LD 1762
pg. 1
LD 1762 Title Page An Act to Clarify the Law Concerning Representations Made in Insurance Contract... LD 1762 Title Page
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LR 2695
Item 1

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

 
Sec. 1. 24-A MRSA §2411, as enacted by PL 1969, c. 132, §1, is
amended by adding a new paragraph at the end to read:

 
To prevent a recovery under this section for any application
for life, credit life, disability, long-term care, accidental
injury, specified disease, hospital indemnity or credit or
accident insurance, an insurer need only prove one of the acts
described in this section, not an act under subsections 1, 2 and
3.

 
SUMMARY

 
This bill clarifies that the Maine Revised Statutes, Title 24-
A, section 2411 should be read in the disjunctive, which is the
original intent of the law passed in 1969, but was not so
interpreted by the Maine Supreme Judicial Court in American Home
Assurance Co. v. Ingeneri, 479 A.2d 897 (Me. 1984). The Law
Court read the statute in the conjunctive, in effect, overriding
the Legislature's plain use of disjunctive construction in the
section. The Ingeneri decision has had the unintended
consequence of requiring the Federal Court in Maine to find that
another portion of the Insurance Code, which requires an
"incontestability clause" to be included in every health
insurance contract delivered in this State, to be rendered null
and void. Incontestability clauses are a consumer protection,
preventing insurers from contesting representations made on
insurance applications after 3 years, unless the insurer can
prove fraud. Maine thus became the only state without an
"incontestability" provision. This bill overrules Ingeneri and
restores the original intent of the statute.


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