Code of Maine Rules
02 - DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION
031 - BUREAU OF INSURANCE
Chapter 280 - GROUP HEALTH CONTRACTS CONVERSION RULE
Section 031-280-4 - Continuity of coverage

A. The effective date of the converted policy shall be the moment of termination of coverage under the group policy.

B. The converted policy may exclude pre-existing conditions excluded by the group policy. However no provision of the converted policy shall deny benefits for a pre-existing condition that would have been covered by the group policy had group coverage remained in force. The converted policy may provide that any hospital, surgical or medical benefits payable thereunder may be reduced by the amount of any such benefits payable under the group policy after the termination of the individual insurance thereunder. The converted policy may also include provisions so that during the first policy year the benefits payable under the converted policy, together with the benefits payable under the group policy, shall not exceed those that would have been payable had the individual's insurance under the group policy remained in force and effect.