§2801. Scope of chapter — short title 1. This chapter applies only to group health insurance contracts and to blanket health insurance contracts as herein provided. Nothing in this chapter pertains to legal services insurance as described in chapter 38, except to the extent expressly permitted in that chapter. [PL 1983, c. 801, §10 […]
§2802. Group insurance defined 1. Any policy or contract of insurance against death or injury resulting from accident or from accidental means which covers more than one person, except blanket accident policies as defined in section 2813 and family accident and sickness policies conforming to section 2703, shall be deemed a group accident insurance policy. […]
§2803-A. Loss information 1. Definitions. As used in this section, unless the context otherwise indicates, the following terms have the following meanings. A. “Insurance policy” means the insurance policy relating to the loss information requested pursuant to this section. [PL 1995, c. 71, §2 (NEW).] B. “Loss information” means the aggregate claims experience […]
§2803. Requirements A policy of group health insurance may not be delivered in this State, nor may any certificate of group health insurance that derives from a policy issued in another state be delivered in this State unless the group policyholder conforms to one of the descriptions set forth in sections 2804 to 2808. […]
§2804-A. Private purchasing alliances A group of individuals may be insured under a policy issued to a private purchasing alliance meeting the requirements of chapter 18‑A. [PL 1995, c. 673, Pt. A, §4 (NEW).] SECTION HISTORY PL 1995, c. 673, §A4 (NEW).
§2804-B. Group disability income protection plan An employer may offer its employees an employer-sponsored group disability income protection plan in accordance with the requirements of section 2804. As used in this section, “disability income protection plan” means a group short-term disability policy or a group long-term disability policy instituted by an employer that provides income […]
§2804. Employee groups A group of individuals may be insured under a policy issued to an employer or to the trustees of a fund established by an employer, which employer or trustees shall be deemed the policyholder, to insure employees of the employer for the benefit of persons other than the employer, subject to the […]
§2805-A. Association groups A group of individuals may be insured under a policy issued to an association or to a trust or to the trustees of a fund established, created or maintained for the benefit of members of one or more associations. The association or associations shall have at the outset a minimum of 50 […]
§2805. Labor union groups A group of individuals may be insured under a policy issued to a labor union or similar employee organization, which shall be deemed to be the policyholder, to insure members of that union or organization for the benefit of persons other than the union or organization or any of its officials, […]
§2806. Trustee groups A group of individuals may be insured under a policy issued to a trust or to the trustee or trustees of a fund established by 2 or more employers, or by one or more labor unions or similar employee organizations, or by one or more employers and one or more labor unions […]
§2807-A. Credit union groups A group of individuals may be insured under a policy issued to a credit union or to a trustee or trustees or agent designated by 2 or more credit unions, which credit union, trustee, trustees or agent is considered the policyholder, to insure members of the credit union or credit unions […]
§2807. Debtor groups A group of individuals may be insured under a policy issued to a creditor, or its parent holding company or to a trustee or trustees or agent designated by 2 or more creditors, which creditor, holding company, affiliate, trustee, trustees or agent shall be deemed the policyholder, to insure debtors of the […]
§2808-A. Rating practices in group health insurance (REPEALED) SECTION HISTORY PL 1989, c. 422, §2 (NEW). PL 1991, c. 353 (AMD). PL 1991, c. 696 (AMD). PL 1991, c. 828, §24 (AMD). PL 1995, c. 332, §B1 (RP).
§2808-B. Small group health plans 1. Definitions. As used in this section, unless the context otherwise indicates, the following terms have the following meanings. A. “Carrier” means any insurance company, nonprofit hospital and medical service organization or health maintenance organization authorized to issue small group health plans in this State. For the purposes of […]
§2808. Other groups Group health insurance offered to a resident of this State under a group health insurance policy issued to a group other than one described in sections 2804 to 2807‑A is subject to the following requirements. [PL 1981, c. 147, §8 (RPR).] 1. No group health insurance policy may be delivered in […]
§2809-A. Conversion on termination of policy or eligibility 1. A group policy issued prior to January 1, 1996, that provides hospital, surgical or major medical expense insurance or any combination thereof, other than a policy that provides benefits for specific diseases or accidental injuries only, must contain a provision that if the insurance on an […]
§2809. Coverage of family, dependents; continuation of coverage 1. Any policy of group health insurance issued pursuant to sections 2804 (employee groups), 2805 (labor union groups), 2805‑A (association groups), 2806 (trustee groups), 2807‑A (credit union groups) or 2808 (other groups) may include coverage for members of the family or dependents of individuals otherwise insured in […]
§2810. Group health insurance payments; beneficiaries The benefits payable under any policy or contract of group health insurance shall be payable to the employee or other insured member of the group or to some beneficiary or beneficiaries designated by him, other than the employer or the association or any officer thereof as such; but if […]
§2811. Payment of expenses Any policy or contract of group health insurance may include provisions for the payment by the insurer of benefits for expenses incurred, by the employee or other member of the insured group, on account of hospitalization or medical or surgical aid for the employee, the employee’s spouse, the employee’s child or […]
§2812-A. Dividends and experience refunds The following requirements apply to all group health insurance with the exception of insurance in which the policyholder is subject to the fiduciary standards of the federal Employee Retirement Income Security Act of 1974, ERISA, 29 United States Code, Section 1001‑1381 (1975). [PL 1991, c. 200, Pt. D, §4 […]
