Maine Revised Statutes
Chapter 33: HEALTH INSURANCE CONTRACTS
24-A §2703. Scope, format of policy

§2703. Scope, format of policy
No policy of health insurance shall be delivered or issued for delivery to any person in this State unless it otherwise complies with this Title, and complies with the following:   [PL 1969, c. 132, §1 (NEW).]
1.  The entire money and other considerations therefore shall be expressed therein;  
[PL 1969, c. 132, §1 (NEW).]
2.  The time when the insurance takes effect and terminates shall be expressed therein;  
[PL 1969, c. 132, §1 (NEW).]
3.  It shall purport to insure only one person, except that a policy may insure, originally or by subsequent amendment, upon the application of an adult member of a family, who shall be deemed the policyholder, any 2 or more eligible members of that family, including husband, wife, dependent children or any children under a specified age which shall not exceed 23 years and any other person dependent upon the policyholder;  
[PL 1969, c. 132, §1 (NEW).]
4.  The style, arrangement and overall appearance of the policy shall give no undue prominence to any portion of the text, and every printed portion of the text of the policy and of any endorsements or attached papers shall be plainly printed in light-faced type of a style in general use, the size of which shall be uniform and not less than ten-point with a lower case unspaced alphabet length not less than one hundred and twenty-point; the "text" shall include all printed matter except the name and address of the insurer, name or title of the policy, the brief description, if any, and captions and subcaptions;  
[PL 1969, c. 132, §1 (NEW).]
5.  The exceptions and reductions of indemnity shall be set forth in the policy and, other than those contained in sections 2705 to 2729, shall be printed, at the insurer's option, either included with the benefit provision to which they apply, or under an appropriate caption such as "Exceptions", or "Exceptions and Reductions", except that if an exception or reduction specifically applies only to a particular benefit of the policy, a statement of such exception or reduction shall be included with the benefit provision to which it applies;  
[PL 1969, c. 132, §1 (NEW).]
6.  Each such form, including riders and endorsements, shall be identified by a form number in the lower left-hand corner of the first page thereof; and  
[PL 1969, c. 132, §1 (NEW).]
7.  The policy shall contain no provision purporting to make any portion of the charter, rules, constitution or bylaws of the insurer a part of the policy unless such portion is set forth in full in the policy, except in the case of the incorporation of, or reference to, a statement of rates or classification of risks, or short-rate table filed with the superintendent.  
[PL 1973, c. 585, §12 (AMD).]
SECTION HISTORY
PL 1969, c. 132, §1 (NEW). PL 1973, c. 585, §12 (AMD).

Structure Maine Revised Statutes

Maine Revised Statutes

TITLE 24-A: MAINE INSURANCE CODE

Chapter 33: HEALTH INSURANCE CONTRACTS

24-A §2701. Scope of chapter

24-A §2702. Short title

24-A §2703. Scope, format of policy

24-A §2704. Required provisions; captions -- omissions -- substitutions

24-A §2705. Entire contract -- changes

24-A §2706. Time limit on certain defenses

24-A §2707. Grace period

24-A §2707-A. Notification prior to cancellation; restrictions on lapse or termination due to cognitive impairment or functional incapacity

24-A §2708. Reinstatement

24-A §2709. Notice of claim

24-A §2710. Claim forms

24-A §2711. Proofs of loss

24-A §2712. Time of payment of claims

24-A §2713. Payment of claims

24-A §2713-A. Explanation and notice to parent

24-A §2714. Physical examination, autopsy

24-A §2715. Legal actions

24-A §2716. Change of beneficiary

24-A §2717. Right to examine and return policy

24-A §2717-A. Disability benefit offsets

24-A §2718. Optional policy provisions

24-A §2719. Change of occupation

24-A §2720. Misstatement of age

24-A §2721. Overinsurance -- same insurer (REPEALED)

24-A §2721-A. Overinsurance in accident policies; same insurer

24-A §2721-B. Flight insurance limitation (REPEALED)

24-A §2722. Insurance with other insurers, provision of service or expense incurred basis

