3.__Eligibility without application.__The board shall develop a list of medical or health conditions for which a person is eligible for plan coverage without applying for health insurance under subsection 1.__A person who can demonstrate the existence or history of any medical or health conditions on the list developed by the board may not be required to provide the evidence specified in subsection 1. The board may amend the list from time to time as appropriate.

4.__Exclusions from eligibility.__A person is not eligible for coverage under the plan if:

A.__The person has or obtains health insurance coverage substantially similar to or more comprehensive than a plan policy or would be eligible to have coverage if the person elected to obtain it, except that:

(1)__A covered person may maintain other coverage for the period of time the person is satisfying a preexisting condition waiting period under a plan policy; and

(2)__A covered person may maintain plan coverage for the period of time the person is satisfying a preexisting condition waiting period under another health insurance policy intended to replace the plan policy;

B.__The person is determined eligible for health care benefits under the MaineCare program pursuant to Title 22;

C.__The person previously terminated plan coverage, unless 12 months have elapsed since the person's last termination;

D.__The person has met the lifetime maximum benefit amount under the plan of $3,000,000;

E.__The person is an inmate or resident of a public institution; or

F.__The person's premiums are paid for or reimbursed under any government-sponsored program or by any government agency or health care provider, except as an otherwise qualifying full-time employee, or dependent thereof, of a government agency or health care provider.