Michigan Compiled Laws
Chapter 550 - General Insurance Laws

Section 550.4 - Foreign Insurance Companies; Other States' Regulations, Application. - Sec. 4. The said commissioner is hereby authorized and empowered...

Section 550.5 - Purposes of Act. - Sec. 5. The purposes of the provisions of this act,...

Section 550.6 - Suits Against Insurance Companies; Statute of Limitations, Extension. - Sec. 6. During the period of any such calamity or...

Section 550.7 - Duration of Emergency; Proclamations. - Sec. 7. The emergency referred to in section 1 hereof...

Section 550.8 - Violation of Act; Misdemeanor; License Revocation, Grounds. - Sec. 8. Any person or corporation violating any of the...

Act 233 of 1984 - Prudent Purchaser Act (550.51 - 550.63)

Section 550.51 - Short Title. - Sec. 1. This act shall be known and may be...

Section 550.52 - Definitions. - Sec. 2. As used in this act: (a) "Commissioner" means...

Section 550.53 - Prudent Purchaser Agreement; Number; Location of Health Care Provider; Membership on Provider Panel; Written Standards; Notice Procedures; Provider Application Period; Providing Standards on Request; Notice of Acceptance or Rejection... - Sec. 3. (1) An organization may enter into a prudent...

Section 550.53a - Disclosure of Financial Relationships Between Organization and Participating Health Care Providers, Health Care Facilities, or Other Entities. - Sec. 3a. An organization that establishes a prudent purchaser agreement...

Section 550.53b - Prudent Purchaser Agreement Services; Providing Requested Information to Insurer. - Sec. 3b. An organization that is providing prudent purchaser agreement...

Section 550.54 - Discrimination Prohibited; Complaint of Violation; Hearing; Penalty. - Sec. 4. An organization shall not refuse to enter into...

Section 550.55 - Notice of Membership in Provider Panels; Display. - Sec. 5. A health care provider which is a member...

Section 550.56 - Reporting Certain Information on Standard Forms Required; Availability of Information to Appropriate State Agencies; Confidentiality. - Sec. 6. (1) An organization which enters into prudent purchaser...

Section 550.57 - Agreements Between Health Care Providers and Purchasers of Health Care Services. - Sec. 7. Nothing in this act shall preclude 1 or...

Section 550.58 - Organization Subject to Enabling Act; Financial Records. - Sec. 8. (1) An organization which provides or administers health...

Section 550.59 - Report on Competition in Retail Pharmacy Industry. - Sec. 9. The department of management and budget shall contract...

Section 550.60 - Repealed. 2005, Act 203, Imd. Eff. Nov. 10, 2005. - Compiler's Notes: The repealed section pertained to creation of a...

Section 550.61 - Repealed. 1988, Act 282, Imd. Eff. July 27, 1988. - Compiler's Notes: The repealed section pertained to applicability of act.

Section 550.62 - Provisions Inapplicable to Certain Contracts and Renewal Thereof. - Sec. 12. Nothing in this act shall apply to any...

Section 550.63 - Conditional Effective Date. - Sec. 13. This act shall not take effect unless all...

Act 143 of 1935 - Office Agent; Set-Off for Damages (550.231 - 550.233)

Section 550.231 - Office Agent of Insurance Company Taken Over by Insurance Commissioner or Receiver; Off-Set for Damages. - Sec. 1. Any insurance agent, who has been the office...

Section 550.232 - Applicability of Act. - Sec. 2. The provisions of this act shall apply to...

Section 550.233 - Construction of Act. - Sec. 3. This act shall be construed as supplemental to...

Act 64 of 1984 - The Coordination of Benefits Act (550.251 - 550.255)

Section 550.251 - Short Title. - Sec. 1. This act shall be known and may be...

Section 550.252 - Definitions. - Sec. 2. (1) As used in this act: (a) "Allowable...

Section 550.253 - Coverage by 2 or More Plans; Order of Benefit Payments; Length of Time Covered Under Plan; Inability to Agree on Order of Benefits; Amount to Be Paid by Insurer Issuing Secondary Plan; Amount to Be Paid by Insurer Issuing Secondary... - Sec. 3. (1) If an individual is covered by 2...

Section 550.253a - Contract Issued Before Effective Date of Amendatory Act; Compliance With Changes; Transition Period. - Sec. 3a. (1) An insurer that, before the effective date...

Section 550.254 - Rules. - Sec. 4. The director of the department of insurance and...

Section 550.255 - Repealed. 2016, Act 275, Imd. Eff. July 1, 2016. - Compiler's Notes: The repealed section pertained to conditional effective date.

