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Section 500.3400 - Definitions; Scope of Chapter, Exemptions, Exceptions. - Sec. 3400. (1) As used in this chapter: (a) "Affiliated...
Section 500.3401 - Repealed. 2016, Act 276, Imd. Eff. July 1, 2016. - Compiler's Notes: The repealed section pertained to purpose and short...
Section 500.3401a - Group Disability Insurance; Issuance; Filing and Approval of Form. - Sec. 3401a. (1) An insurer authorized to write disability insurance...
Section 500.3402 - Disability Insurance Policy; Provisions Required. - Sec. 3402. An insurer shall not deliver or issue for...
Section 500.3402a - Group Disability Insurance Policy; Provisions Required. - Sec. 3402a. An insurer shall include all of the following...
Section 500.3402b - Group or Nongroup Disability Insurance Policy; Coordination of Benefits; Provision; Limitation; "Other Coverage" Defined; Payment by Each Insurer. - Sec. 3402b. (1) Subject to the coordination of benefits act,...
Section 500.3402c - Family Expense Insurance Policy. - Sec. 3402c. (1) For purposes of this chapter, family expense...
Section 500.3402d - Blanket Disability Insurance; Coverage. - Sec. 3402d. (1) For purposes of this chapter, blanket disability...
Section 500.3402e - Blanket Disability Insurance Policies; Issuance. - Sec. 3402e. (1) An insurer authorized to write disability insurance...
Section 500.3402f - Blanket Disability Insurance Policy; Provisions. - Sec. 3402f. An insurer shall include in a blanket disability...
Section 500.3402g - Blanket Disability Insurance Policy; Certificate; Payment of Benefits. - Sec. 3402g. (1) An insurer shall not require an individual...
Section 500.3402h - Legal Liability of Policyholder. - Sec. 3402h. Sections 3402d to 3402g do not affect the...
Section 500.3403 - Health Insurance Policy Offering Dependent Coverage; Required Provisions; Denial Prohibited; Grounds. - Sec. 3403. (1) An insurer that delivers, issues for delivery,...
Section 500.3404 - Insurance Policy Issued for Delivery to Nonresident. - Sec. 3404. The director may require that a policy issued...
Section 500.3405 - Prudent Purchaser Agreements With Providers of Hospital, Nursing, Medical, Surgical, or Sick-Care Services; Rates; Discrimination Prohibited; Optometry, Chiropractic, and Physical Therapy Service. - Sec. 3405. (1) For the purpose of doing business as...
Section 500.3405a - Use of Most Favored Nation Clause. - Sec. 3405a. (1) Notwithstanding any provision of this act to...
Section 500.3406 - Disability Insurance Policy; Provisions Required, Captions, Omissions, Substitutions. - Sec. 3406. (1) Except as provided in subsection (2) of...
Section 500.3406a - Reconstructive Surgery Following Mastectomy; Prosthetic Device. - Sec. 3406a. An insurer that delivers, issues for delivery, or...
Section 500.3406b - Coverage for Mental Health Services by Mental Health Care Provider. - Sec. 3406b. A policy or certificate which provides coverage for...
Section 500.3406c - Hospice Care; Definition; Description of Coverage. - Sec. 3406c. (1) An insurer that delivers, issues for delivery,...
Section 500.3406d - Coverage for Breast Cancer Diagnostic Services, Breast Cancer Outpatient Treatment Services, and Breast Cancer Rehabilitative Services; Coverage for Breast Cancer Screening Mammography; Definitions. - Sec. 3406d. (1) Subject to dollar limits, deductibles, and coinsurance...
Section 500.3406e - Coverage for Drug Used in Antineoplastic Therapy and Cost of Its Administration; Conditions. - Sec. 3406e. An insurer that delivers, issues for delivery, or...
Section 500.3406f - Repealed. 2016, Act 276, Imd. Eff. July 1, 2016. - Compiler's Notes: The repealed section pertained to excluded or limited...
Section 500.3406g - Repealed. 2016, Act 276, Imd. Eff. July 1, 2016. - Compiler's Notes: The repealed section pertained to prohibition against denying...
Section 500.3406h - Eligibility of Parent for Dependent Coverage; Health Coverage of Child Through Noncustodial Parent; Duties of Insurer; Court or Administrative Order and Notice Required. - Sec. 3406h. (1) If a parent is eligible for dependent...
Section 500.3406i - Individual Eligible Under Title XIX of Social Security Act; Assignment of Rights of Insured to Department of Social Services. - Sec. 3406i. (1) An insurer shall not consider whether an...
Section 500.3406j - Insured or Applicant as Victim of Domestic Violence; Refusal to Provide Coverage Prohibited; Liability; "Domestic Violence" Defined. - Sec. 3406j. (1) An insurer that delivers, issues for delivery,...
