reglab/housing_qa huggingface dataset:
24-A ME Rev Stat § 2622 (2021)
2021 Maine Revised Statutes|TITLE 24-A: MAINE INSURANCE CODE|Chapter 31: GROUP LIFE INSURANCE|24-A §2622. Conversion on termination of policy

 §2622. Conversion on termination of policy The group life insurance policy must contain a provision that if the group policy terminates or is amended so as to terminate the insurance of any class of insured persons, every person insured thereunder at the date of such termination whose insurance terminates, including the insured dependent of a covered person, and who has been so insured for at least 5 years prior to such termination date is entitled to have issued to the person by the insurer an individual policy of life insurance, subject to the same conditions and limitations as are provided by section 2621, except that the group policy may provide that the amount of such individual policy may not exceed the smaller of:   [RR 2021, c. 1, Pt. B, §234 (COR).]1.  The amount of the person's life insurance protection ceasing because of the termination or amendment of the group policy, less the amount of any life insurance for which the person is or becomes eligible under a group policy issued or reinstated by the same or another insurer within 31 days after such termination; and   [RR 2021, c. 1, Pt. B, §233 (COR).] 2.  $10,000.   [PL 1981, c. 150, §26 (AMD).] SECTION HISTORY PL 1969, c. 132, §1 (NEW). PL 1981, c. 150, §26 (AMD). RR 2021, c. 1, Pt. B, §§233, 234 (COR).
24-A ME Rev Stat § 2623 (2021)
2021 Maine Revised Statutes|TITLE 24-A: MAINE INSURANCE CODE|Chapter 31: GROUP LIFE INSURANCE|24-A §2623. Death pending conversion

 §2623. Death pending conversion The group life insurance policy must contain a provision that if a person insured under the policy, or the insured dependent of a covered person, dies during the period within which the person would have been entitled to have an individual policy issued to the person in accordance with sections 2621 or 2622 and before such an individual policy becomes effective, the amount of life insurance that the person would have been entitled to have issued to the person under such individual policy is payable as a claim under the group policy, whether or not application for the individual policy or the payment of the first premium therefor has been made.   [RR 2021, c. 1, Pt. B, §235 (COR).]SECTION HISTORY PL 1969, c. 132, §1 (NEW). PL 1981, c. 150, §27 (AMD). RR 2021, c. 1, Pt. B, §235 (COR).
24-A ME Rev Stat § 2624 (2021)
2021 Maine Revised Statutes|TITLE 24-A: MAINE INSURANCE CODE|Chapter 31: GROUP LIFE INSURANCE|24-A §2624. Information to debtor

 §2624. Information to debtor In the case of a policy insuring the lives of debtors, a provision that the insurer will furnish to the policyholder for delivery to each debtor insured under the policy a certificate of insurance describing the coverage and specifying that the death benefit shall first be applied to reduce or extinguish the indebtedness.   [PL 1981, c. 150, §28 (RPR).]SECTION HISTORY PL 1969, c. 132, §1 (NEW). PL 1981, c. 150, §28 (RPR).
24-A ME Rev Stat § 2625 (2021)
2021 Maine Revised Statutes|TITLE 24-A: MAINE INSURANCE CODE|Chapter 31: GROUP LIFE INSURANCE|24-A §2625. Notice as to conversion right

 §2625. Notice as to conversion right If any individual insured under a group life insurance policy hereafter delivered in this State becomes entitled under the terms of such policy to have an individual policy of life insurance issued to the individual without evidence of insurability, subject to making of application and payment of the first premium within the period specified in such policy, and if such individual is not given notice of the existence of such right at least 15 days prior to the expiration date of such period, then, in such event the individual must have an additional period within which to exercise such right, but nothing herein contained may be construed to continue any insurance beyond the period provided in such policy. This additional period expires 15 days next after the individual is given such notice but in no event may such additional period extend beyond 60 days next after the expiration date of the period provided in such policy. Written notice presented to the individual or mailed by the policyholder to the last known address of the individual or mailed by the insurer to the last known address of the individual as furnished by the policyholder constitutes notice for the purpose of this section.   [RR 2021, c. 1, Pt. B, §236 (COR).]SECTION HISTORY PL 1969, c. 132, §1 (NEW). RR 2021, c. 1, Pt. B, §236 (COR).
24-A ME Rev Stat § 2626 (2021)
2021 Maine Revised Statutes|TITLE 24-A: MAINE INSURANCE CODE|Chapter 31: GROUP LIFE INSURANCE|24-A §2626. Rate of premiums (REPEALED)