Act 593 of 2006 - Sharing Health Care Information (550.281 - 550.289)

Section 550.281 - Definitions. - Sec. 1. As used in this act: (a) "Department" means...

Section 550.283 - Determination That Health Coverage Recipient Is Also Medical Assistance Recipient; Information to Be Provided by Health Insurer. - Sec. 3. (1) An entity shall provide on a monthly...

Section 550.285 - Determination That Health Coverage Recipient Is Also Medical Assistance Recipient; Actions by Department. - Sec. 5. If the department determines that a health coverage...

Section 550.287 - Violation of Act; Administrative Fine; Notice; Right to Hearing. - Sec. 7. An entity that violates this act is subject...

Section 550.289 - Rules. - Sec. 9. The department may promulgate rules pursuant to the...

Repealed - Act 108 of 1939 - Nonprofit Medical Care Corporations (550.301 - 550.316) - Compiler's Notes: Prior to April 3, 1981, the effective date...

Act 125 of 1963 - Nonprofit Dental Care Corporations (550.351 - 550.373)

Section 550.351 - Nonprofit Dental Care Corporation; Formation; Purpose; Types of Dental Care Plans; Services in Other States; Corporation Subject to Nonprofit Corporation Act. - Sec. 1. (1) Three or more residents of this state...

Section 550.352 - Subscriber Contract Payment Regulations; Prohibited Provisions. - Sec. 2. No contract shall provide for the payment of...

Section 550.353 - Supervision by Insurance Commissioner; Incorporation Procedures. - Sec. 3. A nonprofit dental care corporation is subject to...

Section 550.354 - Articles of Incorporation; Contents. - Sec. 4. Any persons associating as a nonprofit dental care...

Section 550.355 - Articles of Incorporation; Execution, Filing, Fee, Approval, Amendment. - Sec. 5. The articles shall be acknowledged before a notary...

Section 550.356 - Contracts; Statement to Insurance Commissioner; Contents, Examination. - Sec. 6. Before a corporation shall enter into or solicit...

Section 550.357 - Certificate of Authority to Commence Business and Issue Contracts; Requirements. - Sec. 7. If the commissioner is satisfied that: (a) The...

Section 550.358 - Certificate of Authority; Revocation; Liquidation. - Sec. 8. The commissioner of insurance, after reasonable notice and...

Section 550.359 - Corporation Examination by Insurance Commissioner; Expenses. - Sec. 9. The commissioner of insurance, or any deputy, examiner,...

Section 550.359a - Nonprofit Dental Care Corporation Subject to MCL 500.224 and 500.225; Costs and Expenses. - Sec. 9a. A nonprofit dental care corporation is subject to...

Section 550.360 - Annual Statement; Filing. - Sec. 10. A corporation, annually on or before March 1...

Section 550.361 - Providing Dental Services Outside State. - Sec. 11. A dental care corporation may provide dental services...

Section 550.362 - Dental Care Service Contracts; Preliminary Requirements; Payments. - Sec. 12. A dental care corporation before entering into a...

Section 550.363 - Dental Care Corporation; Board of Directors; Membership, Consideration of Candidates Recommended by Michigan Dental Association; Composition of Board; Hearing to Determine Compliance; Findings; Order; Failure to Comply With Order; C... - Sec. 13. (1) The board of directors of a dental...

Section 550.364 - Contract Limitations; Service Classes; County Residents. - Sec. 14. A dental care corporation, by its articles of...

Section 550.365 - Dentists; Eligibility; Agreements With Corporation. - Sec. 15. A licensed dentist is eligible to render professional...

Section 550.366 - Subscriber-Dentist Relationship; Choice of Dentist; Refusal to Place Name of Dentist on Register; Removal of Name From Register. - Sec. 16. The relation between a subscriber or any of...

Section 550.366a - Prudent Purchaser Agreements; Rates; Provisions Inapplicable to Certain Contracts and Renewal Thereof. - Sec. 16a. (1) A dental care corporation may enter into...

Section 550.367 - Reserve Funds; Maintenance; Investment. - Sec. 17. A dental care corporation, before beginning business and...

Section 550.368 - Dental Care to Be in Accordance With Accepted Dental Practice. - Sec. 18. Dental care rendered by a dental care corporation...

Section 550.369 - Dental Care for Needy and Other Persons; Payments; Contracts. - Sec. 19. A dental care corporation may receive from governmental...

Section 550.369a - Coordination of Benefits. - Sec. 19a. If a group contract issued by a corporation...

Section 550.370 - Dentist-Patient Relationship; Civil Actions. - Sec. 20. A civil action based upon or arising out...

Section 550.371 - Previously Existing Corporations Merger; Agreement, Approval. - Sec. 21. A nonprofit corporation heretofore incorporated under Act No....