Section 500.3406k - Emergency Health Services; Medically Necessary Coverage; "Stabilization" Defined. - Sec. 3406k. (1) An insurer that delivers, issues for delivery,...
Section 500.3406l - Medical Transportation Services; Reimbursement; Exception. - Sec. 3406l. (1) Except as otherwise provided in subsections (2)...
Section 500.3406m - Access by Insured to Obstetrician-Gynecologist. - Sec. 3406m. (1) An insurer that delivers, issues for delivery,...
Section 500.3406n - Access to Pediatric Care Services. - Sec. 3406n. (1) An insurer that delivers, issues for delivery,...
Section 500.3406o - Insurer Providing Prescription Drug Coverage; Formulary Restrictions; Expedited Review of Coverage for Nonformulary Alternative; Determination; Subject to 500.3406w. - Sec. 3406o. (1) An insurer that delivers, issues for delivery,...
Section 500.3406p - Establishment of Program to Prevent Onset of Clinical Diabetes Required; Survey; Coverages; "Diabetes" Defined. - Sec. 3406p. (1) An insurer that delivers, issues for delivery,...
Section 500.3406q - Off-Label Use of Approved Drug; Coverage; Conditions; Compliance; Use of Copayment, Deductible, Sanction, or Utilization Control; Limitation; Definitions. - Sec. 3406q. (1) An insurer that delivers, issues for delivery,...
Section 500.3406r - Coverage for Obstetrical and Gynecological Services by Physician or Nurse Midwife. - Sec. 3406r. (1) As used in this section, "nurse midwife"...
Section 500.3406s - 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... - Sec. 3406s. (1) Except as otherwise provided in this section,...
Section 500.3406t - Synchronizing Insured's or Enrollee's Multiple Maintenance Prescription Drugs. - Sec. 3406t. (1) An insurer that delivers, issues for delivery,...
Section 500.3406u - Coverage for Prescription Eyedrops; Requirements; "Prescriber" Defined. - Sec. 3406u. (1) An insurer that delivers, issues for delivery,...
Section 500.3406v - Coverage for Emergency Supply of Insulin. - Sec. 3406v. Beginning on the effective date of the amendatory...
Section 500.3406w - Temporary Emergency and Early Refills for Prescription Drugs; Inapplicable After March 31, 2021. - Sec. 3406w. (1) Beginning on the effective date of the...
Section 500.3406x - Nonopioid Directive Form; Website. - Sec. 3406x. An insurer that delivers, issues for delivery, or...
Section 500.3406y - Nonopioid Directive Form; Enrollment. - Sec. 3406y. An insurer that delivers, issues for delivery, or...
Section 500.3407 - Entire Contract; Changes. - Sec. 3407. Except as otherwise provided in this act, an...
Section 500.3407a - Conduct on Behalf of or Information Provided to Insured by Health Care Provider; Prohibition or Discouragement by Disability Insurer. - Sec. 3407a. A disability insurer shall not prohibit or discourage...
Section 500.3407b - Undergoing Genetic Testing as Condition of Issuing, Renewing, or Continuing Policy; Disclosure of Genetic Testing or Genetic Information; Definitions. - Sec. 3407b. (1) An insurer that delivers, issues for delivery,...
Section 500.3408 - Time Limit on Certain Defenses; Incontestable Policy. - Sec. 3408. (1) An insurer shall include in a disability...
Section 500.3409 - Disability Insurance Policy; Mandatory Notices as to Cancellation and Refund of Premium. - Sec. 3409. (1) Except as otherwise provided in this section,...
Section 500.3410 - Grace Period; Provision Required. - Sec. 3410. There shall be a provision as follows: GRACE...
Section 500.3411 - Reinstatement; Provision Required. - Sec. 3411. (1) Subject to subsection (2), an insurer shall...
Section 500.3412 - Notice of Claim; Provision Required. - Sec. 3412. (1) Except as otherwise provided in subsection (2),...
Section 500.3413 - Claim Forms; Provision Required. - Sec. 3413. An insurer shall include in a disability insurance...
Section 500.3414 - Proofs of Loss; Provision Required. - Sec. 3414. An insurer shall include in a disability insurance...
Section 500.3416 - Time of Payment of Claims; Provision Required. - Sec. 3416. An insurer shall include in a disability insurance...
Section 500.3418 - Payment of Claims; Provision Required. - Sec. 3418. (1) Except as otherwise provided in subsection (2),...
Section 500.3420 - Physical Examinations and Autopsy; Provision Required. - Sec. 3420. An insurer shall include in a disability insurance...
