§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
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