LD 1476
pg. 1
LD 1476 Title Page An Act to Conform Maine Law to Federal Law Regarding Long-term Care Insurance f... Page 2 of 2
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LR 1429
Item 1

 
Be it enacted by the People of the State of Maine as follows:

 
Sec. 1. 24-A MRSA §5054, sub-§1, as amended by PL 1997, c. 604, Pt. D,
§6, is further amended to read:

 
1. Filing of form. Any insurer, nonprofit hospital or
medical service organization, or nonprofit health care plan may,
at the time it files a policy or contract for approval for
issuance or delivery in the State, or at any time thereafter,
request that the superintendent certify the policy or contract as
a long-term care policy, nursing home care policy or home health
care policy within the meaning of section 5051.

 
Within 60 days of receipt of a request for certification, the
superintendent shall:

 
A. Certify in writing that the policy or contract complies
with this section;

 
B. Deny the request in writing, stating the reasons for
denial; or

 
C. Notify the insurer or nonprofit hospital or medical
service organization or nonprofit health care plan, in
writing, that an insufficient basis exists for determining
whether a certification should be made, indicating in what
respects the request was insufficient.

 
Sec. 2. 24-A MRSA §5054, sub-§2, as enacted by PL 1989, c. 556, Pt. B,
§4, is amended to read:

 
2. Standards for compliance. The superintendent shall
certify a policy or contract submitted for review under this
section as a long-term care policy, nursing home care policy or
home health care policy if the superintendent finds that the
policy or contract:

 
A. Is a long-term care policy, nursing home care policy or
home health care policy within the meaning of section 5051;
and

 
B. Complies with all standards applicable to long-term
care, nursing home care or home health care policies as set
forth in this chapter and in chapters 27, 33 and 35 and in
rules adopted pursuant to any of those chapters by the
superintendent. Waivers granted under the rules shall must
be taken into consideration.

 
Sec. 3. 24-A MRSA §5055, sub-§2, as enacted by PL 1989, c. 556, Pt. B,
§4, is amended to read:


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