Group and Blanket Health Insurance

What this document is

Maine Revised Statutes Title 24-A Chapter 35 - Group and Blanket Health Insurance is a state statute published by Maine Legislature, Office of the Revisor of Statutes (legislature.maine.gov). It is one of the Maine documents that insurance license exam questions are written from, including maine life & health practice questions. This page summarizes it and points to the official version, which is the text to rely on.

Sections cited in practice questions

Each practice answer shows the exact passage it comes from. These are sections of this document that questions cite, with a short excerpt from the source text.

• 24-A M.R.S. Chapter 35 § 2809-A(11)(H) (Conversion privileges after continued group coverage)

  “At the expiration of any continued group coverage obtained under this subsection, the member or employee has the same conversion privileges as otherwise granted under this section.”

• 24-A M.R.S. Chapter 35 § 2809-A(5) (Effective date of converted policy)

  “The effective date of the converted policy shall be the date of termination of the individual's insurance under the group policy.”

• 24-A M.R.S. Chapter 35 § 2821 (Individual certificates)

  “Except in the case of blanket health insurance, a provision that the insurer shall issue to the policyholder, for delivery to each member of the insured group, an individual certificate or printed information setting forth in summary form a statement of the essential features of the insurance...”

• 24-A M.R.S. Chapter 35 § 2817 (Applicant's statements; waivers, amendments)

  “There shall be a provision that no statement made by the applicant for insurance shall avoid the insurance or reduce benefits thereunder unless contained in the written application signed by the applicant; and a provision that no agent has authority to change the policy or to waive any of its...”

• Me. Rev. Stat. tit. 24-A § 2809-A(3-A) (Conversion on termination of policy or eligibility)

  “An insurer that offers individual health plans pursuant to section 2736‑C is permitted, but not required, to include a conversion privilege in group policies issued or renewed on or after January 1, 1996. If the insurer does include a conversion privilege in those policies, individuals exercising...”

• Me. Rev. Stat. tit. 24-A § 2808(1) (Other groups)

  “No group health insurance policy may be delivered in this State, pursuant to this section, unless the superintendent finds that: A. The policyholder is a bona fide group formed for purposes other than procurement of insurance; B. The issuance of the group policy would be actuarially sound; C. The...”

• Me. Rev. Stat. tit. 24-A § 2834 (Newborn children coverage)

  “An adopted child is deemed to be newly born to the adoptive parents from the date of the signed placement agreement. Preexisting conditions of an adopted child may not be excluded from coverage.”

• Me. Rev. Stat. tit. 24-A § 2809-A, sub-§ 1-A, ¶ B-1 (Notification of cancellation)

  “At the time of notification under paragraph A, notice must be mailed to the certificate holder at the last address provided to the insurer by the subgroup sponsor, the group policyholder or the certificate holder. If the insurer does not have an address on file for the certificate holder, the...”

• Me. Rev. Stat. tit. 24-A § 2821 (Individual certificates)

  “Except in the case of blanket health insurance, a provision that the insurer shall issue to the policyholder, for delivery to each member of the insured group, an individual certificate or printed information setting forth in summary form a statement of the essential features of the insurance...”

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