Maine Code § 5-18658

Insurance; automatic application
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1. Employees insured. Each employee shall complete an application for insurance coverage
within 31 days of becoming eligible. Each employee who completes an application and is found eligible
for basic insurance under this subchapter is insured for the amount of basic coverage applicable under
this subchapter, beginning on the first day of the month following one month of employment after the
employee becomes eligible.
A. The employee shall indicate the types of coverage elected. [PL 1991, c. 480, §11 (NEW).]
B. If the employee elects coverage within 31 days of the employee's first becoming eligible, and
elects coverage in addition to basic, that additional coverage becomes effective on the first day of
the month following one month of employment after the employee becomes eligible. [PL 2011,
c. 449, §21 (AMD).]
C. If the employee does not elect coverage within 31 days of the employee's first becoming eligible,
the employee may subsequently apply for insurance coverage but must produce evidence of
insurability at the employee's own expense and in accordance with the requirements of the
insurance underwriter. [PL 2011, c. 449, §21 (AMD).]
[PL 2011, c. 449, §21 (AMD).]
2. Employees not wanting to be insured. Any employee not wanting to be insured under this
subchapter, at the time the employee first becomes eligible, shall, on the application form, give written
notice to the employee's employing officer and to the retirement system that the employee does not
want to be insured.
A. If, after being insured, the employee wishes to cancel or reduce coverage, written notice must
be given by the employee to the employee's employing officer and to the retirement system. [PL
1991, c. 480, §11 (AMD).]
B. The employee's insurance coverage must cease, or be reduced at the end of the month in which
the notice is received by the employing office. [PL 1991, c. 480, §11 (AMD).]
C. Any employee who does not want to be insured or who cancels insurance coverage may
subsequently apply for insurance, but must produce evidence of insurability at the employee's own
expense and in accordance with the requirements of the insurance underwriter. [PL 1991, c. 480,
§11 (AMD).]
D. [PL 2011, c. 449, §22 (RP).]
[PL 2011, c. 449, §22 (AMD).]
3. Dependent coverage. An employee may apply for coverage for a dependent in the application
provided in subsection 1. If an employee has no dependents at the time the application provided in
subsection 1 is completed and if application is made for coverage within 31 days of acquiring a
dependent, coverage becomes effective the first day of the month following the month in which the

application is received by the employing office. An employee who does not apply for dependent
coverage within 31 days, may subsequently apply for dependent coverage, but must produce evidence
of insurability at the employee's own expense. Coverage for subsequently acquired dependents is
effective immediately.
[PL 1991, c. 480, §11 (NEW).]
4. Evidence of insurability. When the insurance underwriter approves an application for coverage
or increase in coverage with which evidence of insurability has been filed as provided under subsection
1, paragraph C or subsection 2, paragraph C, the coverage or increased coverage becomes effective as
of the first day of the first month following completion of one month of employment after the date of
approval.
[PL 1991, c. 480, §11 (NEW).]
5. Employee on leave of absence. Insurance coverage for an employee on an authorized leave of
absence is governed as follows.
A. An employee who, during a period of an unpaid leave of absence, continues to pay premiums
due for the period of the leave continues to be covered. Coverage for an employee who, during the
period of the leave, does not pay the premiums due ceases at the end of the period covered by the
last premium paid. [PL 2011, c. 449, §23 (NEW).]
B. Notwithstanding paragraph A, an employee who, during a period of unpaid military leave of
absence, does not continue coverage while on unpaid military leave must be reinstated to the levels
of coverage in effect immediately prior to the unpaid military leave. A request for reinstatement by
the employee must be made within 31 days of the employee's return to work following unpaid
military leave. An employee who wants to be reinstated and who does not apply for reinstatement
within 31 days of the employee's return to work from unpaid military leave must produce evidence
of insurability at the employee's own expense and in accordance with the requirements of the
insurance underwriter. [PL 2011, c. 449, §23 (NEW).]
[PL 2011, c. 449, §23 (NEW).]

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