Maine Code § 24-A-2724

Relation of earnings to insurance
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There may be a provision as follows:
If the total monthly amount of loss of time benefits promised for the same loss under all valid loss
of time coverage upon the insured, whether payable on a weekly or monthly basis, shall exceed the
monthly earnings of the insured at the time disability commenced or the average monthly earnings for
the period of 2 years immediately preceding a disability for which claim is made, whichever is the
greater, the insurer will be liable only for such proportionate amount of such benefits under this policy
as the amount of such monthly earnings or such average monthly earnings of the insured bears to the
total amount of monthly benefits for the same loss under all such coverage upon the insured at the time
such disability commences and for the return of such part of the premiums paid during such 2 years as
shall exceed the pro rata amount of the premiums for the benefits actually paid hereunder; but this shall
not operate to reduce the total monthly amount of benefits payable under all such coverage upon the
insured below the sum of $200 or the sum of the monthly benefits specified in such coverages,
whichever is the lesser, nor shall it operate to reduce benefits other than those payable for loss of time.
The foregoing policy provision may be inserted only in a policy which the insured has the right to
continue in force subject to its terms by the timely payment of premiums (A.) until at least age 50 or,
(B.) in the case of a policy issued after age 44, for at least 5 years from its date of issue. The insurer
may, at its option, include in this provision a definition of "valid loss of time coverage", approved as to
form by the superintendent, which definition shall be limited in subject matter to coverage provided by
governmental agencies or by organizations subject to regulation by insurance law or by insurance
authorities of this or any other state of the United States or any province of Canada, or to any other
coverage the inclusion of which may be approved by the superintendent or any combination of such
coverages. In the absence of such definition such term shall not include any coverage provided for such
insured pursuant to any compulsory benefit statute, including any workers' compensation or employer's
liability statute, or benefits provided by union welfare plans or by employer or employee benefit
organizations. [PL 1989, c. 502, Pt. A, §97 (AMD).]

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