§2316. Certificates or contracts; approval by superintendent
A nonprofit hospital and medical service organization may not issue or deliver in this State any certificate or other evidence of any contract unless and until the form used, together with the form of application and all riders or endorsements for use in connection with the certificate or other evidence of a contract, have been filed with and approved by the superintendent as conforming to reasonable rules and regulations from time to time made by the superintendent and as consistent with any other provisions of law. The superintendent shall, within a reasonable time after the filing of any such form, notify the organization filing the form either of the approval or of the disapproval of the form. The superintendent may approve any form that in the superintendent's opinion contains provisions on any one or more of the several requirements made by the superintendent that are more favorable to the subscribers than the one or ones required. The superintendent is authorized to make, alter and supersede reasonable regulations prescribing the required, optional and prohibited provisions in any contracts, and such regulations must conform, as far as practicable, to Title 24‑A, chapters 33 and 35. If the superintendent determines those chapters to be inapplicable, either in part or in their entirety, the superintendent may prescribe the portions or summary of the contract to be printed on the certificate issued to the subscriber. Any filing made in accordance with this section is deemed approved unless disapproved within 60 days from the date of the filing. [PL 1999, c. 256, Pt. M, §8 (AMD).]
SECTION HISTORY
PL 1971, c. 444, §11 (NEW). PL 1973, c. 585, §12 (AMD). PL 1979, c. 267, §1 (AMD). PL 1979, c. 541, §B30 (AMD). PL 1981, c. 205, §1 (AMD). PL 1997, c. 369, §1 (AMD). PL 1999, c. 256, §M8 (AMD).
Structure Maine Revised Statutes
Chapter 19: NONPROFIT HOSPITAL OR MEDICAL SERVICE ORGANIZATIONS
Subchapter 1: GENERAL PROVISIONS
24 §2301-A. Continuity of licensure; business combinations
24 §2302-A. Utilization review data
24 §2302-B. Penalty for failure to notify of hospitalization
24 §2302-C. Penalty for noncompliance with utilization review programs
24 §2303. Mental health services
24 §2303-A. Dentist included in definition of physician (REPEALED)
24 §2303-B. Optional coverage for chiropractic services (REPEALED)
24 §2303-C. Coverage for chiropractic services (REPEALED)
24 §2305-A. Conditions of certificate of authority
24 §2307-B. Loss information (REPEALED)
24 §2308. Investments (REPEALED)
24 §2308-A. Health insurance affiliates
24 §2313. Licenses; fees (REPEALED)
24 §2314. Suspension or revocation of certificate of authority
24 §2316. Certificates or contracts; approval by superintendent
24 §2317. Other provisions applicable
24 §2317-A. Explanation and notice to parent of minor (REPEALED)
24 §2317-B. Applicability of provisions
24 §2318. Maternity benefits and dependent coverage
24 §2318-A. Maternity and routine newborn care
24 §2319. Newborn children coverage
24 §2319-A. Mandated offer of domestic partner benefits
24 §2320. Home health care coverage
24 §2320-A. Screening mammograms
24 §2320-B. Acupuncture services
24 §2320-C. Coverage for breast cancer treatment
24 §2320-D. Medical food coverage for inborn error of metabolism
24 §2320-E. Coverage for Pap tests
24 §2320-F. Off-label use of prescription drugs for cancer
24 §2320-G. Off-label use of prescription drugs for HIV or AIDS
24 §2321. Rate filings on individual subscriber and membership contracts
24 §2321-A. Standards for when filings are inadequate
24 §2321-B. Appropriate level of subscriber reserves
24 §2324. Certified ambulatory health care center outpatient coverage
24 §2325. Community health services coverage (REPEALED)
24 §2325-A. Mental health services coverage
24 §2325-B. Mandated Benefits Advisory Commission (REPEALED)
24 §2325-C. Coverage for prostate cancer screening
24 §2326. Appeals from order or decision of the superintendent
24 §2327-A. Applicability (REPEALED)
24 §2327-B. Rating practices in individual insurance (REPEALED)
24 §2327-C. Continuity of health insurance coverage (REPEALED)
24 §2329. Equitable health care for substance use disorder treatment
24 §2330. Conversion on termination of contracts or eligibility (REPEALED)
24 §2331. Optional coverage for optometric services
24 §2332-A. Coordination of benefits
24 §2332-B. Acquired Immune Deficiency Syndrome
24 §2332-C. Assessment of mandated benefits proposals (REPEALED)
24 §2332-E. Standardized claim forms
24 §2332-F. Coverage for diabetes supplies
24 §2332-G. Gynecological and obstetrical services (REALLOCATED FROM TITLE 24, SECTION 2332-F)
24 §2332-H. Assignment of benefits
24 §2332-I. Effective date of cancellation
24 §2332-J. Coverage for contraceptives
24 §2332-M. Coverage for general anesthesia for dentistry
24 §2332-N. Offer of coverage for breast reduction surgery and symptomatic varicose vein surgery