Maine Revised Statutes
Chapter 35: GROUP AND BLANKET HEALTH INSURANCE
24-A §2813. "Blanket health insurance" defined

§2813. "Blanket health insurance" defined
Blanket health insurance is hereby declared to be that form of health insurance covering groups of persons as enumerated in one of the following paragraphs:   [PL 1969, c. 132, §1 (NEW).]
1.  Under a policy or contract issued to any common carrier or to any operator, owner or lessee of a means of transportation, who or which shall be deemed the policyholder, covering a group of persons who may become passengers defined by reference to their travel status on such common carrier or such means of transportation.  
[PL 1969, c. 132, §1 (NEW).]
2.  Under a policy or contract issued to an employer, who shall be deemed the policyholder, covering any group of employees, dependents or guests, defined by reference to specified hazards incident to an activity or activities or operations of the policyholder.  
[PL 1969, c. 132, §1 (NEW).]
3.  Under a policy or contract issued to a college, school or other institution of learning, a school district or districts, or school jurisdictional unit, or to the head, principal or governing board of any such educational unit, who or which shall be deemed the policyholder, covering students, teachers, or employees.  
[PL 1969, c. 132, §1 (NEW).]
4.  Under a policy or contract issued to any religious, charitable, recreational, educational, or civic organization, or branch thereof, which shall be deemed the policyholder, covering any group of members or participants defined by reference to specified hazards incident to an activity or activities or operations sponsored or supervised by such policyholder.  
[PL 1969, c. 132, §1 (NEW).]
5.  Under a policy or contract issued to a sports team, camp or sponsor thereof, which shall be deemed the policyholder, covering members, campers, employees, officials or supervisors.  
[PL 1969, c. 132, §1 (NEW).]
6.  Under a policy or contract issued to any volunteer fire department or first aid, emergency management or other such volunteer organization, which is deemed the policyholder, covering any group of members or participants defined by reference to specified hazards incident to an activity or activities or operations sponsored or supervised by the policyholder.  
[PL 2013, c. 462, §3 (AMD).]
7.  Under a policy or contract issued to a newspaper or other publisher, which shall be deemed the policyholder, covering its carriers.  
[PL 1969, c. 132, §1 (NEW).]
8.  Under a policy or contract issued to an association, including a labor union, which has a constitution and bylaws and which has been organized and is maintained in good faith for purposes other than that of obtaining insurance, which shall be deemed the policyholder, covering any group of members or participants defined by reference to specified hazards incident to an activity or activities or operations sponsored or supervised by such policyholder.  
[PL 1969, c. 132, §1 (NEW).]
9.  Under a policy or contract issued to cover any other risk or class of risks which, in the discretion of the superintendent, may be properly eligible for blanket health insurance. The discretion of the superintendent may be exercised on an individual risk basis or class of risks, or both.  
[PL 1973, c. 585, §12 (AMD).]
Policies that otherwise meet the description of group policies pursuant to section 2804, 2805, 2805‑A, 2806, 2807, 2807‑A or 2808‑B are not blanket policies.   [PL 2011, c. 238, Pt. B, §1 (NEW).]
SECTION HISTORY
PL 1969, c. 132, §1 (NEW). PL 1973, c. 585, §12 (AMD). PL 2011, c. 238, Pt. B, §1 (AMD). PL 2013, c. 462, §3 (AMD).

Structure Maine Revised Statutes

Maine Revised Statutes

TITLE 24-A: MAINE INSURANCE CODE

Chapter 35: GROUP AND BLANKET HEALTH INSURANCE

24-A §2801. Scope of chapter -- short title

24-A §2802. Group insurance defined

24-A §2803. Requirements

24-A §2803-A. Loss information

24-A §2804. Employee groups

24-A §2804-A. Private purchasing alliances

24-A §2804-B. Group disability income protection plan

24-A §2805. Labor union groups

24-A §2805-A. Association groups

24-A §2806. Trustee groups

24-A §2807. Debtor groups

24-A §2807-A. Credit union groups

24-A §2808. Other groups

24-A §2808-A. Rating practices in group health insurance (REPEALED)

24-A §2808-B. Small group health plans

24-A §2809. Coverage of family, dependents; continuation of coverage

24-A §2809-A. Conversion on termination of policy or eligibility

24-A §2810. Group health insurance payments; beneficiaries

24-A §2811. Payment of expenses

24-A §2812. Readjustment of premium rate (REPEALED)

