. Application. The requirements of this Act apply to all policies, contracts 
and certificates executed, delivered, issued for delivery, continued or renewed in this 
State on or after the effective date of this Act. F or purposes of this Act, all contracts are 
deemed to be renewed no later than the next yearly anniversary of the contract date. ' 
SUMMARY 
This amendment replaces the bill. The amendment requires individual and group 
health insurance policies to offer to continue coverage for a dependent child up to 25 
years of age at the option of policyholders. The amendment defines a dependent child as 
a child of a person covered under the policy when that child is unmarried, has no 
dependents, is a State resident or enrolled as a full-time student and is not provided health 
coverage under another policy or under a federal or state program. 
FISCAL NOTE REQUIRED 
(See attached) 
COMMITTEE AMENDMENT 
Approved: 04/07/07 Mac:. 
LD841 
LR 410(02) 
An Act To Extend Health Insurance Coverage for Dependent Children up to 25 Years of Age 
Fiscal Note for Bill as Amended by Committee Amendment "A" 
Committee: Insurance and Financial Services 
Fiscal Note Required: Yes 
Fiscal Note 
Minor cost increase - All Funds 
Fiscal Detail and Notes 
Any additional costs to the State Employee Health Program, to the Dirigo Health Program, or to the Bureau of 
Insurance in the Department of Professional and Financial Regulation are expected to be minor and can be absorbed 
utilizing existing budget resources. 
LR041O(02) - Fiscal Note - Page 1 of 1