§2701. Scope of chapter Nothing in this chapter shall apply to or affect: [PL 1969, c. 132, §1 (NEW).] 1. Any policy of liability or workers’ compensation insurance with or without supplementary expense coverage therein; [PL 1989, c. 502, Pt. A, §94 (AMD).] 2. Any group or blanket policy, except that: A. […]
§2702. Short title This chapter may be cited as the “Uniform Health Policy Provision Law”. [PL 1969, c. 132, §1 (NEW).] SECTION HISTORY PL 1969, c. 132, §1 (NEW).
§2703. Scope, format of policy No policy of health insurance shall be delivered or issued for delivery to any person in this State unless it otherwise complies with this Title, and complies with the following: [PL 1969, c. 132, §1 (NEW).] 1. The entire money and other considerations therefore shall be expressed therein; […]
§2704. Required provisions; captions — omissions — substitutions 1. Except as provided in subsection 2, each such policy delivered or issued for delivery to any person in this State shall contain the provisions specified in sections 2705 to 2716, in the words in which the same appear; except that the insurer may, at its option, […]
§2705. Entire contract — changes There shall be a provision as follows: [PL 1969, c. 132, §1 (NEW).] Entire contract; changes: This policy, including the endorsements and the attached papers, if any, constitutes the entire contract of insurance. No change in this policy shall be valid until approved by an executive officer of the […]
§2706. Time limit on certain defenses There shall be a provision as follows: [PL 1969, c. 132, §1 (NEW).] Time limit on certain defenses: (a) After 3 years from the date of issue of this policy no misstatements, except fraudulent misstatements, made by the applicant in the application for such policy shall be used […]
§2707-A. Notification prior to cancellation; restrictions on lapse or termination due to cognitive impairment or functional incapacity An insurer shall provide for notification of the insured person and another person, if designated by the insured, prior to cancellation of a health insurance policy for nonpayment of premium. [PL 2011, c. 123, §2 (AMD); PL […]
§2707. Grace period There shall be a provision as follows: [PL 1969, c. 132, §1 (NEW).] A grace period of . . . . ., insert a number not less than “7” for weekly premium policies, “10” for monthly premium policies and “31” for all other policies, days will be granted for the payment […]
§2708. Reinstatement 1. There shall be a provision as follows: Reinstatement: If any renewal premium be not paid within the time granted the insured for payment, a subsequent acceptance of premium by the insurer or by any agent duly authorized by the insurer to accept such premium, without requiring in connection therewith an application […]
§2709. Notice of claim 1. There shall be a provision as follows: Notice of claim: Written notice of claim must be given to the insurer within 20 days after the occurrence or commencement of any loss covered by the policy, or as soon thereafter as is reasonably possible. Notice given by or on behalf […]
§2710. Claim forms There shall be a provision as follows: Claim forms: The insurer, upon receipt of a notice of claim, will furnish to the claimant such forms as are usually furnished by it for filing proofs of loss. If such forms are not furnished within 15 days after the giving of such notice the […]
§2711. Proofs of loss There shall be a provision as follows: Proofs of loss: Written proof of loss must be furnished to the insurer at its said office in case of claim for loss for which this policy provides any periodic payment contingent upon continuing loss within 90 days after the termination of the period […]
§2712. Time of payment of claims There shall be a provision as follows: Time of payment of claims: Indemnities payable under this policy for any loss other than loss for which this policy provides any periodic payment, will be paid immediately upon receipt of due written proof of such loss. Subject to due written proof […]
§2713-A. Explanation and notice to parent If the insured is covered as a dependent child, and if the insurer is so requested by a parent of the insured, the insurer shall provide that parent with: [PL 2009, c. 244, Pt. B, §1 (AMD).] 1. Payment or denial of claim. An explanation of the payment […]
§2713. Payment of claims 1. There shall be a provision as follows: Payment of claims: Indemnity for loss of life will be payable in accordance with the beneficiary designation and the provisions respecting such payment which may be prescribed herein and effective at the time of payment. If no such designation or provision is then […]
§2714. Physical examination, autopsy There shall be a provision as follows: Physical examination and autopsy: The insurer at its own expense shall have the right and opportunity to examine the person of the insured when and as often as it may reasonably require during the pendency of a claim hereunder and to make an autopsy […]
§2715. Legal actions There shall be a provision as follows: Legal actions: No action at law or in equity shall be brought to recover on this policy prior to the expiration of sixty days after written proof of loss has been furnished in accordance with the requirements of this policy. No such action shall be […]
§2716. Change of beneficiary 1. There shall be a provision as follows: Change of beneficiary: Unless the insured makes an irrevocable designation of beneficiary, the right to change the beneficiary is reserved to the insured and the consent of the beneficiary or beneficiaries shall not be requisite to surrender or assignment of this policy or […]
§2717-A. Disability benefit offsets 1. Disclosure to applicants. At or before the time of application for any policy subject to this chapter that provides disability income benefits, the insurer shall provide the applicant with a clear and conspicuous written notice, on the application form or in a separate document, that accurately explains to the applicant […]
§2717. Right to examine and return policy 1. Except as to nonrenewable accident policies and individual credit health insurance policies, every individual health insurance policy shall contain a provision therein or in a separate rider attached thereto when delivered, stating in substance that the person to whom the policy is issued shall be permitted to […]
