LD 555
pg. 1
LD 555 Title Page An Act Regarding Assignment of Benefits Under Personal Injury Insurance Page 2 of 2
Download Bill Text
LR 1691
Item 1

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

 
Sec. 1. 24-A MRSA §2185-A is enacted to read:

 
§2185-A.__Assignment of benefits

 
1.__Definitions.__As used in this section, unless the context
otherwise indicates, the following terms have the following
meanings.

 
A.__"Assignment of benefits" means a written agreement
between a health care provider and an insured, signed by the
insured or the insured's legal guardian, that permits the
health care provider to be paid directly by an insurer for
benefits payable to the insured for health care services
provided to the insured by the health care provider.

 
B.__"Health care provider" has the meaning set forth in
section 2204, subsection 13.

 
C.__"Insured" means a person covered for health care
services provided to that person under an insurance policy,
health maintenance organization plan or subscriber contract
or certificate of a nonprofit hospital or medical service
organization.

 
D.__"Insurer" means any insurance company, health
maintenance organization or nonprofit hospital or medical
service organization authorized to issue health care
policies, plans, contracts or certificates in the State.

 
2.__Payment to provider.__A health care provider who receives
an assignment of benefits shall provide the insurer with written
notice of the assignment.__Upon receiving a claim from the health
care provider for health care services provided to the insured
and covered by the assignment of benefits of which the insurer
has received notice under this subsection, the insurer shall make
payment pursuant to the claim directly to the health care
provider.__The insurer shall make this payment even if the
insurer has paid the insured for health care services covered by
the claim if the payment to the insured was made after the
insurer received notice of the assignment of benefits as required
by this subsection.

 
3.__Nonrevocation of assignment.__An assignment of benefits
may not be revoked or amended without the written permission of
the health care provider to whom the benefits are assigned.


LD 555 Title Page Top of Page Page 2 of 2