24-A §2812-A. Dividends and experience refunds

24-A §2813. "Blanket health insurance" defined

24-A §2814. Blanket health insurance; payments; beneficiaries

24-A §2815. Legal liability of policyholders

24-A §2816. Requirements

24-A §2817. Applicant's statements; waivers, amendments

24-A §2818. Statements in application

24-A §2819. New employees, members

24-A §2820. Renewal of policy

24-A §2821. Individual certificates

24-A §2822. Age limits

24-A §2823. Notice of claim

24-A §2823-A. Explanation and notice to parent

24-A §2823-B. Standardized claim forms

24-A §2824. Proof of loss

24-A §2825. Forms for proof of loss

24-A §2826. Examination, autopsy

24-A §2827. Time for payment of benefits

24-A §2827-A. Assignment of benefits

24-A §2828. Time for suits

24-A §2829. Exceptions

24-A §2829-A. Disability benefit offsets

24-A §2830. Omissions, modifications: superintendent may approve

24-A §2831. Hospital, medical benefits; direct payment

24-A §2832. Maternity benefits for unmarried women certificate holders and the minor dependents of certificate holders with dependent or family coverage required

24-A §2832-A. Mandated offer of domestic partner benefits

24-A §2833. Child coverage

24-A §2833-A. Extension of coverage for dependent children

24-A §2833-B. Mandatory offer to extend coverage for dependent children up to 26 years of age

24-A §2833-C. Mandatory offer of coverage for certain adults with disabilities

24-A §2834. Newborn children coverage

24-A §2834-A. Maternity and routine newborn care

24-A §2834-B. Dependent special enrollment period

24-A §2834-C. Compliance with federal law

24-A §2834-D. Maternity and postpartum care

24-A §2835. Mental health services

24-A §2836. Limits on priority liens

24-A §2837. Home health care coverage

24-A §2837-A. Screening mammograms

24-A §2837-B. Acupuncture services

24-A §2837-C. Coverage for breast cancer treatment

24-A §2837-D. Medical food coverage for inborn error of metabolism

24-A §2837-E. Coverage for Pap tests

24-A §2837-F. Off-label use of prescription drugs for cancer

24-A §2837-G. Off-label use of prescription drugs for HIV or AIDS

24-A §2837-H. Coverage for prostate cancer screening (REALLOCATED FROM TITLE 24-A, SECTION 2837-F)

24-A §2838. Community health service coverage (REPEALED)

24-A §2839. Rates filed

24-A §2839-A. Notice of rate increase

24-A §2839-B. Large group rates

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

24-A §2840-A. Coverage for chiropractic services

24-A §2841. Optional coverage for optometric services

24-A §2842. Equitable health care for substance use disorder treatment

24-A §2843. Mental health services coverage

24-A §2844. Coordination of benefits

24-A §2845. Cardiac rehabilitation coverage

24-A §2846. Acquired Immune Deficiency Syndrome

24-A §2847. Utilization review data

24-A §2847-A. Penalty for failure to notify of hospitalization

24-A §2847-B. Jury service

24-A §2847-C. Notification prior to cancellation; restrictions on cancellation, termination or lapse due to cognitive impairment or functional incapacity

24-A §2847-D. Penalty for noncompliance with utilization review programs

24-A §2847-E. Coverage for diabetes supplies

24-A §2847-F. Gynecological and obstetrical services (REALLOCATED FROM TITLE 24-A, SECTION 2850-A)

24-A §2847-G. Coverage for contraceptives

24-A §2847-H. Coverage for services of certified nurse practitioners; certified midwives; certified nurse midwives (REALLOCATED FROM TITLE 24-A, SECTION 2847-G)

24-A §2847-I. Coverage for services provided by registered nurse first assistants (REALLOCATED FROM TITLE 24-A, SECTION 2847-G)

24-A §2847-J. Coverage for hospice care services

24-A §2847-K. Coverage for general anesthesia for dentistry (REALLOCATED FROM TITLE 24-A, SECTION 2847-J)

24-A §2847-L. Offer of coverage for breast reduction surgery and symptomatic varicose vein surgery

24-A §2847-M. Enrollment for individuals or families establishing eligibility for MaineCare

24-A §2847-N. Coverage for colorectal cancer screening

24-A §2847-O. Coverage for hearing aids (REALLOCATED FROM TITLE 24-A, SECTION 2847-M)

24-A §2847-P. Coverage for medically necessary infant formula (REALLOCATED FROM TITLE 24-A, SECTION 2847-N)

24-A §2847-Q. Coverage for services provided by independent practice dental hygienist

24-A §2847-R. Enrollment of dependent children in dental coverage

24-A §2847-S. Coverage for children's early intervention services (REALLOCATED FROM TITLE 24-A, SECTION 2847-R)

24-A §2847-T. Coverage for the diagnosis and treatment of autism spectrum disorders (REALLOCATED FROM TITLE 24-A, SECTION 2847-R)

24-A §2847-U. Coverage for services provided by dental therapist

24-A §2847-V. Absolute discretion clauses

24-A §2847-W. Dental benefit waiting period