 §2626. Rate of premiums (REPEALED)SECTION HISTORY PL 1969, c. 132, §1 (NEW). PL 1969, c. 177, §44 (AMD). PL 1973, c. 585, §12 (AMD). PL 1975, c. 196 (RP).
24-A ME Rev Stat § 2627 (2021)
2021 Maine Revised Statutes|TITLE 24-A: MAINE INSURANCE CODE|Chapter 31: GROUP LIFE INSURANCE|24-A §2627. Application of dividends, rate reductions (REPEALED)

 §2627. Application of dividends, rate reductions (REPEALED)SECTION HISTORY PL 1969, c. 132, §1 (NEW). PL 1969, c. 177, §45 (AMD). PL 1991, c. 200, §D1 (RP).
24-A ME Rev Stat § 2627-A (2021)
2021 Maine Revised Statutes|TITLE 24-A: MAINE INSURANCE CODE|Chapter 31: GROUP LIFE INSURANCE|24-A §2627-A. Dividends and experience refunds

 §2627-A. Dividends and experience refunds The following requirements apply to all group life insurance with the exception of insurance in which the policyholder is subject to the fiduciary standards of the federal Employee Retirement Income Security Act of 1974, ERISA, 29 United States Code, Section 1001‑1381 (1975).   [PL 1991, c. 200, Pt. D, §2 (NEW).]1.  Refunds.  The amount by which any dividend, experience refund or rate reduction exceeds the amount of premium contributed by the group policyholder for the same period must be refunded to the employees, members or debtors in proportion to their premium contributions for that period, except as provided in subsection 2.   [PL 1991, c. 200, Pt. D, §2 (NEW).] 2.  Refund amounts less than $25 per employee, member or debtor.  If the refunds required by subsection 1 would average less than $25 per employee, member or debtor, then the group policyholder may request approval from the superintendent to apply those amounts in a different manner. The superintendent shall approve the request if, in the superintendent's opinion, the manner of application proposed would be for the sole benefit of insured employees, members or debtors.   [PL 1991, c. 200, Pt. D, §2 (NEW).] SECTION HISTORY PL 1991, c. 200, §D2 (NEW).
24-A ME Rev Stat § 2628 (2021)
2021 Maine Revised Statutes|TITLE 24-A: MAINE INSURANCE CODE|Chapter 31: GROUP LIFE INSURANCE|24-A §2628. Total disability

 §2628. Total disability Where active employment is a condition of insurance, the group life insurance policy shall contain a provision that an insured may continue coverage during the insured's total disability by timely payment to the policyholder of that portion, if any, of the premium that would have been required from the insured had total disability not occurred. The continuation shall be on a premium paying basis for a period of 6 months from the date on which the total disability started, but not beyond the earlier of:   [PL 1981, c. 150, §29 (NEW).]1.  Approval by the insurer of continuation of the coverage under any disability provision which the group insurance policy may contain; or   [PL 1981, c. 150, §29 (NEW).] 2.  The discontinuance of the group insurance policy.   [PL 1981, c. 150, §29 (NEW).] SECTION HISTORY PL 1981, c. 150, §29 (NEW).
24-A ME Rev Stat § 2629 (2021)
2021 Maine Revised Statutes|TITLE 24-A: MAINE INSURANCE CODE|Chapter 31: GROUP LIFE INSURANCE|24-A §2629. Acquired Immune Deficiency Syndrome

