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Public Act Number: 276
Public Act Year: 2016
Document Type(s): MCLs
(120 results found)
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Document Type Description
Section 500.106 Section "Health maintenance organization" and "insurer" defined.
Section 500.116 Section Additional definitions.
Section 500.120 Section Insurance, surety, or health maintenance organization transactions; compliance with act.
Section 500.221 Section Insurance compliance self-evaluative audit document; privilege; disclosure; exceptions; definitions.
Section 500.222 Section Examination of insurers; examination report; hearing; public inspection; disclosure of confidential information; effect of current examination; director's authority to terminate or suspend examination not limited; limitation on foreign insurer examination.
Section 500.250 Section Insurers; stock transfer; officers or directors; appointment; notice to director; grounds for removal; hearing; order; civil immunity; review; "insurer" defined.
Section 500.402 Section Insurers; certificate of authority requirement.
Section 500.436 Section Conditions for suspension, revocation, or limitation of certificate of authority; "insurer" defined.
Section 500.436a Section Continuing operation of insurer transacting insurance in state or nonprofit dental corporation operating under MCL 550.351 to 550.373; standards; subscription to private rating organization not required; determination of financial condition; issuance of order by director; hearing requested by insurer.
Section 500.454 Section Name of insurer.
Section 500.460 Section Insurance producer to write or place insurance policies.
Section 500.462 Section Signature of insurance producer on application for life or disability insurance.
Section 500.606 Section Disability insurance; definition.
Section 500.607 Section Group disability insurance; definition.
Section 500.608 Section "Health" and "health insurance policy" defined.
Section 500.632 Section Insurers; nonprofit dental care corporation; reinsurance; authorization.
Section 500.1001 Section Definitions.
Section 500.2003 Section Prohibited trade practices; "person" defined.
Section 500.2006 Section Payment of benefits on timely basis; payment of interest in alternative; failure to pay claims or interest as unfair trade practice; liability for claim pursuant to judgment; proof of loss; inability to pay claim; interest requirements; failure of reinsurer to pay benefits on timely basis; effect of inconsistency with certain acts; exceptions; processing and payment procedures; notices; payment of 1 or more services listed on claim; violations; fines; definitions; section applicable to nonprofit dental care corporation.
Section 500.2059 Section Maintaining or operating office for transaction of insurance business; using name of insurer in conducting or advertising business not related to business of insurance.
Section 500.2212a Section Health insurance policy; written summary requirements; style, arrangement and appearance of policy; electronic copy permissible; "board certified" defined.
Section 500.2212b Section Policy issued under MCL 550.3405 and to health maintenance organization contract; applicability; termination of affiliation or participation between primary care physician and insurer; notice to insured; effect of termination; definitions.
Section 500.2213 Section Internal formal grievance procedure; approval by director; provisions; person authorized to act on behalf of insured or enrollee; section inapplicable to provider complaint and insurance listed in right to independent review act; written notice to be culturally and linguistically appropriate; definitions.
Section 500.2213a Section Expenses incurred by director; calculation; assessment; "insurer" defined.
Section 500.2213b Section Renewal or continuation of policy; modification; guaranteed renewal; discontinuing plan or product in nongroup or group market; short-term or 1-time limited duration policy or certificate; reports.
Section 500.2214 Section Disability insurance; application, use as evidence.
Section 500.2236 Section Forms generally; filing; approval; type size; membership in or subscription to rating organization; substitute form; readability score and other requirements; approval of changes or additions; notice of disapproval or withdrawal of approval; prohibition; hearing; separate violation; penalty; applicability of filing requirements; satisfaction of requirement for delivery of form or notice; "exempt commercial policyholder" and "insurer" defined; court review of order.
Section 500.2237 Section Policy issued under chapter 34; prohibited restriction of liability.
Section 500.2242 Section Group disability policy; filing and approval of form; grounds for disapproval; notice, hearing, and appeal requirements; withdrawal of approval; quarterly filing; applicability of section to forms filed by nonprofit dental corporation.
Section 500.3400 Section Definitions; scope of chapter, exemptions, exceptions.
