02-031 C.M.R. ch. 140, § 1 - Definitions

Current through 2022-14, April 6, 2022

A. "Health Insurance" for the purpose of this Regulation shall include the following:

1. Health Insurance as defined in Title 24-A, M.R.S.A., Chapter 9, Section 704, is insurance of human beings against bodily injury, disablement or death by accident or accidental means, or the expense thereof, or against disablement or expense resulting from sickness, and every insurance appertaining thereto.

2. Nonprofit hospital or medical service plans.

B. An "advertisement" for the purpose of this Regulation shall include:

1. Printed and published material, audio visual material, and descriptive literature of an insurer used in direct mail, newspapers, magazines, radio and TV scripts, billboards and similar displays; and

2. Descriptive literature and sales aids of all kinds issued by an insurer for presentation to members of the insurance buying public including but not limited to circulars, leaflets, booklets, depictions, illustrations and form letters; and

3. Prepared sales talks, presentations and material for use by agents and brokers and representations made by agents and brokers in accordance therewith.

C. "Policy" for the purpose of this Regulation means the written contract of or written agreement for or effecting Health Insurance as defined herein, by whatever name called, and including all clauses, riders, endorsements and papers which are a part thereof.

D. "Insurer" for the purpose of this Regulation means every person engaged as principal and as indemnitor, surety or contractor in the business of entering into contracts of Health Insurance as defined herein, by whatever name called.

E. "Premium" for the purpose of this Regulation shall mean the consideration for Health Insurance as defined herein, by whatever name called. Any "assessment", or any "membership", "policy", "survey", "inspection", "service" or similar fee or other charge in consideration for an insurance contract is deemed part of the premium.

F. This Regulation shall also apply to agents and brokers to the extent that they are responsible for the advertisement of any policy.

Notes

02-031 C.M.R. ch. 140, § 1