 §2629. Acquired Immune Deficiency Syndrome No group life insurance policy delivered or issued for delivery in this State may provide more restrictive coverage for death resulting from Acquired Immune Deficiency Syndrome (AIDS), AIDS Related Complex (ARC) or HIV related diseases than the death resulting from any other disease or sickness or exclude coverage for death resulting from AIDS, ARC or HIV related diseases except through an exclusion under which deaths resulting from all sicknesses and diseases are treated the same or as provided by section 2159, subsection 4. This section shall not apply to death by accident or accidental means.   [PL 1989, c. 176, §4 (NEW).]SECTION HISTORY PL 1989, c. 176, §4 (NEW).
24-A ME Rev Stat § 2630 (2021)
2021 Maine Revised Statutes|TITLE 24-A: MAINE INSURANCE CODE|Chapter 31: GROUP LIFE INSURANCE|24-A §2630. Suicide

 §2630. Suicide A group life insurance policy delivered or issued for delivery in this State may not contain a more restrictive exclusion from liability for death resulting from suicide than death by suicide, while sane or insane, within 2 years from the date coverage commences or within 2 years of an increase in coverage.   [PL 2001, c. 89, §3 (NEW).]SECTION HISTORY PL 2001, c. 89, §3 (NEW).
24-A ME Rev Stat § 2670 (2021)
2021 Maine Revised Statutes|TITLE 24-A: MAINE INSURANCE CODE|Chapter 32: PREFERRED PROVIDER ARRANGEMENT ACT|24-A §2670. Short title

 §2670. Short title This chapter may be cited as the "Preferred Provider Arrangement Act."   [PL 1999, c. 609, §4 (AMD).]SECTION HISTORY PL 1985, c. 704, §4 (NEW). PL 1999, c. 609, §4 (AMD).
24-A ME Rev Stat § 2671 (2021)
2021 Maine Revised Statutes|TITLE 24-A: MAINE INSURANCE CODE|Chapter 32: PREFERRED PROVIDER ARRANGEMENT ACT|24-A §2671. Definitions

 §2671. Definitions As used in this chapter, unless the context indicates otherwise, the following terms have the following meanings.   [PL 1985, c. 704, §4 (NEW).]1.  "Administrator" means any person, other than a carrier, that administers a preferred provider arrangement. An administrator does not include a health maintenance organization licensed pursuant to chapter 56 or a nonprofit health care plan regulated by the superintendent pursuant to Title 24. An employer exempt from the applicability of this chapter under the federal Employee Retirement Income Security Act of 1974, 29 United States Code, Sections 1001 to 1461 (1988) is not considered an administrator.   [PL 1999, c. 609, §5 (AMD).] 1-A.  "Capitation" has the same meaning as defined in section 4331, subsection 2.   [PL 1999, c. 609, §5 (NEW).] 2.   [PL 1999, c. 609, §5 (RP).] 2-A.  "Carrier" means an insurance company licensed in accordance with this Title, a fraternal benefit society authorized pursuant to chapter 55 or a nonprofit hospital or medical service organization licensed pursuant to Title 24. An employer exempted from the applicability of this chapter under the federal Employee Retirement Income Security Act of 1974, 29 United States Code, Sections 1001 to 1461 (1988) is not considered a carrier.   [PL 1999, c. 609, §5 (NEW).] 2-B.  "Enrollee" means an individual entitled to reimbursement for expenses of health care services under a health plan.   [PL 1999, c. 609, §5 (NEW).] 3.  "Health care services" means health care services or products rendered or sold by a provider within the scope of the provider's legal authorization.   [PL 1985, c. 704, §4 (NEW).] 3-A.  "Health plan" means a plan offered or administered by a carrier that provides for the financing or delivery of health care services to persons enrolled in the plan.   [PL 1999, c. 609, §5 (NEW).] 4.   [PL 1999, c. 609, §5 (RP).] 5.   [PL 1999, c. 609, §5 (RP).] 6.  "Preferred provider" means a provider who enters into a preferred provider arrangement with an administrator or carrier.   [PL 1999, c. 609, §5 (AMD).] 7.  "Preferred provider arrangement" means a contract, agreement or arrangement between a carrier or administrator and a provider in which the provider agrees to provide services to a health plan enrollee whose plan benefits include incentives for the enrollee to use the services of that provider.   [PL 1999, c. 609, §5 (AMD).] 8.  "Provider" means an individual or entity duly licensed or otherwise legally authorized to provide health care services, including, but not limited to, the treatment of physical health and mental health and provision for medical supplies and pharmaceutical supplies.   [PL 1999, c. 609, §5 (AMD).] 9.  "Superintendent" means the Superintendent of Insurance.   [PL 1999, c. 609, §5 (AMD).] SECTION HISTORY PL 1985, c. 704, §4 (NEW). PL 1995, c. 332, §P1 (AMD). PL 1999, c. 609, §5 (AMD).
24-A ME Rev Stat § 2672 (2021)
2021 Maine Revised Statutes|TITLE 24-A: MAINE INSURANCE CODE|Chapter 32: PREFERRED PROVIDER ARRANGEMENT ACT|24-A §2672. Selective contracting authorized

