LD 726
pg. 1
LD 726 Title Page An Act to Clarify the Medical Payments Subrogation Statute Page 2 of 2
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LR 1960
Item 1

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

 
Sec. 1. 24-A MRSA §2910-A, sub-§1, as enacted by PL 1997, c. 369, §2,
is amended to read:

 
1. Policy requirements. A casualty insurance policy subject
to this chapter may not provide for subrogation or priority over
the insured of payment for any hospital, nursing, medical or
surgical services or of any expenses paid or reimbursed under the
medical payments coverage in the policy in the event the insured
is entitled to receive payment or reimbursement from any other
person as a result of legal action or claim, except as provided
in this section.

 
The coverage may contain a provision that allows the payments if
that provision is approved by the superintendent and if that
provision required the prior written approval of the insured and
provides that the insurer's subrogation right is subject to
subtraction to account for the pro rata share of the insured's
attorney's fees incurred in obtaining the recovery from another
source.

 
The coverage may contain a provision that allows the payments if:

 
A.__That provision is approved by the superintendent;

 
B.__That provision requires the prior written approval of
the insured after notice to the insured;

 
C.__Approval of the insured is obtained within 30 days prior
to any action by the insurer to recover medical payments
from any source other than through the insured's action for
recovery; and

 
D.__That provision provides that the insurer's subrogation
right is subject to subtraction to account for the pro rata
share of the insured's attorney's fees incurred in obtaining
the recovery from another source.

 
Sec. 2. 24-A MRSA §2910-A, sub-§3, as enacted by PL 1997, c. 369, §2,
is amended to read:

 
3. Exception. Nothing in this section prevents an insurer
from exercising its subrogation rights directly against any
person legally responsible for the insured's injury. In the
event that the insurer pursues its subrogation rights directly
against such a person, the insurer's subrogation right is not
subject to any subtraction to account for attorney's fees and the
insurer is entitled to full recovery. This section does preclude
an insurer from exercising its subrogation rights against the


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