§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
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-A. Loss information
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 §2807-A. Credit union 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 §2817. Applicant's statements; waivers, amendments
24-A §2818. Statements in application
24-A §2819. New employees, members
24-A §2821. Individual certificates
24-A §2823-A. Explanation and notice to parent
24-A §2823-B. Standardized claim forms
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 §2829-A. Disability benefit offsets
24-A §2830. Omissions, modifications: superintendent may approve
24-A §2831. Hospital, medical benefits; direct payment
24-A §2832-A. Mandated offer of domestic partner benefits
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-A. Notice of rate increase
24-A §2839-B. Large group rates
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-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-J. Coverage for hospice care services
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-Q. Coverage for services provided by independent practice dental hygienist
24-A §2847-R. Enrollment of dependent children in dental coverage
24-A §2847-U. Coverage for services provided by dental therapist