 §2672. Selective contracting authorized Carriers or administrators may enter into preferred provider arrangements with providers of their choice. In selecting preferred providers, carriers or administrators may consider, among other factors, price differences between or among providers, geographic accessibility, specialization and projected utilization by enrollees. Selective contracting does not constitute unreasonable discrimination against or among providers.   [PL 1999, c. 609, §6 (AMD).]SECTION HISTORY PL 1985, c. 704, §4 (NEW). PL 1999, c. 609, §6 (AMD).
24-A ME Rev Stat § 2673 (2021)
2021 Maine Revised Statutes|TITLE 24-A: MAINE INSURANCE CODE|Chapter 32: PREFERRED PROVIDER ARRANGEMENT ACT|24-A §2673. Policies, agreements or arrangements with incentives or limits on reimbursement authorized (REPEALED)

 §2673. Policies, agreements or arrangements with incentives or limits on reimbursement authorized (REPEALED)SECTION HISTORY PL 1985, c. 704, §4 (NEW). PL 1989, c. 588, §A49 (RPR). PL 1999, c. 609, §7 (RP).
24-A ME Rev Stat § 2673-A (2021)
2021 Maine Revised Statutes|TITLE 24-A: MAINE INSURANCE CODE|Chapter 32: PREFERRED PROVIDER ARRANGEMENT ACT|24-A §2673-A. Preferred provider arrangements

 §2673-A. Preferred provider arrangements 1.  Filing with superintendent; disapproval.  A carrier or administrator who proposes to offer a preferred provider arrangement shall file with the superintendent proposed agreements, rates, geographic service areas, provider networks and other materials relevant to the proposed arrangement. The superintendent shall disapprove any preferred provider arrangement if the arrangement contains any unjust, unfair or inequitable provisions; unreasonably restricts access and availability of health care services; or fails to comply with other requirements of this chapter, chapter 56-A or rules adopted by the superintendent.   [PL 1999, c. 609, §8 (NEW).] 2.  Considered separate preferred provider arrangements.  If health plans offered by the same carrier have different geographic service areas, or if there are preferred providers in one health plan who are nonpreferred providers in another health plan offered by the same carrier or administered by the same administrator or who are in a different preference tier if the plan is a multitier plan, then the plans represent different preferred provider arrangements and must be separately filed and approved.   [PL 1999, c. 609, §8 (NEW).] 3.  Rules.  Preferred provider arrangements offered by carriers that are subject to chapter 56‑A must be in compliance with applicable provisions of that chapter and any rules adopted under that chapter. Employer-sponsored plans that are exempt from this chapter pursuant to federal law and administrators offering preferred provider arrangements to employer-sponsored plans are not subject to the provisions of chapter 56‑A or rules adopted under that chapter, provided either the administrator or any other participating entity, other than the self-insured employer, does not undertake insurance risk. The superintendent may adopt rules establishing procedures for filing and approval of preferred provider arrangements, including the time period within which the superintendent must act on a completed application; specific criteria for determining when a term or condition is unjust, unfair or inequitable or has the effect of unreasonably restricting access and availability to health care services; and standards consistent with this chapter and chapter 56‑A for the ongoing operation and oversight of approved provider arrangements. The rules may prohibit the carrier from applying a benefit level differential to enrollees who must travel an unreasonable distance to obtain the service. Rules adopted pursuant to this subsection are routine technical rules pursuant to Title 5, chapter 375, subchapter II-A.   [PL 1999, c. 609, §8 (NEW).] SECTION HISTORY PL 1999, c. 609, §8 (NEW).
24-A ME Rev Stat § 2674 (2021)
2021 Maine Revised Statutes|TITLE 24-A: MAINE INSURANCE CODE|Chapter 32: PREFERRED PROVIDER ARRANGEMENT ACT|24-A §2674. Requirements applicable to administrators (REPEALED)

