Chapter 35 - GROUP AND BLANKET HEALTH INSURANCE

Section 2801 - Scope of chapter - short title
Section 2802 - Group insurance defined
Section 2803 - Requirements
Section 2803-A - Loss information
Section 2804 - Employee groups
Section 2804-A - Private purchasing alliances
Section 2804-B - Group disability income protection plan
Section 2805 - Labor union groups
Section 2805-A - Association groups
Section 2806 - Trustee groups
Section 2807 - Debtor groups
Section 2807-A - Credit union groups
Section 2808 - Other groups
Section 2808-A - Rating practices in group health insurance (REPEALED)
Section 2808-B - Small group health plans
Section 2809 - Coverage of family, dependents; continuation of coverage
Section 2809-A - Conversion on termination of policy or eligibility
Section 2810 - Group health insurance payments; beneficiaries
Section 2811 - Payment of expenses
Section 2812 - Readjustment of premium rate (REPEALED)
Section 2812-A - Dividends and experience refunds
Section 2813 - "Blanket health insurance" defined
Section 2814 - Blanket health insurance; payments; beneficiaries
Section 2815 - Legal liability of policyholders
Section 2816 - Requirements
Section 2817 - Applicant's statements; waivers, amendments
Section 2818 - Statements in application
Section 2819 - New employees, members
Section 2820 - Renewal of policy
Section 2821 - Individual certificates
Section 2822 - Age limits
Section 2823 - Notice of claim
Section 2823-A - Explanation and notice to parent
Section 2823-B - [Effective Until 8/9/2024] Standardized claim forms
Section 2823-B - [Effective 8/9/2024] Standardized claim forms
Section 2824 - Proof of loss
Section 2825 - Forms for proof of loss
Section 2826 - Examination, autopsy
Section 2827 - Time for payment of benefits
Section 2827-A - Assignment of benefits
Section 2828 - Time for suits
Section 2829 - Exceptions
Section 2829-A - Disability benefit offsets
Section 2830 - Omissions, modifications: superintendent may approve
Section 2831 - Hospital, medical benefits; direct payment
Section 2832 - Maternity benefits for unmarried women certificate holders and the minor dependents of certificate holders with dependent or family coverage required
Section 2832-A - Mandated offer of domestic partner benefits
Section 2833 - Child coverage
Section 2833-A - Extension of coverage for dependent children
Section 2833-B - Mandatory offer to extend coverage for dependent children up to 26 years of age
Section 2833-C - Mandatory offer of coverage for certain adults with disabilities
Section 2834 - Newborn children coverage
Section 2834-A - Maternity and routine newborn care
Section 2834-B - Dependent special enrollment period
Section 2834-C - Compliance with federal law
Section 2834-D - Maternity and postpartum care
Section 2835 - Mental health services
Section 2836 - Limits on priority liens
Section 2837 - Home health care coverage
Section 2837-A - Coverage for screening mammograms and diagnostic and supplemental breast examinations
Section 2837-B - Acupuncture services
Section 2837-C - Coverage for breast cancer treatment
Section 2837-D - Medical food coverage for inborn error of metabolism
Section 2837-E - Coverage for Pap tests
Section 2837-F - Off-label use of prescription drugs for cancer
Section 2837-G - Off-label use of prescription drugs for HIV or AIDS
Section 2837-H - Coverage for prostate cancer screening
Section 2838 - Community health service coverage (REPEALED)
Section 2839 - Rates filed
Section 2839-A - Notice of rate increase
Section 2839-B - Large group rates
Section 2840 - Optional coverage for chiropractic services (REPEALED)
Section 2840-A - Coverage for chiropractic services
Section 2841 - Optional coverage for optometric services
Section 2842 - Equitable health care for substance use disorder treatment
Section 2843 - Mental health services coverage
Section 2844 - [Effective Until 8/9/2024] Coordination of benefits
Section 2844 - [Effective 8/9/2024] Coordination of benefits
Section 2845 - Cardiac rehabilitation coverage
Section 2846 - Acquired Immune Deficiency Syndrome
Section 2847 - Utilization review data
Section 2847-A - Penalty for failure to notify of hospitalization
Section 2847-B - Jury service
Section 2847-C - Notification prior to cancellation; restrictions on cancellation, termination or lapse due to cognitive impairment or functional incapacity
Section 2847-D - Penalty for noncompliance with utilization review programs
Section 2847-E - Coverage for diabetes supplies
Section 2847-F - Gynecological and obstetrical services
Section 2847-G - Coverage for contraceptives
Section 2847-H - Coverage for services of certified nurse practitioners; certified midwives; certified nurse midwives
Section 2847-I - Coverage for services provided by registered nurse first assistants
Section 2847-J - Coverage for hospice care services
Section 2847-K - Coverage for general anesthesia for dentistry
Section 2847-L - Offer of coverage for breast reduction surgery and symptomatic varicose vein surgery
Section 2847-M - Enrollment for individuals or families establishing eligibility for MaineCare
Section 2847-N - Coverage for colorectal cancer screening
Section 2847-O - Coverage for hearing aids
Section 2847-P - Coverage for medically necessary infant formula
Section 2847-Q - Coverage for services provided by independent practice dental hygienist
Section 2847-R - Enrollment of dependent children in dental coverage
Section 2847-S - Coverage for children's early intervention services
Section 2847-T - Coverage for the diagnosis and treatment of autism spectrum disorders
Section 2847-U - Coverage for services provided by dental therapist
Section 2847-V - Absolute discretion clauses
Section 2847-W - Dental benefit waiting period