Maine Revised Statutes Title 24-A Sec. 5056 – Standards for marketing
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Every insurer, health care service plan or other entity marketing nursing home care, home health care or long-term care insurance coverage in this State, directly or through its producers, shall: [PL 1997, c. 604, Pt. D, §7 (AMD).]
1. Policy comparison. Establish marketing procedures to ensure that any comparison of policies by its agents or other producers is fair and accurate;
[PL 1991, c. 200, Pt. C, §3 (NEW).]
Terms Used In Maine Revised Statutes Title 24-A Sec. 5056
- Nursing home: means any facility located in this State which is licensed by the Department of Health and Human Services as a skilled nursing facility or intermediate care facility and any equivalent facility located in another state or country and licensed according to the laws of that jurisdiction. See Maine Revised Statutes Title 24-A Sec. 5051
2. Excessive insurance. Establish marketing procedures to ensure that excessive insurance is not sold or issued. The procedures must include a specific standard for persons covered by Medicaid;
[PL 1991, c. 200, Pt. C, §3 (NEW).]
3. Replacement policy. Establish marketing procedures that set forth a mechanism or formula for determining whether a replacement policy or certificate contains benefits clearly and substantially greater than the benefits under the replaced policy; and
[PL 1991, c. 200, Pt. C, §3 (NEW).]
4. Compliance procedures. Establish auditable procedures for verifying compliance with the standards set out in this section.
[PL 1991, c. 200, Pt. C, §3 (NEW).]
SECTION HISTORY
PL 1991, c. 200, §C3 (NEW). PL 1997, c. 604, §D7 (AMD).