02-031-270 Me. Code R. § 19
Any limited benefit health insurance policy or certificate, as defined in Section 4(C) of this Rule, issued in Maine to persons eligible for Medicare by reason of age, shall notify insureds that the policy is not a Medicare supplement policy or contract. Such notice shall either be printed or attached to the first page of an outline of coverage, if any, delivered to insureds or to the first page of the policy or certificate delivered to insureds. Such notice shall be in no less than twelve (12) point type and shall contain the following language:
"THIS [POLICY, CERTIFICATE OR SUBSCRIBER CONTRACT] IS NOT A MEDICARE SUPPLEMENT [POLICY OR CERTIFICATE]. If you are eligible for Medicare review the Medicare Supplement Buyer's Guide available from the [company or plan].
02-031 C.M.R. ch. 270, § 19