Maine Code § 24-A-5076

Incontestability period
Open in Lexace · Ask the AI about this section
1. Policies or certificates in effect for less than 6 months. For a policy or certificate that has
been in effect for less than 6 months, an insurer may rescind a long-term care insurance policy or
certificate or deny an otherwise valid long-term care insurance claim upon a showing of
misrepresentation that was material to the acceptance for coverage.
[PL 1999, c. 292, §2 (NEW).]
2. Policies or certificates in effect for more than 6 months but less than 2 years. For a policy
or certificate that has been in effect for at least 6 months but less than 2 years, an insurer may rescind

a long-term care insurance policy or certificate or deny an otherwise valid long-term care insurance
claim upon a showing of misrepresentation that was both material to the acceptance for coverage and
that pertains to the condition for which benefits are sought.
[PL 1999, c. 292, §2 (NEW).]
3. Policies or certificates in effect for 2 years or more. After a policy or certificate has been in
effect for at least 2 years, the policy or certificate may not be contested upon the grounds of
misrepresentation alone. The policy or certificate may be contested only upon a showing that the
insured knowingly and intentionally misrepresented relevant facts relating to the insured's health.
[PL 1999, c. 292, §2 (NEW).]
4. Field-issued policies or certificates. A long-term care insurance policy or certificate may not
be field-issued if the compensation to the field issuer is based on the number of policies or certificates
issued. For the purposes of this subsection, "field-issued" means a policy or certificate issued by a
producer or a 3rd-party administrator pursuant to the underwriting authority granted to the producer or
3rd-party administrator by an insurer using the insurer's underwriting guidelines.
[PL 2007, c. 232, §1 (AMD).]
5. Recovery of benefit payments by the insurer. If an insurer has paid benefits under the long-
term care insurance policy or certificate, the benefit payments may not be recovered by the insurer if
the policy or certificate is rescinded.
[PL 1999, c. 292, §2 (NEW).]
6. Death of the insured. Upon the death of the insured, this section does not apply to the remaining
death benefit of a life insurance policy that accelerates benefits for long-term care and the remaining
death benefits under these policies are governed by sections 2507 and 2615 relating to the
incontestability requirements for individual and group life insurance. In all other events, this section
applies to life insurance policies that accelerate benefits for long-term care.
[PL 1999, c. 292, §2 (NEW).]

‹ 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.