Maine Code § 24-A-4232

Replacement coverage
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1. Group hospital, medical or surgical expenses, or service benefits. Any insurer or nonprofit
health insurance plan that issues replacement coverage with respect to group hospital, medical or
surgical expenses or service benefits within a period of 60 days from the date of discontinuance of a
prior health maintenance organization contract or policy providing the hospital, medical or surgical
expenses or service benefits shall immediately cover all enrollees who were validly covered under the
previous health maintenance organization contract or policy at the date of discontinuance and who
would otherwise be eligible for coverage under the succeeding insurer's or nonprofit health insurance
plan's contract, regardless of any provisions in that contract relating to active employment, hospital
confinement or pregnancy.
[PL 1989, c. 842, §18 (NEW).]
2. Preexisting conditions. No provision in a succeeding insurer's or nonprofit hospital or medical
service corporation's contract of replacement coverage may reduce or exclude benefits to enrollees

covered under the prior health maintenance organization's contract on the date of discontinuance, on
the basis that the condition giving rise to benefits preexisted the effective date of the succeeding
contract, except to the extent that benefits for the condition would have been reduced or excluded under
the prior contract.
[PL 1989, c. 842, §18 (NEW).]

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