Section 500.3401a Section Group disability insurance; issuance; filing and approval of form.
Section 500.3402 Section Disability insurance policy; provisions required.
Section 500.3402a Section Group disability insurance policy; provisions required.
Section 500.3402b Section Group or nongroup disability insurance policy; coordination of benefits; provision; limitation; "other coverage" defined; payment by each insurer.
Section 500.3402c Section Family expense insurance policy.
Section 500.3402d Section Blanket disability insurance; coverage.
Section 500.3402e Section Blanket disability insurance policies; issuance.
Section 500.3402f Section Blanket disability insurance policy; provisions.
Section 500.3402g Section Blanket disability insurance policy; certificate; payment of benefits.
Section 500.3402h Section Legal liability of policyholder.
Section 500.3403 Section Health insurance policy offering dependent coverage; required provisions; denial prohibited; grounds.
Section 500.3404 Section Insurance policy issued for delivery to nonresident.
Section 500.3405 Section Prudent purchaser agreements with providers of hospital, nursing, medical, surgical, or sick-care services; rates; discrimination prohibited; optometry, chiropractic, and physical therapy service.
Section 500.3405a Section Use of most favored nation clause.
Section 500.3406a Section Reconstructive surgery following mastectomy; prosthetic device.
Section 500.3406c Section Hospice care; definition; description of coverage.
Section 500.3406d Section Coverage for breast cancer diagnostic services, breast cancer outpatient treatment services, and breast cancer rehabilitative services; coverage for breast cancer screening mammography; definitions.
Section 500.3406e Section Coverage for drug used in antineoplastic therapy and cost of its administration; conditions.
Section 500.3406j Section Insured or applicant as victim of domestic violence; refusal to provide coverage prohibited; liability; "domestic violence" defined.
Section 500.3406k Section Emergency health services; medically necessary coverage; "stabilization" defined.
Section 500.3406l Section Medical transportation services; reimbursement; exception.
Section 500.3406m Section Access by insured to obstetrician-gynecologist.
Section 500.3406n Section Access to pediatric care services.
Section 500.3406o Section Insurer providing prescription drug coverage; formulary restrictions; expedited review of coverage for nonformulary alternative; determination; subject to 500.3406w.
Section 500.3406p Section Establishment of program to prevent onset of clinical diabetes required; survey; coverages; "diabetes" defined.
Section 500.3406q Section Off-label use of approved drug; coverage; conditions; compliance; use of copayment, deductible, sanction, or utilization control; limitation; definitions.
Section 500.3406r Section Coverage for obstetrical and gynecological services by physician or nurse midwife.
Section 500.3406s Section Diagnosis and treatment of autism spectrum disorders; coverage; prohibition; availability of other benefits; conditions; qualified health plan offered through American health benefit exchange pursuant to federal law; short-term or 1-time limited duration policy or certificate; prescription drug plan; coordinated benefits; definitions.
Section 500.3407 Section Entire contract; changes.
Section 500.3407b Section Undergoing genetic testing as condition of issuing, renewing, or continuing policy; disclosure of genetic testing or genetic information; definitions.
Section 500.3408 Section Time limit on certain defenses; incontestable policy.
Section 500.3409 Section Disability insurance policy; mandatory notices as to cancellation and refund of premium.
Section 500.3411 Section Reinstatement; provision required.
Section 500.3412 Section Notice of claim; provision required.
Section 500.3413 Section Claim forms; provision required.
Section 500.3414 Section Proofs of loss; provision required.
Section 500.3416 Section Time of payment of claims; provision required.
Section 500.3418 Section Payment of claims; provision required.
Section 500.3420 Section Physical examinations and autopsy; provision required.
Section 500.3422 Section Legal actions; provision required.
Section 500.3424 Section Change of beneficiary; provision required.
Section 500.3425 Section Health insurance policy; coverage for intermediate and outpatient care for substance use disorder required; charges, terms, and conditions; reduction of coverage; deductibles and copayment provisions; definitions.
Section 500.3426 Section Offer of wellness coverage by insurer.
