Public Laws

124th Legislature

First Regular Session


Parts: A B C D E F G H I J

Chapter 244

H.P. 821 - L.D. 1180

PART B

Sec. B-1. 24-A MRSA §2713-A,  as enacted by PL 1989, c. 556, Pt. D, §2, is amended to read:

§ 2713-A.  Explanation and notice to parent

If the insured is a minor under 18 years of age covered as a dependent child, and if the insurer is so requested by a parent of the insured who is not paying the premiums on the policy, the insurer shall provide that parent with:

1. Payment or denial of claim.   An explanation of the payment or denial of any claim filed on behalf of the insured minor , except to the extent that the insured has the right to withhold consent and does not affirmatively consent to notifying the parent;
2. Change in terms and conditions.   An explanation of any proposed change in the terms and conditions of the policy; or
3. Notice of lapse.   Reasonable notice that the policy may lapse, but only if the parent has provided the insurer with the address at which the parent may be notified.

In addition, any parent who is able to provide the information necessary for the insurer to process a claim shall must be permitted to authorize the filing of any claims under the policy.

Sec. B-2. 24-A MRSA §2823-A,  as enacted by PL 1989, c. 556, Pt. D, §3, is amended to read:

§ 2823-A.  Explanation and notice to parent

If the insured is a minor under 18 years of age covered as a dependent child, and if the insurer is so requested by either of the minor's parents a parent of the insured, the insurer shall provide that parent with:

1. Payment or denial of claim.   An explanation of the payment or denial of any claim filed on behalf of the insured minor , except to the extent that the insured has the right to withhold consent and does not affirmatively consent to notifying the parent;
2. Change in terms and conditions.   An explanation of any proposed change in the terms and conditions of the policy; or
3. Notice of lapse.   Reasonable notice that the policy may lapse, but only if the parent has provided the insurer with the address at which the parent may be notified.

In addition, any parent who is able to provide the information necessary for the insurer to process a claim shall must be permitted to authorize the filing of any claims under the policy.

Sec. B-3. 24-A MRSA §4222-B, sub-§22  is enacted to read:

22   Sections 2713-A and 2823-A, relating to explanation and notice to parents, apply to health maintenance organizations.

Office of the Revisor of Statutes
State House, Room 108
Augusta, ME 04333