Maine Revised Statutes
Chapter 33: HEALTH INSURANCE CONTRACTS
24-A §2706. Time limit on certain defenses

§2706. Time limit on certain defenses
There shall be a provision as follows:   [PL 1969, c. 132, §1 (NEW).]
Time limit on certain defenses: (a) After 3 years from the date of issue of this policy no misstatements, except fraudulent misstatements, made by the applicant in the application for such policy shall be used to void the policy or to deny a claim for loss incurred or disability, as defined in the policy, commencing after the expiration of such 3-year period.   [PL 1969, c. 132, §1 (NEW).]
1.  The foregoing policy provision shall not be so construed as to affect any legal requirement for avoidance of a policy or denial of a claim during such initial 3-year period, nor to limit the application of sections 2717 through 2723 in the event of misstatement with respect to age or occupation or other insurance.  
[PL 1969, c. 132, §1 (NEW).]
2.  A policy which the insured has the right to continue in force subject to its terms by the timely payment of premium 1 until at least age 50 or, 2 in the case of a policy issued after age 44, for at least 5 years from its date of issue, may contain in lieu of the foregoing the following provision, from which the clause in parentheses may be omitted at the insurer's option, under the caption "Incontestable:"  
[PL 1969, c. 132, §1 (NEW).]
After this policy has been in force for a period of 3 years during the lifetime of the insured (excluding any period during which the insured is disabled), it shall become incontestable as to the statements contained in the application.   [PL 1969, c. 132, §1 (NEW).]
(b) No claim for loss incurred or disability, as defined in the policy, commencing after 3 years from the date of issue of this policy shall be reduced or denied on the ground that a disease or physical condition not excluded from coverage by name or specific description effective on the date of loss had existed prior to the effective date of coverage of this policy.   [PL 1969, c. 132, §1 (NEW).]
SECTION HISTORY
PL 1969, c. 132, §1 (NEW).

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