Section 500.3428 Section Provider network.
Section 500.3432 Section Change of occupation; optional provision.
Section 500.3438 Section Insurance with other insurers; optional provision; expense incurred benefits.
Section 500.3440 Section Insurance with other insurers; other benefits.
Section 500.3452 Section Illegal occupation or criminal activity; optional provision; definitions.
Section 500.3472 Section Open enrollment period; prohibitions; establishment of reasonable periods for health insurance policies; minimum standards for frequency and duration of open enrollment periods; denial of coverage.
Section 500.3475 Section Reimbursement for services by licensed psychologist, podiatrist, or chiropractor; section inapplicable to policy involving prudent purchaser agreement.
Section 500.3476 Section Telemedicine services; provisions; definitions.
Section 500.3477 Section Use of financial incentive or payment to act as inducement to deny, reduce, limit, or delay services; prohibition; exception.
Section 500.3501 Section Definitions.
Section 500.3503 Section Applicability of provisions to health maintenance organization.
Section 500.3505 Section Health maintenance contract; use of descriptive words; restrictions.
Section 500.3507 Section Authorizing and regulating health maintenance organization; establishment of system by director.
Section 500.3508 Section Quality assessment program; quality improvement program.
Section 500.3509 Section Certificate of authority; application; form; limitation; change of service area.
Section 500.3511 Section Governing body; election of enrollee board members; requirements; meetings.
Section 500.3513 Section Health maintenance organization operations; regulation by director; incorporation as legal entity.
Section 500.3515 Section Additional health services; deductibles; copayments; "preventive health care services" defined; partial payment from government or private person.
Section 500.3517 Section Healthy lifestyle programs; emergency or out-of-area service; payment of expenses or fees.
Section 500.3519 Section Contract and contract rates; fairness; rate differential; basic health services to large employers required.
Section 500.3528 Section Health maintenance organization; credentialing verification; accreditation by nationally recognized accredited body.
Section 500.3533 Section Prudent purchaser contracts; reimbursement for unauthorized services or services by nonaffiliated providers.
Section 500.3535 Section Solicitation or advertising.
Section 500.3544 Section Noninsured benefit plan; processing and payment of claims.
Section 500.3545 Section Acquisition of obligations from another managed care entity.
Section 500.3547 Section Health care service operations; visitation or examination by director; consultation with enrollees; authority; access to information relating to delivery of services; submission of information regarding proposed contract.
Section 500.3548 Section Maintenance of books, records, files, and financial records; funds and assets.
Section 500.3551 Section Health maintenance organization; net worth.
Section 500.3553 Section Certificate of authority; deposit requirements.
Section 500.3555 Section Financial plan.
Section 500.3557 Section Notice of changes in operations.
Section 500.3559 Section Reinsurance contract or plan of self-insurance; purpose; filing; approval; coverage.
Section 500.3561 Section Insolvency; continuation of benefits.
Section 500.3563 Section Insolvency; offer of enrollment by health insurers participating in enrollment process; allocation of group coverage to health maintenance organizations or insurers within service area; nongroup coverage; reassignment of enrollees of insolvent organization contracting with state funded health care program; substitute coverage under American health benefit exchange.
Section 500.3569 Section Assumption of financial risk.
Section 500.3571 Section State or federal health programs.
Section 500.3573 Section Operation of health care delivery system not meeting requirements of act; permitted conduct; limitations.
Section 500.3701 Section Definitions.
Section 500.3703 Section Scope of chapter.
Section 500.3705 Section Geographic areas; adjustment and determination of premiums; conditions; additional premium; small employer; rating factors.
Section 500.3711 Section Small employer carrier; guaranteed renewal; exceptions; modification.
Section 500.3723 Section Applicability of chapter; date of health benefit plan.
Section 500.4601 Section Definitions.
Section 500.4701 Section Definitions.
Section 500.6428 Section Insurer transacting business under MCL 500.6406 subject to certain provisions.
Section 500.7060 Section Additional provisions to which MEWA subject.
Section 500.7705 Section Definitions.