reglab/housing_qa huggingface dataset:
24-A ME Rev Stat § 2847-P (2021)
2021 Maine Revised Statutes|TITLE 24-A: MAINE INSURANCE CODE|Chapter 35: GROUP AND BLANKET HEALTH INSURANCE|24-A §2847-P. Coverage for medically necessary infant formula (REALLOCATED FROM TITLE 24-A, SECTION 2847-N)

 §2847-P. Coverage for medically necessary infant formula (REALLOCATED FROM TITLE 24-A, SECTION 2847-N)All group health insurance policies, contracts and certificates must provide coverage for amino acid-based elemental infant formula for children 2 years of age and under in accordance with this section.   [PL 2007, c. 695, Pt. C, §15 (RAL).]1.  Determination of medical necessity.  Coverage for amino acid-based elemental infant formula must be provided when a licensed physician has submitted documentation that the amino acid-based elemental infant formula is medically necessary health care as defined in section 4301‑A, subsection 10‑A, that the amino acid-based elemental infant formula is the predominant source of nutritional intake at a rate of 50% or greater and that other commercial infant formulas, including cow milk-based and soy milk-based formulas have been tried and have failed or are contraindicated. A licensed physician may be required to confirm and document ongoing medical necessity at least annually.   [PL 2007, c. 695, Pt. C, §15 (RAL).] 2.  Method of delivery.  Coverage for amino acid-based elemental infant formula must be provided without regard to the method of delivery of the formula.   [PL 2007, c. 695, Pt. C, §15 (RAL).] 3.  Required diagnosis.  Coverage for amino acid-based elemental infant formula must be provided when a licensed physician has diagnosed and through medical evaluation has documented one of the following conditions:   A. Symptomatic allergic colitis or proctitis;   [PL 2007, c. 695, Pt. C, §15 (RAL).]B. Laboratory- or biopsy-proven allergic or eosinophilic gastroenteritis;   [PL 2007, c. 695, Pt. C, §15 (RAL).]C. A history of anaphylaxis;   [PL 2007, c. 695, Pt. C, §15 (RAL).]D. Gastroesophageal reflux disease that is nonresponsive to standard medical therapies;   [PL 2007, c. 695, Pt. C, §15 (RAL).]E. Severe vomiting or diarrhea resulting in clinically significant dehydration requiring treatment by a medical provider;   [PL 2007, c. 695, Pt. C, §15 (RAL).]F. Cystic fibrosis; or   [PL 2007, c. 695, Pt. C, §15 (RAL).]G. Malabsorption of cow milk-based or soy milk-based infant formula.   [PL 2007, c. 695, Pt. C, §15 (RAL).][PL 2007, c. 695, Pt. C, §15 (RAL).] 4.  Health savings accounts.  Coverage for amino acid-based elemental infant formula under a health insurance policy, contract or certificate issued in connection with a health savings account as authorized under Title XII of the federal Medicare Prescription Drug, Improvement, and Modernization Act of 2003 may be subject to the same deductible and out-of-pocket limits that apply to overall benefits under the policy, contract or certificate.   [PL 2007, c. 695, Pt. C, §15 (RAL).] SECTION HISTORY PL 2007, c. 695, Pt. C, §15 (RAL).
24-A ME Rev Stat § 2847-Q (2021)
2021 Maine Revised Statutes|TITLE 24-A: MAINE INSURANCE CODE|Chapter 35: GROUP AND BLANKET HEALTH INSURANCE|24-A §2847-Q. Coverage for services provided by independent practice dental hygienist

