Maine Code § 24-A-3156

Policy conditions
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1. Exclusion. An insurer may issue a pet insurance policy that excludes coverage on the basis of
one or more preexisting conditions with appropriate disclosure to the consumer. The insurer has the
burden of proving that the preexisting condition exclusion applies to the condition for which a claim is
being made.
[PL 2021, c. 562, §1 (NEW).]
2. Waiting periods. An insurer may issue a pet insurance policy that imposes a waiting period
upon effectuation of the policy as long as that waiting period does not exceed 30 days for illnesses or
orthopedic conditions not resulting from an accident. A waiting period for illnesses or orthopedic
conditions resulting from an accident is prohibited. An insurer may not impose a waiting period on the
renewal of existing coverage. An insurer imposing a waiting period as permitted by this subsection
shall include a provision in the pet insurance policy contract that allows the waiting period to be waived
upon completion of a medical examination. An insurer may require the examination to be conducted
by a licensed veterinarian after the purchase of the policy. A medical examination conducted pursuant
to this subsection must be paid for by the policyholder, unless the policy specifies that the insurer will
pay for the examination. An insurer may specify elements to be included as part of the examination
and require documentation of the elements, as long as the specifications do not unreasonably restrict a
consumer's ability to waive the waiting period.
[PL 2021, c. 562, §1 (NEW).]

3. Renewal. An insurer may not require a veterinary examination of the covered pet for the insured
to have the pet insurance policy renewed. A condition for which coverage is afforded on a policy may
not be considered a preexisting condition on any renewal of the policy.
[PL 2021, c. 562, §1 (NEW).]
4. Other benefits. If an insurer includes any prescription, wellness or noninsurance benefits in
the pet insurance policy form, those benefits become part of the pet insurance policy contract and the
provision of those benefits must follow all applicable laws in this Title and any rules adopted pursuant
to those laws.
[PL 2021, c. 562, §1 (NEW).]
5. Participation in wellness program. An insurer may not condition a person's eligibility to
purchase a pet insurance policy on participation, or lack of participation, in a separate wellness program.
[PL 2021, c. 562, §1 (NEW).]

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