Maine Legislature, Session 124, LD 1773
Committee: Insurance and Financial Services
Sponsors: ALFOND, BOWMAN, BECK, GOODE, LEGG, MORRISON, TREAT
Amends: 24 MRSA §2317-B, 24-A MRSA §2766, 24-A MRSA §2847-R, 24-A MRSA §4258

MAINE STATE LEGISLATURE 
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. 124th MAl E LEGISLATURE 
Legislative Document 
No. 1773 
S.P.680 
In LJ"Uu..", February 4,2010 
AIIlIAct To Improve Dental Insurallllce Coverage for MailllleChildren 
(AFTER DE,ADLINE) 
Approved for introduction by a majority of the Legislative Council pursuant to Joint Rule 
205. 
Reference to the Committee on Insurance and Financial Services suggested and ordered 
printed. 
Presented by Senator ALFOND of Cumberland. 
JOY J. O'BRIEN 
Secretary of the Senate 
Cosponsored by Representative CORNELL du HOUX of Brunswick and 
Senators: BOWMAN of York, McCORMICK of Kennebec, Representatives: BECK of 
Waterville, GOODE of Bmigor, LEGG of Kennebunk, MORRISON of South Portland, 
TREAT of Hallowell. 
Printed on rccycl~d paper . 
Be it enacted by the People of the State of Maine as follows: 
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Sec. 1. 5 MRS A §285, sub-§9, 'nG, as enacted by PL 1989, c. 776, § 1, is 
amended to read: 
G. Any contract entered into by the State must provide for coverage that. meets the 
same level of benefits as those that would be required by state law if the coverage 
was provided by a health insurance or dental plan governed by Title 24 or Title 24-A. 
Sec. 2. 24 MRSA §2317-B, sub-§12-~ is enacted to read: 
12-F. Title 24-A, sections 2766, 2847-R and 4258. Dental coverage for children 
from birth, Title 24-A, sections 2766, 2847-Rand 4258; 
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Sec. 3. 24-A MRSA §2766 is enacted to read: 
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§2766.Dental coverage for children from birth 
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1. Required coverage. All individual health insurance policies and contracts that 
offer a dental plan as defined in section 2692, subsection 2 must cover dependent children 
from birth if the policyholder elects to participate i6 dependent coverage under the dental 
plan. 
2. Limits; coinsurance; deductibles. A policy or contract that provides coverage 
for services under this section may contain provisions for maximum benefits and 
coinsurance and reasonable' limitations, deductibles and exclusions to the extent that these 
provisions are not inconsistent with the requirements of this section. 
Sec. 4. 24-A MRSA §2847-R is enacted to read: 
§2847-R. Dental coverage for children from birth .' 
1. 
Required coverage. 
All group health insurance policies, contracts and 
certificates that offer a dental plan as defined in section 2692, subsection 2 must covei' 
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dependent children from birth if the policyholder elects to. participate in dependent 
coverage under the dental plan; 
2. Limits; coinsurance; deductibles. A policy, contract or certificate that provides 
coverage for "services under this section may contain provisions for maximum benefits 
" and coinsurance and reasonable limitations, deductibles and exclusions to the extent that 
these provisions are not inconsistent with the requirements of this section. 
Sec. 5. 24-A MRSA §4258 is enacted to read: 
§4258. Dental coverage for children from birth 
1. Required coverage. All individual and group health maintenance organization 
contracts that offer a dental plan as defined in section 2692, subsection 2 must cover 
dependent children from birth if the member or enrollee elects to participate in dependent 
coverage under the dental plan. 
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Page I - 124LR2S32(Ol)-1 
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2. Limits; coinsurance; deductibles. A contract that provides coverage for services 
under this section may contain provisions for maximum benefits and coinsurance and 
reasonable limitations, deductibles and exclusions to the extent that these provisions are· 
not inconsistent with the requirements of this section. 
Sec: 6. 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 January 1,2011. For purposes of this Act, all contracts are deemed to·be 
renewed no later than the next yearly anniversary of the contract date. 
SUMMARY 
This bill requires health insurance policies, contracts and certificates that provide 
dental plans· to provide coverage of dependent children from birth if the policyholder 
elects to participate in the dependent coverage plan. The provisions of this bill apply to 
all policies, contracts and certificates executed, delivered, issued for delivery, continued 
or renewed on or after January 1, 2011.