 §2847-Q. Coverage for services provided by independent practice dental hygienist 1.  Services provided by independent practice dental hygienist.  An insurer that issues group dental insurance or health insurance that includes coverage for dental services shall provide coverage for dental services performed by an independent practice dental hygienist licensed under Title 32, chapter 143 when those services are covered services under the contract and when they are within the lawful scope of practice of the independent practice dental hygienist.   [PL 2015, c. 429, §13 (AMD).] 2.  Limits; coinsurance; deductibles.  A contract that provides coverage for the services required by 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.   [PL 2009, c. 307, §3 (NEW); PL 2009, c. 307, §6 (AFF).] 3.  Coordination of benefits with dental insurance.  If an enrollee eligible for coverage under this section is eligible for coverage under a dental insurance policy or contract and a health insurance policy or contract, the insurer providing dental insurance is the primary payer responsible for charges under subsection 1 and the insurer providing group health insurance is the secondary payer.   [PL 2009, c. 307, §3 (NEW); PL 2009, c. 307, §6 (AFF).] 4.  Application.  The requirements of this section apply to all policies, contracts and certificates executed, delivered, issued for delivery, continued or renewed in this State. For purposes of this section, all contracts are deemed to be renewed no later than the next yearly anniversary of the contract date.   [PL 2009, c. 307, §3 (NEW); PL 2009, c. 307, §6 (AFF).] SECTION HISTORY PL 2009, c. 307, §3 (NEW). PL 2009, c. 307, §6 (AFF). PL 2015, c. 429, §13 (AMD).
24-A ME Rev Stat § 2847-R (2021)
2021 Maine Revised Statutes|TITLE 24-A: MAINE INSURANCE CODE|Chapter 35: GROUP AND BLANKET HEALTH INSURANCE|24-A §2847-R. Enrollment of dependent children in dental coverage

 §2847-R. Enrollment of dependent children in dental coverage 1.  Offer of dependent coverage; enrollment period.  All group dental insurance policies, contracts and certificates that offer dependent coverage must offer the opportunity to enroll a dependent child in the dental insurance coverage at appropriate rates during the following periods:   A. From birth to 30 days of age; and   [PL 2009, c. 578, §3 (NEW); PL 2009, c. 578, §4 (AFF).]B. Any open or annual enrollment period.   [PL 2009, c. 578, §3 (NEW); PL 2009, c. 578, §4 (AFF).][PL 2009, c. 578, §3 (NEW); PL 2009, c. 578, §4 (AFF).] Revisor's Note: §2847-R. Coverage for children's early intervention services (As enacted by PL 2009, c. 634, §3; §5 is REALLOCATED TO TITLE 24-A, SECTION 2847-S) Revisor's Note: §2847-R. Coverage for the diagnosis and treatment of autism spectrum disorders (As enacted by PL 2009, c. 635, §3; §6 is REALLOCATED TO TITLE 24-A, §2847-T) SECTION HISTORY PL 2009, c. 578, §3 (NEW). PL 2009, c. 578, §4 (AFF). PL 2009, c. 634, §3 (NEW). PL 2009, c. 634, §5 (AFF). PL 2009, c. 635, §3 (NEW). PL 2009, c. 635, §6 (AFF). PL 2011, c. 420, Pt. A, §25 (RAL). PL 2011, c. 420, Pt. A, §26 (RAL).
24-A ME Rev Stat § 2847-S (2021)
2021 Maine Revised Statutes|TITLE 24-A: MAINE INSURANCE CODE|Chapter 35: GROUP AND BLANKET HEALTH INSURANCE|24-A §2847-S. Coverage for children's early intervention services (REALLOCATED FROM TITLE 24-A, SECTION 2847-R)

 §2847-S. Coverage for children's early intervention services (REALLOCATED FROM TITLE 24-A, SECTION 2847-R)1.  Definition.  For purposes of this section, "children's early intervention services" means services provided by licensed occupational therapists, physical therapists, speech-language pathologists or clinical social workers working with children from birth to 36 months of age with an identified developmental disability or delay as described in the federal Individuals with Disabilities Education Act, Part C, 20 United States Code, Section 1411, et seq.   [PL 2011, c. 420, Pt. A, §25 (RAL).] 2.  Required coverage.  All group health insurance policies, contracts and certificates must provide coverage for children's early intervention services in accordance with this subsection.   A. A referral from the child's primary care provider is required.   [PL 2011, c. 420, Pt. A, §25 (RAL).]B. The policy, contract or certificate may limit coverage to $3,200 per year for each child not to exceed $9,600 by the child's 3rd birthday.   [PL 2011, c. 420, Pt. A, §25 (RAL).]C. The policy, contract or certificate 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.   [PL 2011, c. 420, Pt. A, §25 (RAL).][PL 2011, c. 420, Pt. A, §25 (RAL).] SECTION HISTORY PL 2011, c. 420, Pt. A, §25 (RAL).
24-A ME Rev Stat § 2847-U (2021)
2021 Maine Revised Statutes|TITLE 24-A: MAINE INSURANCE CODE|Chapter 35: GROUP AND BLANKET HEALTH INSURANCE|24-A §2847-U. Coverage for services provided by dental therapist

