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Section 550.1400 - Use of Most Favored Nation Clause in Provider Contract. - Sec. 400. (1) Notwithstanding any provision of this act to...
Section 550.1401 - Offering of Health Care Benefits; Limiting Benefits; Division of Benefits Into Classes or Kinds; Prohibited Conduct; Grounds for Denial of Coverage; Coordination of Benefits, Subrogation, and Nonduplication of Benefits; Health Care... - Sec. 401. (1) A health care corporation established, maintained, or...
Section 550.1401a - Health Care Service Rendered by Dentist; Benefits or Reimbursement; “Dentist” Defined; Certificates to Which Section Applicable. - Sec. 401a. (1) If a group or nongroup certificate of...
Section 550.1401b - Certificate Providing Benefits for Mental Health Services; Requirements. - Sec. 401b. A certificate issued by a corporation which provides...
Section 550.1401c - Replacement Group Certificate With Preexisting Condition Limitation; Elimination, Reduction, or Limitation of Benefits; “Disability Coverage” Defined. - Sec. 401c. (1) If existing group disability coverage is replaced...
Section 550.1401d - Services Performed by Physician's Assistant; Reimbursement; Conditions; Applicability of Section; Supervision by Physician; Definitions. - Sec. 401d. (1) Subject to subsections (2) and (3), if...
Section 550.1401e - Group Certificate Issued by Health Care Corporation; Renewal or Continuation; Guaranteed Renewal; Discontinuing Plan, Product, or Coverage in Nongroup or Group Market; Conditions. - Sec. 401e. (1) Except as otherwise provided in this section,...
Section 550.1401f - Health Care Corporation; Access to Obstetrician-Gynecologist. - Sec. 401f. (1) A health care corporation certificate that requires...
Section 550.1401g - Health Care Corporation; Access to Pediatric Care Services. - Sec. 401g. (1) A health care corporation certificate that requires...
Section 550.1401h - Health Care Corporation Providing Prescription Drug Coverage; Formulary Restrictions. - Sec. 401h. A health care corporation that provides coverage for...
Section 550.1401i - Prescription Drug Coverage; Pilot Project; Provisions; Interim Report; Determination; Evaluation. - Sec. 401i. (1) Beginning January 1, 2004, a health care...
Section 550.1401j - Prescription Drug Coverage; Rate Differentials; Filing. - Sec. 401j. The rates charged to nongroup and group conversion...
Section 550.1401k - Telemedicine Services; Provisions; Definition; Applicability. - Sec. 401k. (1) A group or nongroup health care corporation...
Section 550.1401m - Offer of Health Care Benefits to All Residents Regardless of Health Status. - Sec. 401m. Until January 1, 2014, a health care corporation...
Section 550.1402 - Health Care Corporation; Prohibited Conduct; Commission or Compensation; New Preexisting Condition Limitation Waiting Period; Readjusting Rates; Participation in Trade Practice Conference for Disability Insurers; Provider Class Pla... - Sec. 402. (1) A health care corporation shall not do...
Section 550.1402a - Terms and Conditions of Certificate; Form; Description; Requested Information; Written Request; “Board Certified” Defined. - Sec. 402a. (1) A health care corporation shall provide a...
Section 550.1402b - Preexisting Condition Limitation or Exclusion; Prohibition; Exception; “Group” Defined. - Sec. 402b. (1) For an individual covered under a nongroup...
Section 550.1402c - Termination of Participation Between Primary Care Physician and Health Care Corporation; Notice to Member; Effect of Termination; Definitions. - Sec. 402c. (1) If participation between a primary care physician...
Section 550.1402d - Applicability of MCL 500.2212c to Health Care Corporation. - Sec. 402d. Section 2212c of the insurance code of 1956,...
Section 550.1403 - Payment of Benefits; Interest; Claim Form; Exception. - Sec. 403. (1) A health care corporation, on a timely...
Section 550.1403a - Benefits Paid by Check or Written Instrument; Escheat. - Sec. 403a. Benefits paid by a health care corporation to...
Section 550.1403b - Advertising Material Prohibited. - Sec. 403b. A health care corporation shall not include in...
Section 550.1404 - Violation of MCL 550.1402 or MCL 550.1403; Private Informal Managerial-Level Conference; Review by Commissioner; Internal Procedures; Determination by Commissioner; Expedited Grievance Procedure; Procedural Rules; Hearing Matter as... - Sec. 404. (1) A person who has reason to believe...
Section 550.1405 - Single Billing Form; Development; Explanation of Total Bill for Services. - Sec. 405. (1) A health care corporation, in consultation with...
Section 550.1406 - Confidentiality of Records; Disclosures; Consent; Policy Regarding Protection of Privacy and Confidentiality of Personal Data; Violation as Misdemeanor; Penalty; Civil Action for Damages; Effect of Section on Governmental Agencies;... - Sec. 406. (1) A health care corporation shall, in order...
Section 550.1407 - Complaint System; Procedures; Response to Complaint; Access to Complaints and Responses; Record of Complaints; Annual Report; Other Legal Remedies. - Sec. 407. (1) A health care corporation shall establish and...
