An Act to Require That Insurance Compames Notify Workers over 65 Years of Age of Potential High Costs
Maine Legislature, Session 131, LD 0308
Committee Amendment CA_A_H108 (House)
Amends: 24 MRSA §2332-A, 24-A MRSA §2723-A, 24-A MRSA §2844

COMMITTEE AMENDl'v1ENT "A" to HP 206, L D 308, "An Act to Require That 
Insurance Compames Notify Workers over 65 Years of Age of Potential High Costs" 
Amend the bill by strikmg out the title and subst1tutmg the followmg 
'An Act to Require That Insurance Companies Notify Insured Persons over 65 Years 
of Age Regarding Coordination of Benefits with Medicare Part B' 
Amend the bill by strikmg out everythmg after the enactmg clause and msertmg the 
followmg 
'Sec. 1. 24 MRSA §2332-A, sub-§1-A, ,S, as enacted by PL 1997, c 604, Pt G, 
§ 1, 1s amended to read 
B The contract may not coordmate benefits with Medicare Part B unless 
(1) The msured 1s enrolled m Medicare Part B, 
(2) The msured was p1ev10usly enrolled m Medicare Part B and voluntarily 
d1senrolled, 
(3) The msured stated on an application or other document that the msured was 
enrolled m Medicare Part B, or 
( 4) The msured 1s eligible for Medicare Part A without paymg a premmm and the 
msurer provided promment notificat10n to the msured both when the contract was 
issued and, if applicable, when the msured becomes ehg1ble for Medicare due to 
age 
The content of the not1ficat10n must be approved by the bureau 
The 
notification must state that the contract will not pay benefits that would be payable 
under Medicare even if the msured fails to enroll m Medicrue Part B and state that 
the msured may contact the bureau. the Health Insurance Consumer Assistance 
Program established in Title 24-A. section 4326 or another relevant organ12ation 
or agency for assistance m understanding coordmat1on of benefits with Medicare 
Part B under the msured's contract 
COMMITTEE AMENDMENT 
;:--ROS 
coMMTITEE AMENDMENT 'A" to HP 206, Lo 308 
Sec. 2. 24-A MRSA §2723-A, sub-§2, ,e, as amended by PL 1999, c 790, Pt D, 
§ 7, is further amended to read 
B The pohcy may not coordinate benefits with Medicare Part B unless 
(1) The msured is enrolled m Medicare Part
B, 
(2) The msured was previously enrolled m Medicare Part B and voluntarily 
d1senrolled, 
(3) The msured stated on an apphcat1on or other document that the msured was 
enrolled m Medicare Part B, or 
(4) The msured is eligible for Medicare Part A without paymg a premmm and the 
msurer provided promment not1ficat1on to the msured both when the pohcy was 
ISsued and, if applicable, when the msured becomes eligible for Medicare due to 
age 
The content of the not1ficat1on must be approved by the bureau 
The 
notification must state that the pohcy will not pay benefits that would be payable 
under Medicare even 1f the msured fails to enroll m Medicare Part B and state that 
the msured may contact the bureau, the Health Insurance Consumer Assistance 
Program established m section 4326 or another relevant organ1zat1on or agency for 
assistance m understandmg coordmat1on of benefits with Medicare Part B under 
the msured's contract' 
Sec. 3. 24-A MRSA §2844, sub-§1-A, tJB, as enacted by PL 1997, c 604, Pt G, 
§2, is amended to read 
B The contract may not coordmate benefits with Medicare Part B unless· 
(1) The msured 1s enrolled m Medicare Part B, 
(2) The msured was prev10usly enrolled m Medicare Part B and voluntarily 
disenrolled, 
(3) The msured stated on an apphcat1on or other document that the msured was 
enrolled m Medicare Part B, or 
( 4) The msured is eligible for Medicare Part A without pay1hg a premmm and the 
msurer provided promment notification to the msured both when the certificate 
was issued and, 1f applicable, when the msured becomes eligible for Medicare due 
to age 
The content of the not1ficat1on must be approved by the bureau 
The 
notification must state that the contract will not pay benefits that would be payable 
under Medicare even 1f the msured fails to enroll m Medicare Part B and state that 
the insured may contact the bureau, the Health Insurance Consumer Assistance 
Program established m section 4326 or another relevant organization 01 agency for 
assistance m understanding coordmation of benefits with Medicare Part B under 
the msured's contract' 
Amend the bill by relettermg or renumbermg any nonconsecutive Part letter or section 
number to read consecutively 
SUMMARY 
This amendment replaces the bill, which is a concept draft 
COMMITTEE AMENDMENT 
ROS 
COMMITTEE AMENDMENT "A" to HP 206, L D 308 
The amendment requires the Department of Professional and Fmanc1al Regulation, 
Bureau of Insurance to approve the notice provided by an msurer that coordinates benefits 
with Medicare Part B coverage, The amendment also requires that the notice include a 
statement that the msured person may contact the bureau, the Health Insurance Consumer 
Assistance Program established m the Mame Revised Statutes, Title 24-A, section 4326 or 
another relevant organization or agency for assistance m understanding coordination of 
benefits with Medicare Part B under the msured person's contract 
FISCAL NOTE REQUIRED 
(See attached) 
COMMITTEE AMENDMENT 
Approved 04/23/23 :/Wae"-
LD308 
LR 1673(02) 
An Act to Require That Insurance Companies Notify Workers over 65 Years of Age of Potential High 
Costs 
Fiscal Detail and Notes 
Fiscal Note for Bill as Amended by Committee Amendment ,4, { H--lo t) 
Committee: Health Coverage, Insurance and Financial Services 
Fiscal Note Required: Yes 
Fiscal Note 
Mtnor cost increase - Other Special Revenue Funds 
Add1t1onal costs to the Bureau oflnsurance w1thm the Department of Professional and Financial Regulat10n to 
approve the content of not1ficat10ns provided by insurers regardmg coord111at10n of benefits with Medicare Part I 
expected to be minor and can be absorbed withm ex1st111g budgeted resources 
LR1673(02) - Fiscal Note - Page 1 of 1