Maine § 24-A §2749-B Penalty for noncompliance with utilization review programs

Maine Statutes

§ 24-A §2749-B — Penalty for noncompliance with utilization review programs

Maine § 24-A §2749-B

Title 24-AMAINE INSURANCE CODE

Ch. 33HEALTH INSURANCE CONTRACTS

This text of Maine § 24-A §2749-B (Penalty for noncompliance with utilization review programs) is published on Counsel Stack Legal Research, covering Maine primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook

Me. Rev. Stat. tit. 24-A, § 24-A §2749-B (2026).

Text

A health insurance policy issued or renewed in this State 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 program. This section does not limit the right of insurers to deny a claim when appropriate prospective or retroactive review concludes that services or treatment rendered were not medically necessary.

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A health insurance policy issued or renewed in this State 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 program. This section does not limit the right of insurers to deny a claim when appropriate prospective or retroactive review concludes that services or treatment rendered were not medically necessary.