Section 550.1408 - False, Dishonest, or Fraudulent Claim for Payment as Misdemeanor; Penalty; Civil Action; Prosecution. - Sec. 408. Any provider, member, or other person who knowingly...
Section 550.1409 - Civil Action for Negligence. - Sec. 409. A civil action for negligence based upon, or...
Section 550.1409a - Coverage for Children Who Are Full-Time or Part-Time Students; Continuing Coverage if Dependent Student Takes Leave of Absence Due to Illness or Injury; Eligibility; Requirements. - Sec. 409a. (1) Any certificate delivered, issued for delivery, or...
Section 550.1410 - Certificate Providing Coverage of Dependent Terminating at Specified Age; Exceptions. - Sec. 410. Any certificate issued by a health care corporation...
Section 550.1410a - Provisions of Group Certificate; Electing Coverage Under Group Conversion Certificate; Notice of Conversion Privilege; Requirements of Group Conversion Certificate; Premium; Issuance; Compliance. - Sec. 410a. (1) A group certificate that is issued or...
Section 550.1410b - Premium for Group Conversion Certificate After January 1, 2014; Determination; Rating Factors. - Sec. 410b. Notwithstanding section 410a(8), for a certificate delivered, issued...
Section 550.1411-550.1413a - Repealed. 1994, Act 40, Imd. Eff. Mar. 14, 1994. - Compiler's Notes: The repealed sections pertained to supplemental medicare benefits...
Section 550.1414 - Expired. 1980, Act 430, Eff. Jan. 1, 1982. - Compiler's Notes: The expired section pertained to treatment of alcoholism...
Section 550.1414a - Treatment of Substance Abuse; Contracts; Qualifications of Provider; Coverage for Intermediate and Outpatient Care for Substance Abuse Required; Demonstration Projects; Substance Abuse Advisory Committee; Report; Contracts Based o... - Sec. 414a. (1) A health care corporation shall offer benefits...
Section 550.1414b - Offer of Wellness Coverage by Health Care Corporation. - Sec. 414b. (1) A health care corporation may offer group...
Section 550.1415 - Benefits for Prosthetic Devices. - Sec. 415. (1) Not later than 12 months after the...
Section 550.1416 - Coverage for Breast Cancer Diagnostic Services, Breast Cancer Outpatient Services, and Breast Cancer Rehabilitative Services; Coverage for Breast Cancer Screening Mammography; Definitions; Effective Date of Section. - Sec. 416. (1) Subject to dollar limits, deductibles, and coinsurance...
Section 550.1416a - Coverage for Drug Used in Antineoplastic Therapy and Cost of Its Administration; Conditions. - Sec. 416a. A health care corporation shall provide coverage in...
Section 550.1416b - Establishment of Program to Prevent Onset of Clinical Diabetes Required; Report; Coverages; “Diabetes” Defined. - Sec. 416b. (1) A health care corporation shall establish and...
Section 550.1416c - Off-Label Use of Approved Drug; Coverage; Conditions; Compliance; Use of Copayment, Deductible, Sanction, or Utilization Control; Limitation; Definitions. - Sec. 416c. (1) A health care corporation group or nongroup...
Section 550.1416d - Coverage for Obstetrical and Gynecological Services by Physician or Nurse Midwife. - Sec. 416d. (1) As used in this section, "nurse midwife"...
Section 550.1416e - 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; Prescription... - Sec. 416e. (1) Except as otherwise provided in this section,...
Section 550.1417 - Hospice Care; Contracts With Health Care Corporation; Description of Benefit. - Sec. 417. (1) A health care corporation shall offer to...
Section 550.1418 - Emergency Health Services; Medical Coverage Required; “Stabilization” Defined. - Sec. 418. (1) A health care corporation certificate that provides...
Section 550.1419 - Certificate Offering Dependent Coverage to Child; Denial of Enrollment on Certain Grounds Prohibited. - Sec. 419. A health care corporation certificate that offers dependent...
Section 550.1419a - Eligibility of Parent for Dependent Coverage; Health Coverage of Child Through Noncustodial Parent; Court or Administrative Order and Notice Required. - Sec. 419a. (1) If a parent is eligible for dependent...
Section 550.1419b - Individual Eligible Under Title XIX of Social Security Act; Assignment of Rights of Subscriber to Department of Social Services. - Sec. 419b. (1) A health care corporation shall not consider...
Section 550.1420-550.1430 - Repealed. 2006, Act 441, Imd. Eff. Oct. 19, 2006. - Compiler's Notes: The repealed sections pertained to individual and group...
Section 550.1435 - “Program” Defined. - Sec. 435. As used in sections 436 to 439, "program"...
Section 550.1436 - Michigan Caring Programs for Children; Creation; Contribution Requirements; Rating Methodologies; Supersedure of Inconsistent Provisions. - Sec. 436. There may be created within each health care...
Section 550.1437 - Eligibility of Child for Enrollment in Program. - Sec. 437. A child is eligible for enrollment in the...
Section 550.1438 - Limitation of Benefits; Provision of Other Health Care Benefits. - Sec. 438. (1) Notwithstanding any other provision of this act,...
Section 550.1439 - Fees Prohibited; Exception; Funding; Enrollment of Children. - Sec. 439. The program shall not charge any fee to...