 §2847-U. Coverage for services provided by dental therapist 1.  Services provided by dental therapist.  An insurer that issues group dental insurance or health insurance that includes coverage for dental services shall provide coverage for dental services performed by a dental therapist licensed under Title 32, chapter 143 when those services are covered services under the contract and when they are within the lawful scope of practice of the dental therapist.   [PL 2019, c. 388, §4 (AMD).] 2.  Limits; coinsurance; deductibles.  A contract that provides coverage for the services required by 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.   [PL 2013, c. 575, §6 (NEW); PL 2013, c. 575, §10 (AFF).] 3.  Coordination of benefits with dental insurance.  If an enrollee eligible for coverage under this section is eligible for coverage under a dental insurance policy or contract and a health insurance policy or contract, the insurer providing dental insurance is the primary payer responsible for charges under subsection 1 and the insurer providing group health insurance is the secondary payer.   [PL 2013, c. 575, §6 (NEW); PL 2013, c. 575, §10 (AFF).] SECTION HISTORY PL 2013, c. 575, §6 (NEW). PL 2013, c. 575, §10 (AFF). PL 2015, c. 429, §14 (AMD). PL 2019, c. 388, §4 (AMD).
24-A ME Rev Stat § 2847-V (2021)
2021 Maine Revised Statutes|TITLE 24-A: MAINE INSURANCE CODE|Chapter 35: GROUP AND BLANKET HEALTH INSURANCE|24-A §2847-V. Absolute discretion clauses

 §2847-V. Absolute discretion clauses A group health insurance policy, contract or certificate, including, but not limited to, a group disability income insurance policy, contract or certificate, may not contain a provision purporting to reserve sole or absolute discretion to the insurer to interpret the terms of the contract, to provide standards of interpretation or review, to determine eligibility for benefits, to determine the amount of benefits or to resolve factual disputes. An insurer may not enforce a provision in a policy, contract or certificate that was offered, executed, delivered or issued for delivery in this State and has been continued or renewed by a group policy holder in this State that purports to reserve sole or absolute discretion to the insurer to interpret the terms of the contract, to provide standards of interpretation or review, to determine eligibility for benefits, to determine the amount of benefits or to resolve factual disputes.   [PL 2019, c. 179, §2 (NEW).]SECTION HISTORY PL 2019, c. 179, §2 (NEW).
24-A ME Rev Stat § 2847-W (2021)
2021 Maine Revised Statutes|TITLE 24-A: MAINE INSURANCE CODE|Chapter 35: GROUP AND BLANKET HEALTH INSURANCE|24-A §2847-W. Dental benefit waiting period

 §2847-W. Dental benefit waiting period 1.  Enrollee defined.  For the purposes of this section, unless the context otherwise indicates, "enrollee" means a person who is covered under a group policy or contract provided by an insurer.   [PL 2019, c. 605, §6 (NEW).] 2.  No waiting period for enrollee under 19 years of age.  An insurer that issues group dental insurance or health insurance that includes coverage for dental services may not impose a waiting period, as defined in section 2848, subsection 5, for any dental or oral health service or treatment, except for orthodontic treatment, for an enrollee if the enrollee is under 19 years of age.   [PL 2019, c. 605, §6 (NEW).] SECTION HISTORY PL 2019, c. 605, §6 (NEW).
24-A ME Rev Stat § 2848-A (2021)
2021 Maine Revised Statutes|TITLE 24-A: MAINE INSURANCE CODE|Chapter 36: CONTINUITY OF HEALTH INSURANCE COVERAGE|24-A §2848-A. Applicability to certain self-insured employers