24-A §2723. Insurance with other insurers -- other benefits

24-A §2723-A. Coordination of benefits

24-A §2724. Relation of earnings to insurance

24-A §2725. Unpaid premiums

24-A §2726. Conformity with state statutes

24-A §2727. Illegal occupation

24-A §2728. Intoxicants and narcotics

24-A §2729. Renewability

24-A §2729-A. Limits on priority liens

24-A §2730. Order of certain provisions

24-A §2731. Third party ownership

24-A §2731-A. "Medically necessary mastectomy surgery" defined (REPEALED)

24-A §2732. Requirements of other jurisdictions

24-A §2733. Policies issued for delivery in another state

24-A §2734. Conforming to statute

24-A §2735. Age limit

24-A §2735-A. Notice of rate filing and rate increase

24-A §2736. Rate filings on individual health insurance policies

24-A §2736-A. Hearing

24-A §2736-B. Order

24-A §2736-C. Individual health plans

24-A §2737. Noncancellable disability insurance defined

24-A §2738. Notice as to renewability

24-A §2739. Lapse of policy, advance notice; limitation of action

24-A §2740. Franchise health insurance law (REPEALED)

24-A §2741. Maternity benefits for unmarried women policyholders and the minor dependents of policyholders with dependent or family coverage required

24-A §2741-A. Mandated offer of domestic partner benefits

24-A §2742. Child coverage

24-A §2742-A. Extension of coverage for dependent children

24-A §2742-B. Mandatory offer to extend coverage for dependent children up to 26 years of age

24-A §2742-C. Mandatory offer of coverage for certain adults with disabilities

24-A §2743. Newborn children coverage

24-A §2743-A. Maternity and routine newborn care

24-A §2743-B. Maternity and postpartum care

24-A §2744. Mental health services

24-A §2745. Home health care coverage

24-A §2745-A. Screening mammograms

24-A §2745-B. Acupuncture services

24-A §2745-C. Coverage for breast cancer treatment

24-A §2745-D. Medical food coverage for inborn error of metabolism

24-A §2745-E. Off-label use of prescription drugs for cancer

24-A §2745-F. Off-label use of prescription drugs for HIV or AIDS

24-A §2745-G. Coverage for prostate cancer screening (REALLOCATED FROM TITLE 24-A, SECTION 2745-E)

24-A §2746. Optional coverage for chiropractic services (REALLOCATED TO TITLE 24-A, SECTION 2840)

24-A §2747. Review and arbitration

24-A §2748. Coverage for chiropractic services

24-A §2749. Utilization review data

24-A §2749-A. Penalty for failure to notify of hospitalization

24-A §2749-B. Penalty for noncompliance with utilization review programs

24-A §2749-C. Mental health services coverage

24-A §2750. Acquired Immune Deficiency Syndrome

24-A §2751. Assessment of mandated benefits proposals; studies of mandated benefits issues (REPEALED)

24-A §2752. Mandated health legislation procedures

24-A §2753. Standardized claim forms

24-A §2754. Coverage for diabetes supplies

24-A §2755. Assignment of benefits

24-A §2756. Coverage for contraceptives

24-A §2757. Coverage for services of certified nurse practitioners; certified midwives; certified nurse midwives (REALLOCATED FROM TITLE 24-A, SECTION 2756)

24-A §2758. Coverage for services provided by registered nurse first assistants (REALLOCATED FROM TITLE 24-A, SECTION 2756)

24-A §2759. Coverage for hospice care services

24-A §2760. Coverage for general anesthesia for dentistry (REALLOCATED FROM TITLE 24-A, SECTION 2759)

24-A §2761. Offer of coverage for breast reduction surgery and symptomatic varicose vein surgery

24-A §2762. Coverage for hearing aids

24-A §2763. Coverage for colorectal cancer screening

24-A §2764. Coverage for medically necessary infant formula (REALLOCATED FROM TITLE 24-A, SECTION 2763)

24-A §2765. Coverage for services provided by independent practice dental hygienist

24-A §2765-A. Coverage for services provided by dental therapist

24-A §2766. Enrollment of dependent children in dental coverage

24-A §2766-A. Dental benefit waiting period

24-A §2767. Coverage for children's early intervention services (REALLOCATED FROM TITLE 24-A, SECTION 2766)

24-A §2768. Coverage for the diagnosis and treatment of autism spectrum disorders (REALLOCATED FROM TITLE 24-A, SECTION 2766)

24-A §2769. Prescription synchronization

24-A §2770. Absolute discretion clauses