§ 24-A §2829-A — Disability benefit offsets

Maine § 24-A §2829-A

• Jurisdiction: Maine
• Title 24-A: MAINE INSURANCE CODE
• Ch. 35: GROUP AND BLANKET HEALTH INSURANCE

Text

1.
Disclosure to persons eligible for coverage.
For any policy or contract subject to this chapter that provides disability income benefits, if the benefits under that policy or contract are subject to reduction due to other sources of income, then the insurer shall include in any written enrollment material and certificate of coverage developed by the insurer that is intended to be distributed to persons eligible for coverage under the policy or contract a clear and conspicuous notice that accurately explains all types of other sources of income that may result in a reduction of the benefits payable under the policy or contract. The notice requirement under this section does not apply to an advertisement intended for the general public.
2.
Recovery of disability benefit overpayments.
For claims filed after January 1, 2006, an insurer that is entitled to reduce disability income benefit payments when the insured receives income from other sources and that is entitled to recover overpayments through offsets against current payments to the insured may not recover such overpayments at a rate greater than 20% of the net benefit per benefit payment period unless:

Legislative History

PL 2003, c. 321, §2 (NEW). PL 2005, c. 42, §2 (RPR).