24-A §4233-B. Mandatory offer to extend coverage for dependent children up to 25 years of age
Title 24-A: MAINE INSURANCE CODE
Chapter 56: HEALTH MAINTENANCE ORGANIZATIONS
§4233-B. Mandatory offer to extend coverage for dependent children up to 25 years of age
(CONTAINS TEXT WITH VARYING EFFECTIVE DATES)
1. Dependent child; definition. As used in this section, "dependent child" means the child of a person covered under an individual or group health maintenance organization contract when that child:
A. Is unmarried; [2007, c. 115, §4 (NEW); 2007, c. 115, §5 (AFF).]
B. Has no dependent of the child's own; and [2007, c. 514, §11 (AMD).]
C. Is a resident of this State or is enrolled as a full-time student at an accredited public or private institution of higher education. [2007, c. 514, §12 (AMD).]
D. [2007, c. 514, §13 (RP).]
[ 2007, c. 514, §§11-13 (AMD) .]
2. Offer of coverage. An individual or group health maintenance organization contract that offers coverage for a dependent child shall offer such coverage, at the option of the contract holder, until the dependent child is 25 years of age. An insurer may require, as a condition of eligibility for coverage in accordance with this section, that a person seeking coverage for a dependent child provide written documentation on an annual basis that the dependent child meets the requirements in subsection 1.
[ 2007, c. 514, §14 (AMD) .]
3. (TEXT EFFECTIVE UNTIL 1/1/12) (TEXT REPEALED 1/1/12) Notice. A health maintenance organization shall provide notice to contract holders regarding the availability of dependent coverage under this section upon each renewal of coverage or at least once annually, whichever occurs more frequently. Notice provided under this subsection must include information about enrollment periods and notice of the insurer's definition of and benefit limitations for preexisting conditions.
This subsection is repealed January 1, 2012.
[ 2007, c. 514, §15 (NEW) .]
SECTION HISTORY
2007, c. 115, §4 (NEW). 2007, c. 115, §5 (AFF). 2007, c. 514, §§11-15 (AMD).