An Act To Clarify the Laws Governing the Extension of Health Care Coverage to Dependents
Maine Legislature, Session 123, LD 2066
Committee Amendment CA_A_H710 (House)
Amends: 24-A MRSA §2742-B, 24-A MRSA §2833-B, 24-A MRSA §4233-B

COMMITTEE AMENDMENT" JJ " to H.P. 1450, L.D. 2066, Bill, "An Act To 
Clarify the Laws Governing the Extension of Health Care Coverage to Dependents" 
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, sub-§l, ~, as enacted by PL 2007, c. 115, § 1 
and affected by §5, is amended to read: 
B. Has no dependent ofthe child's own; and 
Sec. 2. 24-A MRSA §2742-B, sub-§l, ~C, as enacted by PL 2007, c. 115, § 1 
and affected by §5, is amended to read: 
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;--aHd~ 
Sec. 3. 24-A MRSA §2742-B, sub-§l, ~, as enacted by PL 2007, c. 115, § 1 
and affected by §5, is repealed. 
Sec. 4. 24-A MRSA §2742-B, sub-§2, as enacted by PL 2007, c. 115, § 1 and 
affected by §5, is amended to read: 
2. Offer of coverage. Notwithstanding section 2703, subsection 3, an individual 
health insurance policy that provides offers coverage for a dependent child must offer to 
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such 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. 5. 24-A MRSA §2742-B, sub-§3 is enacted to read: 
3. Notice. An insurer shall provide notice to policyholders regarding the availability 
of dependent coverage under this section upon each renewal of coverage or at least once 
COMMITTEE AMENDMENT 
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COMMITTEE AMENDMENT" A "to H.P. 1450, L.D. 2066 
annually, whichever occurs more frequently. Notice provided under this subsection must 
include information about enrollment periods and notice of the insurer's definition of and 
benefit limitations for preexisting conditions. 
This subsection is repealed January 1, 2012. 
Sec. 6. 24-A MRSA §2833-B, sub-§l, ~, as enacted by PL 2007, c. 115, §2 
and affected by §5, is amended to read: 
B. Has no dependent ofthe child's own; and 
Sec. 7. 24-A MRSA §2833-B, sub-§I, ~C, as enacted by PL 2007, c. 115, §2 
and affected by §5, is amended to read: 
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-;--aRd~ 
Sec. 8. 24-A MRSA §2833-B, sub-§l, ~, as enacted by PL 2007, c. 115, §2 
and affected by §5, is repealed. 
Sec. 9. 24-A MRSA §2833-B, sub-§2, as enacted by PL 2007, c. 115, §2 and 
affected by §5, is amended to read: 
2. Offer of coverage. Notwithstanding section 2822, a group health insurance 
policy that provides offers coverage for a dependent child must offer to exteRd such 
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 eotTtiRHed coverage in accordance 
with this section, that a covered person seeking eontiRHed coverage for a dependent child 
provide written documentation on an annual basis that the dependent child meets er 
cORtinHes to meet the requirements in subsection 1. 
Sec. 10. 24-A MRS A §2833-B, sub-§3 is enacted to read: 
3. Notice. An insurer shall provide notice to policyholders regarding the availability 
of dependent coverage under this section upon each renewal of coverage or at least once 
annually, whichever occurs more frequently. Notice provided under this subsection must 
include information about enrollment periods and notice of the insurer's definition of and 
benefit limitations for preexisting conditions. 
This subsection is repealed January 1, 2012. 
Sec. 11. 24-A MRSA §4233-B, sub-§l, ~, as enacted by PL 2007, c. 115, §4 
and affected by §5, is amended to read: 
B. Has no dependent of the child's own; and 
Sec. 12. 24-A MRSA §4233-B, sub-§l, ~C, as enacted by PL 2007, c. 115, §4 
and affected by §5, is amended to read: 
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-;--aRd~ 
Sec. 13. 24-A MRSA §4233-B, sub-§l, ~, as enacted by PL 2007, c. 115, §4 
and affected by §5, is repealed. 
COMMITTEE AMENDMENT 
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COMMITTEE AMENDMENT" A " 
to H.P. 1450, L.D. 2066 
Sec. 14. 24-A MRSA §4233-B, suh-§2, as enacted by PL 2007, c. 115, §4 and 
affected by §5, is amended to read: 
2. Offer of coverage. An individual or group health maintenance organization 
contract that provides offers coverage for a dependent child shall offer to extefld such 
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 cOfltiflued coverage for a dependent child 
provide written documentation on an annual basis that the dependent child meets er 
cOfltiflues to meet the requirements in subsection I. 
Sec. 15. 24-A MRSA §4233-B, suh-§3 is enacted to read: 
3. Notice. 
A health maintenance organization shall provide notice to contract 
holders regarding the availability of dependent coverage under this section upon each 
renewal of coverage or at least once annually, whichever occurs more frequently. Notice 
provided under this subsection must include information about enrollment periods and 
notice of the insurer's definition of and benefit limitations for preexisting conditions. 
This subsection is repealed January 1, 2012. ' 
SUMMARY 
This amendment replaces the bill. Under current law, an insurer that provides 
coverage to a dependent child must offer to extend such coverage until the dependent is 
years of age. This amendment clarifies that it is not necessary that the dependent be 
currently insured by that insurer for that insurer to be required to offer coverage until the 
dependent is 25 years of age. In addition, this amendment amends the definition of 
"dependent child" to eliminate the requirement that the child 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. 
The amendment also requires insurers to provide notice of the availability of 
extended coverage for dependents upon renewal or at least once annually. This notice 
requirement is repealed on January I, 2012. Finally, the amendment eliminates the 
section in the bill that would have required insurers to hold a special open enrollment 
period. 
FISCAL NOTE REQUIRED 
(See attached) 
COMMITTEE AMENDMENT 
Approved: 02/26/08 
~ae 
LD2066 
LR 3105(02) 
An Act To Clarify the Laws Governing the Extension of Health Care Coverage to Dependents 
Fiscal Note for Bill as Amended by Committee Amendment" A " 
Committee: Insurance and Financial Services 
Fiscal Note Required: Yes 
Fiscal Note 
Minor cost increase - Other Special Revenue Funds 
Fiscal Detail and Notes 
Any additional costs to the Bureau of Insurance in the Department of Professional and Financial Regulation are 
expected to be minor and can be absorbed utilizing existing budgeted resources. No additional costs to the State 
Employee Health Program are expected. 
LR31 05(02) - Fiscal Note - Page I of I