Section 500.3422 - Legal Actions; Provision Required. - Sec. 3422. An insurer shall include in a disability insurance...
Section 500.3424 - Change of Beneficiary; Provision Required. - Sec. 3424. (1) Except as otherwise provided in subsection (2),...
Section 500.3425 - 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. - Sec. 3425. (1) Except as otherwise provided in this subsection,...
Section 500.3426 - Offer of Wellness Coverage by Insurer. - Sec. 3426. (1) An insurer that delivers, issues for delivery,...
Section 500.3428 - Provider Network. - Sec. 3428. An insurer that delivers, issues for delivery, or...
Section 500.3430 - Optional Policy Provisions; Insurance Commissioner's Approval. - Sec. 3430. Except as provided in subsection (2) of section...
Section 500.3432 - Change of Occupation; Optional Provision. - Sec. 3432. An insurer may include in a disability insurance...
Section 500.3434 - Misstatement of Age; Optional Provision. - Sec. 3434. There may be a provision as follows: MISSTATEMENT...
Section 500.3436 - Other Insurance With Same Insurer; Optional Provision. - Sec. 3436. There may be a provision as follows: OTHER...
Section 500.3438 - Insurance With Other Insurers; Optional Provision; Expense Incurred Benefits. - Sec. 3438. (1) An insurer may include in an individual...
Section 500.3439 - Repealed. 2016, Act 276, Imd. Eff. July 1, 2016. - Compiler's Notes: The repealed section pertained to provisions concerning insurance...
Section 500.3440 - Insurance With Other Insurers; Other Benefits. - Sec. 3440. (1) An insurer may include in an individual...
Section 500.3444 - Relation of Earnings to Insurance; Optional Provision. - Sec. 3444. There may be a provision as follows: RELATION...
Section 500.3446 - Unpaid Premium; Optional Provision. - Sec. 3446. There may be a provision as follows: UNPAID...
Section 500.3448 - Cancellation; Optional Provision. - Sec. 3448. There may be a provision as follows: CANCELLATION:...
Section 500.3450 - Conformity With State Statutes; Optional Provision. - Sec. 3450. There may be a provision as follows: CONFORMITY...
Section 500.3452 - Illegal Occupation or Criminal Activity; Optional Provision; Definitions. - Sec. 3452. (1) An insurer may include in a disability...
Section 500.3454 - Repealed. 1980, Act 429, Eff. Mar. 31, 1981. - Compiler's Notes: The repealed section pertained to intoxicants and narcotics.Popular...
Section 500.3460 - Order of Certain Policy Provisions. - Sec. 3460. The provisions which are the subject of sections...
Section 500.3462 - Third Party Ownership of Policy. - Sec. 3462. The word "insured", as used in this chapter,...
Section 500.3464 - Foreign or Alien Insurers; Provision Required by Other State Law; Domestic Insurers; Provision Required by Other State or Country. - Sec. 3464. (1) Any policy of a foreign or alien...
Section 500.3466 - Filing Procedure; Insurance Commissioner, Regulatory Powers. - Sec. 3466. The commissioner may make such reasonable rules and...
Section 500.3468 - Provisions Violating Code; Construction of Noncomplying Policies and Provisions. - Sec. 3468. (1) No policy provision which is not subject...
Section 500.3470 - Age of Insured; Provision Regulations. - Sec. 3470. If any such policy contains a provision establishing,...
Section 500.3471 - Provision and Nondisclosure of Large Employer Group Claims Utilization and Cost Information; Civil Liability Immunity; Definitions. - Sec. 3471. (1) On request of a large employer group,...
Section 500.3472 - 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. - Sec. 3472. (1) During an applicable open enrollment period, an...
Section 500.3474 - Risk Classification; Rates; Filing Requirements. - Sec. 3474. No policy of insurance against loss or expense...
Section 500.3474a - Premium Rate After January 1, 2014; Basis; Factors. - Sec. 3474a. The premium rate charged by an insurer, health...
Section 500.3475 - Reimbursement for Services by Licensed Psychologist, Podiatrist, or Chiropractor; Section Inapplicable to Policy Involving Prudent Purchaser Agreement. - Sec. 3475. (1) Notwithstanding any provision of a disability insurance...
Section 500.3476 - Telemedicine Services; Provisions; Definitions. - Sec. 3476. (1) An insurer that delivers, issues for delivery,...
Section 500.3477 - Use of Financial Incentive or Payment to Act as Inducement to Deny, Reduce, Limit, or Delay Services; Prohibition; Exception. - Sec. 3477. (1) An insurer shall not use any financial...
Section 500.3480 - Repealed. 1963, Act 127, Eff. Sept. 6, 1963. - Compiler's Notes: The section imposed penalties for violation of disability...