 §2848-A. Applicability to certain self-insured employers For purposes of this chapter, an uninsured employee health plan that covers employees working in this State, including the uninsured portion of a partially insured employee health plan, is considered a group medical insurance policy and the employer maintaining the plan is considered an insurer, if the plan is subject to state regulation by virtue of the governmental plan or nonelecting church plan exception to the federal definition of "employee benefit plan" in the federal Employee Retirement Income Security Act, 29 United States Code, Section 1003(b).   [PL 1997, c. 445, §23 (NEW); PL 1997, c. 445, §32 (AFF).]SECTION HISTORY PL 1997, c. 445, §23 (NEW). PL 1997, c. 445, §32 (AFF).
24-A ME Rev Stat § 2850 (2021)
2021 Maine Revised Statutes|TITLE 24-A: MAINE INSURANCE CODE|Chapter 36: CONTINUITY OF HEALTH INSURANCE COVERAGE|24-A §2850. Limitations on exclusion and waiting periods

 §2850. Limitations on exclusion and waiting periods 1.  Application.  This section applies to individual, group and blanket medical insurance contracts subject to chapters 33 and 35, except Medicare supplement contracts, converted contracts issued under section 2809‑A and contracts designed to cover specific diseases, hospital indemnity or accidental injury only.   [PL 1999, c. 256, Pt. L, §8 (AMD).] 1-A.  Definitions.  As used in this section, unless the context otherwise indicates, the following terms have the following meanings.   A. "Date of enrollment" means the effective date of coverage or, if earlier, the first day of the waiting period for such coverage.   [PL 2001, c. 258, Pt. E, §9 (NEW).]B. "Preexisting condition exclusion," with respect to coverage, means a limitation or exclusion of benefits relating to a condition based on the fact or perception that the condition was present, or that the person was at particularized risk of developing the condition, before the date of enrollment for coverage, whether or not any medical advice, diagnosis, care or treatment was recommended or received before that date.   [PL 2001, c. 258, Pt. E, §9 (NEW).][PL 2001, c. 258, Pt. E, §9 (RPR).] 2.  Limitation.  An individual, group or blanket contract issued by an insurer may not impose a preexisting condition exclusion. This subsection does not limit a carrier's ability to restrict enrollment in an individual contract to open enrollment and special enrollment periods in accordance with section 2736‑C, subsection 11.   A. [PL 2019, c. 5, Pt. A, §16 (RP).] B. [PL 2019, c. 5, Pt. A, §16 (RP).] C. [PL 2019, c. 5, Pt. A, §16 (RP).] D. [PL 2019, c. 5, Pt. A, §16 (RP).] E. [PL 2019, c. 5, Pt. A, §16 (RP).] F. [PL 2019, c. 5, Pt. A, §16 (RP).] [PL 2019, c. 5, Pt. A, §16 (AMD).] SECTION HISTORY PL 1989, c. 867, §§8,10 (NEW). PL 1991, c. 695, §11 (AMD). PL 1993, c. 477, §A15 (AMD). PL 1993, c. 477, §F1 (AFF). PL 1993, c. 547, §4 (AMD). PL 1997, c. 370, §C5 (AMD). PL 1997, c. 445, §§28,29 (AMD). PL 1997, c. 445, §32 (AFF). PL 1999, c. 256, §§L8,9 (AMD). PL 2001, c. 258, §§D3,E9 (AMD). PL 2007, c. 199, Pt. A, §8 (AMD). PL 2009, c. 244, Pt. E, §7 (AMD). PL 2011, c. 364, §18 (AMD). PL 2019, c. 5, Pt. A, §16 (AMD).
24-A ME Rev Stat § 2850-A (2021)
2021 Maine Revised Statutes|TITLE 24-A: MAINE INSURANCE CODE|Chapter 36: CONTINUITY OF HEALTH INSURANCE COVERAGE|24-A §2850-A. Gynecological and obstetrical services (REALLOCATED TO TITLE 24-A, SECTION 2847-F)

