Maine Code § 24-A-2816

Requirements
Open in Lexace · Ask the AI about this section
No policy of group or blanket health insurance shall, except as provided in section 2829, be
delivered or issued for delivery in this State, unless the policy contains in substance each and all of the
provisions set forth in sections 2817 to 2828, or provisions which in the opinion of the superintendent
are more favorable to the holders of such certificates or not less favorable to the holders of such
certificates and more favorable to policyholders. Insurers offering policies under this chapter shall offer
to certificate holders the right of review and arbitration set forth in section 2747, subsection 1, with
respect to denials of medical expense reimbursement benefits based upon the grounds set forth in
section 2747, subsection 2, except that the requirement of section 2747, subsection 1 shall not apply to
certificate holders in groups subject to the United States Employee Retirement Income Security Act of
1974, Public Law 93-406, as amended, or to any policy or certificate holder to whom the insurer
voluntarily extends a review similar to that which it provides to persons insured under group policies
subject to that Act. [PL 1981, c. 698, §110 (AMD).]

‹ Prev All Maine sections Next ›


Lexace provides legal information, not legal advice, and no attorney–client relationship is created. Statute text is provided for general information and may not reflect the most recent amendments; verify against the official state code.