MCL - Act 218 of 1984
AN ACT to provide for the regulation of third party administrators; to provide for the licensure of administrative service managers; to provide for certain powers and duties for certain state agencies and officers; to provide for the confidentiality of certain personal data; and to prescribe penalties for a violation of this act.
History: 1984, Act 218, Eff. Jan. 1, 1985
Compiler's Notes: For transfer of the Department of Insurance and Office of the Commissioner on Insurance from the Department of Licensing and Regulation to the Department of Commerce, see E.R.O. No. 1991-9, compiled at MCL 338.3501 of the Michigan Compiled Laws. For transfer of authority, powers, duties, functions, and responsibilities of the insurance bureau and the commissioner of insurance to the commissioner of the office of financial and insurance services and the office of financial and insurance services, see E.R.O. No. 2000-2, compiled at MCL 445.2003 of the Michigan compiled laws.
| Document | Type | Description |
|---|---|---|
| Section 550.901 | Section | Short title. |
| Section 550.902 | Section | Definitions. |
| Section 550.910 | Section | Third party administrator; certificate required; requirements; instances in which TPA subject to act; name. |
| Section 550.912 | Section | Application for certificate of authority; form, verification, and contents; filing notice of modification. |
| Section 550.914 | Section | Certificate of authority; issuance; notice of disapproval; continued compliance with subsection (1). |
| Section 550.916 | Section | Repealed. 2002, Act 74, Imd. Eff. Mar. 15, 2002. |
| Section 550.918 | Section | Fees; payment; collection; and designation. |
| Section 550.919 | Section | TPA advisory board; creation; appointment, qualifications, and terms of members; expenses; duty of board; report. |
| Section 550.920 | Section | Authority of commissioner. |
| Section 550.922 | Section | Hearings. |
| Section 550.924 | Section | Destruction or disposal of records, books, papers, and other data. |
| Section 550.926 | Section | 340B Program entities; reimbursement, co-pay, and discrimination prohibitions; definitions. |
| Section 550.927 | Section | Disclosure of current selling prices; prohibited contract provisions. |
| Section 550.930 | Section | Provision of administrative services pursuant to written service contract; maintenance of books and records; TPA and manager as fiduciary. |
| Section 550.932 | Section | Benefit plan; notice; plan covering less than 500 individuals; service contract between TPA and governmental entity not subject to ERISA; construction of act. |
| Section 550.934 | Section | Confidentiality. |
| Section 550.936 | Section | Annual statement; report. |
| Section 550.940 | Section | Prohibited conduct generally. |
| Section 550.942 | Section | Additional prohibited conduct. |
| Section 550.944 | Section | Additional prohibited conduct. |
| Section 550.950 | Section | Violation; probable cause; notice; conference; disposition of matter upon agreement of parties; action for damages; hearing; findings and decision; cease and desist order; additional order. |
| Section 550.952 | Section | Civil fine; suspension or revocation of certificate or license; refusal to issue; grounds for denial, suspension, revocation, or cease and desist order; definition. |
| Section 550.954 | Section | Alteration, modification, or setting aside of order. |
| Section 550.956 | Section | Judicial review; petition for review; transcript of record and copy of order or decision; hearing cause as civil case in equity; evidence; duty of court; incomplete record; stay of order or decision; jurisdiction. |
| Section 550.958 | Section | Self-incrimination; false oath or affirmation. |
| Section 550.960 | Section | Rules. |
| Section 550.962 | Section | Repealed. 2002, Act 74, Imd. Eff. Mar. 15, 2002. |