 §2850-A. Gynecological and obstetrical services (REALLOCATED TO TITLE 24-A, SECTION 2847-F)SECTION HISTORY PL 1995, c. 617, §4 (NEW). PL 1995, c. 617, §6 (AFF). PL 1997, c. 370, §H1 (RAL).
24-A ME Rev Stat § 2850-C (2021)
2021 Maine Revised Statutes|TITLE 24-A: MAINE INSURANCE CODE|Chapter 36: CONTINUITY OF HEALTH INSURANCE COVERAGE|24-A §2850-C. Nondiscrimination

 §2850-C. Nondiscrimination 1.  Application.  This section applies to group medical insurance contracts subject to chapter 35 other than contracts designed to cover specific diseases, hospital indemnity or accidental injury only.   [PL 1997, c. 445, §30 (NEW); PL 1997, c. 445, §32 (AFF).] 2.  Eligibility and premium contributions.  A carrier may not establish rules for eligibility of an individual to enroll, or require an individual to pay a premium or contribution that is greater than that for a similarly situated individual, based on health status, medical condition, claims experience, receipt of health care, medical history, genetic information, evidence of insurability or disability in relation to the individual or a dependent of the individual. Nothing in this section requires a group health plan to provide particular benefits other than those provided under the terms of the plan or restricts the amount an employer may be charged for coverage. Nothing in this section prohibits establishing limitations or restrictions on the amount, level, extent or nature of the benefits for similarly situated individuals enrolled in the plan. Nothing in this section prohibits a carrier from establishing premium discounts or refunds or modifying applicable copayments or deductibles in return for adherence to programs of health promotion and disease prevention.   [PL 1997, c. 445, §30 (NEW); PL 1997, c. 445, §32 (AFF).] 3.  Applicability of section 4320-L.  In addition to the requirements of this section, a carrier is subject to section 4320‑L.   [PL 2019, c. 5, Pt. C, §1 (NEW).] SECTION HISTORY PL 1997, c. 445, §30 (NEW). PL 1997, c. 445, §32 (AFF). PL 2019, c. 5, Pt. C, §1 (AMD).
24-A ME Rev Stat § 2850-D (2021)
2021 Maine Revised Statutes|TITLE 24-A: MAINE INSURANCE CODE|Chapter 36: CONTINUITY OF HEALTH INSURANCE COVERAGE|24-A §2850-D. Rules

 §2850-D. Rules Rules adopted pursuant to this chapter are routine technical rules as defined in Title 5, chapter 375, subchapter II‑A.   [PL 1997, c. 445, §30 (NEW); PL 1997, c. 445, §32 (AFF).]SECTION HISTORY PL 1997, c. 445, §30 (NEW). PL 1997, c. 445, §32 (AFF).
24-A ME Rev Stat § 2851 (2021)
2021 Maine Revised Statutes|TITLE 24-A: MAINE INSURANCE CODE|Chapter 37: CONSUMER CREDIT INSURANCE|24-A §2851. Scope of provisions

