Maine Revised Statutes
Chapter 33: HEALTH INSURANCE CONTRACTS
24-A §2713. Payment of claims

§2713. Payment of claims
1.  There shall be a provision as follows:
Payment of claims: Indemnity for loss of life will be payable in accordance with the beneficiary designation and the provisions respecting such payment which may be prescribed herein and effective at the time of payment. If no such designation or provision is then effective, such indemnity shall be payable to the estate of the insured. Any other accrued indemnities unpaid at the insured's death may, at the option of the company, be paid either to such beneficiary or to such estate. All other indemnities will be payable to the insured.
 
[PL 1969, c. 132, §1 (NEW).]
2.  The following provisions, or either of them, may be included with the foregoing provision at the option of the insurer:  
A. "If any indemnity of this policy shall be payable to the estate of the insured, or to an insured or beneficiary who is a minor or otherwise not competent to give a valid release, the insurer may pay such indemnity, up to an amount not exceeding $ (insert an amount which shall not exceed $1,000), to any relative by blood or connection by marriage of the insured or beneficiary who is deemed by the insurer to be equitably entitled thereto. Any payment made by the insurer in good faith pursuant to this provision shall fully discharge the insurer to the extent of such payment.   [PL 1969, c. 132, §1 (NEW).]
B. Subject to any written direction of the insured in the application or otherwise all or a portion of any indemnities provided by this policy on account of hospital, nursing, medical or surgical services may, at the insurer's option and unless the insured requests otherwise in writing not later than the time of filing proofs of such loss, be paid directly to the hospital or person rendering such services; but it is not required that the service be rendered by a particular hospital or person. Nothing in this provision prohibits an insurer from providing an incentive for insureds to use the services of a particular provider.   [PL 1985, c. 704, §5 (AMD).]
[PL 1985, c. 704, §5 (AMD).]
SECTION HISTORY
PL 1969, c. 132, §1 (NEW). PL 1985, c. 704, §5 (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