Me. Stat. tit. 24-A § 2770

Current through 131st (2023-2024) Legislature Chapter 684
Section 2770 - Absolute discretion clauses

An individual health insurance policy, contract or certificate, including, but not limited to, a disability income insurance policy, contract or certificate, may not contain a provision purporting to reserve sole or absolute discretion to the insurer to interpret the terms of the contract, to provide standards of interpretation or review, to determine eligibility for benefits, to determine the amount of benefits or to resolve factual disputes. An insurer may not enforce a provision in a policy, contract or certificate that was offered, executed, delivered or issued for delivery in this State and has been continued or renewed by an individual policy holder in this State that purports to reserve sole or absolute discretion to the insurer to interpret the terms of the contract, to provide standards of interpretation or review, to determine eligibility for benefits, to determine the amount of benefits or to resolve factual disputes. [2019, c. 179, §1(NEW).]

24-A M.R.S. § 2770

Added by 2019, c. 179,§ 1, eff. 9/19/2019.