 §2851. Scope of provisions All life insurance and all health insurance in connection with loans or other credit transactions, credit property insurance, credit involuntary unemployment insurance and other consumer credit insurance specifically authorized by the superintendent in rules adopted pursuant to section 2865 are subject to this chapter, except the following:   [PL 2001, c. 471, Pt. D, §25 (AMD).]1.  Long-term loan.  Insurance in connection with a loan or other credit transaction of more than 15 years' duration;   [PL 1999, c. 256, Pt. H, §1 (NEW).] 2.  Isolated transactions.  Insurance issued in an isolated transaction on the part of the insurer not related to an agreement or a plan for insuring debtors of the creditor;   [PL 2001, c. 138, §4 (AMD).] 3.  Real estate loan.  Insurance in connection with real estate loans when the charge, if any, to the debtor is periodic and not financed;   [PL 2001, c. 138, §4 (AMD).] 4.  Casualty insurance.  Insurance issued pursuant to section 707, subsection 1, paragraph I against loss or damage resulting from failure of debtors to pay their obligations to the insured; or   [PL 2001, c. 138, §4 (NEW).] 5.  Debt cancellation agreements.  Debt cancellation agreements entered into between financial institutions or credit unions and their debtors.   [PL 2001, c. 138, §4 (NEW).] SECTION HISTORY PL 1969, c. 132, §1 (NEW). PL 1975, c. 288, §4 (AMD). PL 1981, c. 175, §3 (RPR). PL 1999, c. 256, §H1 (RPR). PL 2001, c. 138, §4 (AMD). PL 2001, c. 471, §D25 (AMD).
24-A ME Rev Stat § 2851-A (2021)
2021 Maine Revised Statutes|TITLE 24-A: MAINE INSURANCE CODE|Chapter 37: CONSUMER CREDIT INSURANCE|24-A §2851-A. Short title

 §2851-A. Short title This chapter may be known and cited as the "Consumer Credit Insurance Act."   [PL 2001, c. 138, §5 (NEW).]SECTION HISTORY PL 2001, c. 138, §5 (NEW).
24-A ME Rev Stat § 2852 (2021)
2021 Maine Revised Statutes|TITLE 24-A: MAINE INSURANCE CODE|Chapter 37: CONSUMER CREDIT INSURANCE|24-A §2852. Purpose; construction

 §2852. Purpose; construction The purpose of this chapter is to promote the public welfare by regulating consumer credit insurance. Nothing in this chapter is intended to prohibit or discourage reasonable competition. This chapter must be liberally construed.   [PL 2001, c. 138, §6 (AMD).]SECTION HISTORY PL 1969, c. 132, §1 (NEW). PL 2001, c. 138, §6 (AMD).
24-A ME Rev Stat § 2853 (2021)
2021 Maine Revised Statutes|TITLE 24-A: MAINE INSURANCE CODE|Chapter 37: CONSUMER CREDIT INSURANCE|24-A §2853. Definitions

 §2853. Definitions For the purpose of this chapter:   [PL 1969, c. 132, §1 (NEW).]1.  "Credit life insurance" means insurance on the life of a debtor pursuant to or in connection with a specific loan or other credit transaction.   [PL 1969, c. 132, §1 (NEW).] 2.  "Credit health insurance" means insurance on a debtor to provide indemnity for payments becoming due on a specific loan or other credit transaction while the debtor is disabled as defined in the policy.   [PL 1969, c. 132, §1 (NEW).] 2-A.  "Credit involuntary unemployment insurance" means involuntary unemployment insurance insuring a debtor pursuant to or in connection with a specific loan or other credit transaction.   [PL 2001, c. 138, §7 (NEW).] 2-B.  "Credit property insurance" means property insurance on property that is purchased on credit or pledged as collateral on a loan when the insurance is purchased by or issued to the debtor in connection with that loan or credit transaction.   [PL 2001, c. 138, §7 (NEW).] 2-C.  "Consumer credit insurance" means insurance subject to this chapter under section 2851.   [PL 2001, c. 138, §7 (NEW).] 3.  "Creditor" means the lender of money or vendor or lessor of goods, services or property, rights or privileges for which payment is arranged through a credit transaction, or any successor to the right, title or interest of any such lender, vendor or lessor, and an affiliate, associate or subsidiary of any of them, or any director, officer or employee of any of them, or any other person in any way associated with any of them.   [PL 1969, c. 132, §1 (NEW).] 4.  "Debtor" means a borrower of money or a purchaser or lessee of goods, services, property, rights or privileges for which payment is arranged through a credit transaction.   [PL 1969, c. 132, §1 (NEW).] 5.  "Indebtedness" means the total amount payable by a debtor to a creditor in connection with a loan or other credit transaction.   [PL 1969, c. 132, §1 (NEW).] SECTION HISTORY PL 1969, c. 132, §1 (NEW). PL 2001, c. 138, §7 (AMD).