 §2674. Requirements applicable to administrators (REPEALED)SECTION HISTORY PL 1985, c. 704, §4 (NEW). PL 1999, c. 609, §9 (RP).
24-A ME Rev Stat § 2674-A (2021)
2021 Maine Revised Statutes|TITLE 24-A: MAINE INSURANCE CODE|Chapter 32: PREFERRED PROVIDER ARRANGEMENT ACT|24-A §2674-A. Requirements for administrators and carriers

 §2674-A. Requirements for administrators and carriers 1.  Registration fee.  All administrators of a preferred provider arrangement shall register with the superintendent and pay an annual registration fee pursuant to section 601, subsection 20. The superintendent shall by rule establish criteria for the registration, including minimum solvency requirements. Rules adopted pursuant to this subsection are routine technical rules pursuant to Title 5, chapter 375, subchapter II‑A.   [PL 1999, c. 609, §10 (NEW).] 2.  Compilation of current listing.  The bureau shall compile and maintain a current listing of administrators and carriers offering preferred provider arrangements authorized under this chapter.   [PL 1999, c. 609, §10 (NEW).] 3.  Prohibition against insurance risk.  Except as specifically authorized in section 2676, an administrator may provide administrative services only and may not accept insurance risk.   [PL 1999, c. 609, §10 (NEW).] 4.  Approval required before marketing or making available.  A carrier may not issue a health plan incorporating a preferred provider arrangement and an administrator may not market or otherwise make available a preferred provider arrangement until the superintendent pursuant to section 2673‑A has approved the arrangement.   [PL 1999, c. 609, §10 (NEW).] 5.  Registration as insurance administrator.  In addition to meeting the requirements of the preferred provider arrangement, each preferred provider administrator who directly or indirectly transfers funds, manages funds, adjusts claims or asserts control over the transfer of funds for the purpose of payment of provider services shall register with the superintendent as an insurance administrator pursuant to chapter 18.   [PL 1999, c. 609, §10 (NEW).] 6.  Provision of document to beneficiary.  Each preferred provider administrator shall inform all carriers that the carriers must provide to each enrollee of any health plan subject to this chapter a plan description that complies with the requirements of and rules adopted under chapter 56‑A, subchapter I.   [PL 1999, c. 609, §10 (NEW).] SECTION HISTORY PL 1999, c. 609, §10 (NEW).
24-A ME Rev Stat § 2675 (2021)
2021 Maine Revised Statutes|TITLE 24-A: MAINE INSURANCE CODE|Chapter 32: PREFERRED PROVIDER ARRANGEMENT ACT|24-A §2675. Requirements applicable to insurers (REPEALED)

 §2675. Requirements applicable to insurers (REPEALED)SECTION HISTORY PL 1985, c. 704, §4 (NEW). PL 1989, c. 588, §§A50-52 (AMD). PL 1999, c. 609, §11 (RP).
24-A ME Rev Stat § 2676 (2021)
2021 Maine Revised Statutes|TITLE 24-A: MAINE INSURANCE CODE|Chapter 32: PREFERRED PROVIDER ARRANGEMENT ACT|24-A §2676. Risk transfer

 §2676. Risk transfer Preferred provider arrangements may include capitated payments that are limited to the health services provided by the provider.   [PL 1999, c. 609, §12 (AMD).]Preferred provider arrangements may embody risk transfer between carriers and providers in accordance with the provisions of chapter 56‑A, subchapter III. Any other acceptance of insurance risk by a person that does not hold a valid certificate of authority or license and is not exempt by law from licensure constitutes the unauthorized transaction of insurance within the meaning of section 404 and chapter 21.   [PL 1999, c. 609, §12 (NEW).]SECTION HISTORY PL 1985, c. 704, §4 (NEW). PL 1989, c. 588, §A53 (RPR). PL 1999, c. 609, §12 (AMD).
24-A ME Rev Stat § 2677 (2021)
2021 Maine Revised Statutes|TITLE 24-A: MAINE INSURANCE CODE|Chapter 32: PREFERRED PROVIDER ARRANGEMENT ACT|24-A §2677. Alternative health care benefits (REPEALED)

