Maine Revised Statutes
Subchapter 1: GENERAL PROVISIONS
24 §2318. Maternity benefits and dependent coverage

§2318. Maternity benefits and dependent coverage
1.  Definitions.  For the purposes of this section, unless the context otherwise indicates, the following terms have the following meanings.  
A. "Dependent children" means children who are under 19 years of age and are children, stepchildren or adopted children of, or children placed for adoption with, the subscriber, member or spouse of the subscriber or member.   [PL 1993, c. 666, Pt. A, §1 (NEW).]
B. "Placed for adoption" means the assumption and retention of a legal obligation by a person for the total or partial support of a child in anticipation of adoption of the child. If the legal obligation ceases to exist, the child is no longer considered placed for adoption.   [PL 1993, c. 666, Pt. A, §1 (NEW).]
[PL 1993, c. 666, Pt. A, §1 (RPR).]
2.  Maternity benefits.  All individual or group contracts issued by any nonprofit hospital or medical service organization operating pursuant to this chapter must provide to unmarried subscribers or members and minor dependents of the subscribers or members the same minimum maternity benefits and the same option for additional maternity benefits, at appropriate rates and under the same terms and conditions as those benefits or options for benefits are provided to married subscribers or members. This requirement applies to all individual or group contracts issued or renewed after the effective date of this subsection.  
[PL 1991, c. 200, Pt. B, §1 (NEW).]
3.  Coverage.  All individual or group contracts issued in accordance with the requirements of this section must provide unmarried subscribers with the same benefits or option of benefits for dependent children as is extended to dependent children of married subscribers, at appropriate rates and under the same terms and conditions.  
[PL 1991, c. 200, Pt. B, §1 (NEW).]
4.  Financial dependency.  Financial dependency of dependent children on the subscriber or member or the spouse of the subscriber or member may not be required as a condition for eligibility for coverage.  
[PL 1991, c. 200, Pt. B, §1 (NEW).]
5.  Adopted children.  All individual or group contracts issued in accordance with the requirements of this section must provide the same benefits to dependent children placed for adoption with the subscriber or spouse of the subscriber under the same terms and conditions as apply to natural dependent children or stepchildren of the subscriber or spouse of the subscriber, irrespective of whether the adoption has become final.  
[PL 1993, c. 666, Pt. A, §2 (NEW).]
6.  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 2003, c. 517, Pt. B, §1 (NEW).]
Revisor's Note: §2318. Newborn children coverage (REPEALED BY PL 1975, c. 700, §100)
SECTION HISTORY
PL 1975, c. 276, §1 (NEW). PL 1975, c. 428, §1 (NEW). PL 1975, c. 770, §100 (RP). PL 1991, c. 200, §B1 (RPR). PL 1993, c. 666, §§A1,2 (AMD). PL 2003, c. 517, §B1 (AMD).

Structure Maine Revised Statutes

Maine Revised Statutes

TITLE 24: INSURANCE

Chapter 19: NONPROFIT HOSPITAL OR MEDICAL SERVICE ORGANIZATIONS

Subchapter 1: GENERAL PROVISIONS

24 §2301. Purposes

24 §2301-A. Continuity of licensure; business combinations

24 §2302. Incorporation

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 §2304. Licenses

24 §2305. -- Issuance of

24 §2305-A. Conditions of certificate of authority

24 §2306. Reports

24 §2307. Examination

24 §2307-A. Rules

24 §2307-B. Loss information (REPEALED)

24 §2308. Investments (REPEALED)

24 §2308-A. Health insurance affiliates

24 §2309. Disputes

24 §2310. Dissolution

24 §2311. Taxation

24 §2312. Agents (REPEALED)

24 §2313. Licenses; fees (REPEALED)

24 §2314. Suspension or revocation of certificate of authority

24 §2315. Penalties

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 §2322. Hearing

24 §2323. Order

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. Group rates

24 §2327-A. Applicability (REPEALED)

24 §2327-B. Rating practices in individual insurance (REPEALED)

24 §2327-C. Continuity of health insurance coverage (REPEALED)

24 §2328. Health care contracts; supplementing Medicare; compliance with provisions of Title 24-A, chapter 67 (REPEALED)

24 §2328-A. Nursing home and long-term care contracts; compliance with Title 24-A, chapter 68 (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. Assessment for the recoupment of expenses related to the regulation of nonprofit hospital or medical service organizations and nonprofit health care plans

24 §2332-A. Coordination of benefits

24 §2332-B. Acquired Immune Deficiency Syndrome

24 §2332-C. Assessment of mandated benefits proposals (REPEALED)

24 §2332-D. Jury service

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-K. Coverage for services of certified nurse practitioners; certified midwives; certified nurse midwives (REALLOCATED FROM TITLE 24, SECTION 2332-J)

24 §2332-L. Coverage for services provided by registered nurse first assistants (REALLOCATED FROM TITLE 24, SECTION 2332-J)

24 §2332-M. Coverage for general anesthesia for dentistry

24 §2332-N. Offer of coverage for breast reduction surgery and symptomatic varicose vein surgery