Maine Code § 24-A-2829-A

Disability benefit offsets
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1. Disclosure to persons eligible for coverage. For any policy or contract subject to this chapter
that provides disability income benefits, if the benefits under that policy or contract are subject to
reduction due to other sources of income, then the insurer shall include in any written enrollment
material and certificate of coverage developed by the insurer that is intended to be distributed to persons
eligible for coverage under the policy or contract a clear and conspicuous notice that accurately explains
all types of other sources of income that may result in a reduction of the benefits payable under the
policy or contract. The notice requirement under this section does not apply to an advertisement
intended for the general public.
[PL 2005, c. 42, §2 (NEW).]
2. Recovery of disability benefit overpayments. For claims filed after January 1, 2006, an insurer
that is entitled to reduce disability income benefit payments when the insured receives income from
other sources and that is entitled to recover overpayments through offsets against current payments to
the insured may not recover such overpayments at a rate greater than 20% of the net benefit per benefit
payment period unless:
A. For policies applied for after September 13, 2003, the insurer has complied with the
requirements of subsection 1; [PL 2005, c. 42, §2 (NEW).]
B. The insurer effects the offset of benefits within 60 days of notice to the insurer, or such later
date as the insurer begins paying benefits to the insured, that the insured is receiving or is entitled

to receive income that may result in a reduction of benefits payable under the policy; [PL 2005,
c. 42, §2 (NEW).]
C. The overpayment did not result from the insurer's miscalculation of benefit reductions or the
insurer's miscalculation of benefits payable under the policy; and [PL 2005, c. 42, §2 (NEW).]
D. The insurer provided the insured with clear and conspicuous written notice that accurately
explains to the insured all types of other sources of income that may result in a reduction of the
benefits payable under the policy within 30 days of the date a claim for disability benefits was filed.
[PL 2005, c. 42, §2 (NEW).]
[PL 2005, c. 42, §2 (NEW).]

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