 §2677. Alternative health care benefits (REPEALED)SECTION HISTORY PL 1985, c. 704, §4 (NEW). PL 1987, c. 34, §2 (AMD). PL 1989, c. 588, §A54 (RPR). PL 1993, c. 600, §B19 (AMD). PL 1999, c. 609, §13 (RP).
24-A ME Rev Stat § 2677-A (2021)
2021 Maine Revised Statutes|TITLE 24-A: MAINE INSURANCE CODE|Chapter 32: PREFERRED PROVIDER ARRANGEMENT ACT|24-A §2677-A. Payment for nonpreferred providers

 §2677-A. Payment for nonpreferred providers 1.  Nonpreferred providers.  A carrier incorporating a preferred provider arrangement into a health plan shall provide for payment of covered health care services rendered by providers that are not preferred providers.   [PL 1999, c. 609, §14 (NEW).] 2.  Benefit level.  The benefit level differential between services rendered by preferred providers and nonpreferred providers may not exceed 20% of the allowable charge for the service rendered, except that the superintendent may waive this requirement for a given benefit plan. Compliance with this requirement for a given benefit plan may be demonstrated on an aggregate basis. This demonstration of compliance must be based on a reasonably anticipated mix of claims certified by a qualified actuary who is a member of the American Academy of Actuaries or a successor organization. As used in this subsection, "allowable charge" means the amount that would be payable for services under the preferred provider arrangement including deductible and coinsurance amounts.   [PL 2001, c. 369, §3 (AMD).] SECTION HISTORY PL 1999, c. 609, §14 (NEW). PL 2001, c. 369, §3 (AMD).
24-A ME Rev Stat § 2678 (2021)
2021 Maine Revised Statutes|TITLE 24-A: MAINE INSURANCE CODE|Chapter 32: PREFERRED PROVIDER ARRANGEMENT ACT|24-A §2678. Annual experience report

 §2678. Annual experience report On or before April 1st of each year, an administrator or carrier who issues or administers a program, policy or contract in this State that includes incentives for the enrollee to use the services of a provider who has entered into an agreement with the carrier or administrator shall file a report of its activities for the preceding year with the superintendent. The report must be in the form prescribed by the superintendent and at a minimum must contain the following:   [PL 1999, c. 609, §15 (AMD).]1.  A provider directory that includes the name, address and scope of license of each preferred provider; and   [PL 1999, c. 609, §15 (AMD).] 2.   [PL 1999, c. 609, §15 (RP).] 3.  Annual information specified in chapter 56‑A or rules adopted under that chapter. Annual information reported to the superintendent pursuant to chapter 56‑A under another license must be referenced in the report and not reported in a duplicate manner.   [PL 1999, c. 609, §15 (NEW).] SECTION HISTORY PL 1985, c. 704, §4 (NEW). PL 1999, c. 609, §15 (AMD).
24-A ME Rev Stat § 2678-A (2021)
2021 Maine Revised Statutes|TITLE 24-A: MAINE INSURANCE CODE|Chapter 32: PREFERRED PROVIDER ARRANGEMENT ACT|24-A §2678-A. Annual report (REPEALED)

 §2678-A. Annual report (REPEALED)SECTION HISTORY PL 1989, c. 588, §A55 (NEW). PL 1999, c. 609, §16 (RP).
24-A ME Rev Stat § 2679 (2021)
2021 Maine Revised Statutes|TITLE 24-A: MAINE INSURANCE CODE|Chapter 32: PREFERRED PROVIDER ARRANGEMENT ACT|24-A §2679. Utilization review data (REPEALED)

 §2679. Utilization review data (REPEALED)SECTION HISTORY PL 1987, c. 168, §3 (NEW). PL 1999, c. 609, §17 (RP).