1. Enrollee defined. For the purposes of this section, unless the context otherwise indicates, “enrollee” means a person who is covered under an individual or group contract provided by a health maintenance organization.

[PL 2019, c. 605, §7 (NEW).]

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Terms Used In Maine Revised Statutes Title 24-A Sec. 4260

  • Contract: A legal written agreement that becomes binding when signed.
  • Enrollee: means an individual who is enrolled in a health maintenance organization. See Maine Revised Statutes Title 24-A Sec. 4202-A
  • Health maintenance organization: means a public or private organization that is organized under the laws of the Federal Government, this State, another state or the District of Columbia or a component of such an organization, and that:
A. See Maine Revised Statutes Title 24-A Sec. 4202-A
  • Person: means an individual, firm, partnership, corporation, association, syndicate, organization, society, business trust, attorney-in-fact or any legal entity. See Maine Revised Statutes Title 24-A Sec. 4202-A
  • 2. No waiting period for enrollee under 19 years of age. A health maintenance organization that issues individual or group dental insurance or individual or group contracts that include coverage for dental services may not impose a waiting period, as defined in section 2848, subsection 5, for any dental or oral health service or treatment, except for orthodontic treatment, for an enrollee if the enrollee is under 19 years of age.

    [PL 2019, c. 605, §7 (NEW).]

    SECTION HISTORY

    PL 2019, c. 605, §7 (NEW).