§2301-A. Continuity of licensure; business combinations When a health maintenance organization authorized pursuant to Title 24‑A, chapter 56 merges or consolidates with a nonprofit hospital, medical or health care service organization and operations of the surviving entity include those of a health maintenance organization, the surviving entity succeeds on a continuing basis to the authority […]
§2301. Purposes Any corporation organized under special Act of the Legislature, under Title 13, chapter 81 or as a public benefit corporation under Title 13‑B for the following purposes may be authorized by the superintendent on the terms and conditions provided for in this chapter, except that when such a corporation was previously organized by […]
§2302-A. Utilization review data 1. Report required. On or before April 1st of each year, every nonprofit hospital or medical service organization which issues or administers a program or contract in this State that contains a provision whereby in nonemergency cases the insured is required to be prospectively evaluated through a prehospital admission certification, preinpatient […]
§2302-B. Penalty for failure to notify of hospitalization A contract issued by a nonprofit hospital or medical services organization may not include a provision permitting the organization to impose a penalty for the failure of any person to notify the organization of a covered person’s hospitalization for emergency treatment. For purposes of this section, “emergency […]
§2302-C. Penalty for noncompliance with utilization review programs A contract issued or renewed by a nonprofit service organization after April 8, 1994 may not contain a provision that permits, upon retroactive review and confirmation of medical necessity, the imposition of a penalty of more than $500 for failure to provide notification under a utilization review […]
§2302. Incorporation The articles of incorporation, and amendments thereto, of every corporation organized under this chapter shall be submitted to the superintendent for approval, which, if granted, shall be indorsed thereon before the same are filed with the Secretary of State. [PL 1973, c. 585, §12 (AMD).] There shall be not less than 14 […]
§2303-A. Dentist included in definition of physician (REPEALED) SECTION HISTORY PL 1975, c. 345, §1 (NEW). PL 1999, c. 256, §M5 (RP).
§2303-B. Optional coverage for chiropractic services (REPEALED) SECTION HISTORY PL 1979, c. 335, §1 (NEW). PL 1981, c. 282, §1 (AMD). PL 1985, c. 516, §1 (RP).
§2303-C. Coverage for chiropractic services (REPEALED) SECTION HISTORY PL 1985, c. 516, §2 (NEW). PL 1989, c. 141, §§1,2 (AMD). PL 1993, c. 669, §1 (AMD). PL 1999, c. 256, §M6 (RP).
§2303. Mental health services 1. Such corporation mentioned in section 2301 may enter into contracts for the rendering of health care to the subscribers only with institutions or persons licensed or accredited by the appropriate departments, commissions or boards of the several states. All contracts for the provision of health care issued by the corporation […]
§2304. Licenses Application for the authority provided for in section 2305 must be made in the form required by the superintendent and must contain the information the superintendent considers necessary. The application must be accompanied by a copy of each of the following documents: [RR 2019, c. 2, Pt. B, §73 (COR).] 1. Certificate […]
§2305-A. Conditions of certificate of authority 1. Duration. A certificate of authority continues in force as long as the nonprofit hospital or medical service organization is entitled under this Title and until suspended or revoked by the superintendent or terminated at the organization’s request. [PL 1997, c. 592, §2 (NEW).] 2. Annual fee. The […]
§2305. — Issuance of The superintendent shall issue a certificate of authority, which is continuous unless revoked or suspended by the superintendent, and collect payment of a fee, which is the same as for an insurer as provided in Title 24‑A, section 601, if the applicant meets the following requirements: [PL 1997, c. 592, […]
§2306. Reports Every corporation organized under this chapter shall file in the office of the superintendent annual and quarterly financial statements substantially similar to those required of health insurers under Title 24‑A, sections 423, 423‑A and 423‑D verified by at least 2 of the principal officers of that corporation. The statement must be on an […]
§2307-A. Rules Subject to the Maine Administrative Procedure Act, the superintendent may make, adopt, amend and rescind reasonable rules to aid the administration or effectuation of the provisions of this Title. [PL 1993, c. 702, Pt. A, §5 (NEW).] SECTION HISTORY PL 1993, c. 702, §A5 (NEW).
§2307-B. Loss information (REPEALED) SECTION HISTORY PL 1995, c. 71, §1 (NEW). PL 1997, c. 370, §E1 (AMD). PL 1999, c. 256, §M7 (RP).
§2307. Examination 1. Examination by superintendent. The superintendent or the superintendent’s designee has the power of visitation and examination into the affairs of any corporation described in section 2301 and has free access to the books, papers and documents that relate to the business of the corporation and may summon and qualify witnesses under oath […]
§2308-A. Health insurance affiliates 1. Definitions. As used in this section, unless the context otherwise indicates, the following terms have the following meanings. A. “Foreign health service plan” means a nonprofit hospital and medical service organization or similar nonprofit entity organized under the laws of another state. [PL 1997, c. 344, §5 (NEW).] […]
§2308. Investments (REPEALED) SECTION HISTORY PL 1987, c. 405, §34 (RP).
§2309. Disputes Any dispute arising between a corporation subject to this chapter and any provider of health care with which such corporation has a contract for health care may be submitted to the superintendent for the superintendent’s decision with respect thereto. Any decision and findings of the superintendent made under this chapter are not a […]