Section 550.372 - Dental Care Corporations; Tax Exemption. - Sec. 22. A corporation subject to the provisions of this...

Section 550.373 - False Statement; Penalty. - Sec. 23. Any person, or any agent or officer of...

Repealed - Act 109 of 1939 - Nonprofit Hospital Service Corporations (550.501 - 550.517) - Compiler's Notes: Prior to April 3, 1981, the effective date...

Act 386 of 1996 - Viatical Settlement Contracts (550.521 - 550.528)

Section 550.521 - Definitions. - Sec. 1. As used in this act: (a) "Commissioner" means...

Section 550.522 - Records; Production; Maintenance; Availability for Inspection; Payment of Expenses. - Sec. 2. (1) The commissioner may order a provider to...

Section 550.523 - Disclosure of Information. - Sec. 3. A provider shall disclose all of the following...

Section 550.524 - Documents to Be Obtained by Provider; Right to Avoid or Rescind Contract. - Sec. 4. (1) A provider entering into a contract with...

Section 550.524a - Agreement to Commit Suicide; Payment Prohibited. - Sec. 4a. A provider shall not offer to provide or...

Section 550.525 - Disposition of Contract Consideration. - Sec. 5. (1) Upon receipt from the viator of the...

Section 550.526 - Double or Additional Indemnity. - Sec. 6. If a policy provides for double or additional...

Section 550.527 - Offer to Purchase Policy or Certificate; Notice to Insurer. - Sec. 7. An offer to purchase a life insurance policy...

Section 550.528 - Order Prohibiting Provider From Entering Viatical Settlement Contract; Additional Orders. - Sec. 8. (1) The commissioner may issue an order prohibiting...

Act 182 of 2013 - Abortion Insurance Opt-Out Act (550.541 - 550.551)

Section 550.541 - Short Title. - Sec. 1. This act shall be known and may be...

Section 550.542 - Coverage Provided by Qualified Health Plan Offered Through American Health Benefit Exchange; Elective Abortion; Optional Rider. - Sec. 2. A qualified health plan offered through an American...

Section 550.543 - Certificate, Policy, or Contract; Coverage for Elective Abortion; Optional Rider. - Sec. 3. An expense-incurred hospital, medical or surgical policy or...

Section 550.544 - Purchase of Optional Rider by Employer. - Sec. 4. An employer may purchase an optional rider to...

Section 550.545 - Offer of Optional Rider Not Required. - Sec. 5. This act does not require an insurer, health...

Section 550.546 - Applicability of Act. - Sec. 6. This act applies to plans, policies, certificates, or...

Section 550.547 - Inapplicability of Act to Certain Benefits. - Sec. 7. This act does not apply to benefits provided...

Section 550.548 - Right to Abortion Not Created. - Sec. 8. This act does not create a right to...

Section 550.549 - Performance of Abortion. - Sec. 9. Notwithstanding any other provision of this act, a...

Section 550.550 - Reimbursement Prohibited; Exception; Violation; Civil Fine; Investigation; Enforcement; Discussion of Abortion or Abortion Services Not Prohibited. - Sec. 10. (1) An individual or a health facility or...

Section 550.551 - Definitions. - Sec. 11. As used in this act: (a) "Elective abortion"...

Act 173 of 1958 - Credit Insurance Act (550.601 - 550.624)

Section 550.601 - Credit Insurance Act; Short Title. - Sec. 1. This act shall be known and may be...

Section 550.602 - Scope of Act. - Sec. 2. All life insurance and all accident and health...

Section 550.603 - Credit Insurance Act; Definitions. - Sec. 3. As used in this act: (1) "Credit life...

Section 550.604 - Credit Life Insurance, Credit Accident and Health Insurance; Forms. - Sec. 4. Credit life insurance and credit accident and health...

Section 550.605 - Credit Life Insurance; Amount. - Sec. 5. The amount of credit life insurance shall not...

Section 550.606 - Periodic Indemnity Payable. - Sec. 6. The amount of periodic indemnity payable by credit...

Section 550.607 - Term; Refund on Termination Prior to Expiration. - Sec. 7. The term of any credit life insurance or...

Section 550.608 - Evidence of Insurance; Policy or Certificate Delivery. - Sec. 8. All credit life insurance and credit accident and...

Section 550.609 - Policy or Certificate; Contents. - Sec. 9. Each individual policy or group certificate of credit...

Section 550.610 - Policy or Certificate; Delivery to Debtor. - Sec. 10. The individual policy or group certificate of insurance...

Section 550.611 - Policy or Certificate; Application, Contents. - Sec. 11. If the individual policy or group certificate of...

Section 550.612 - Papers Filed With Commissioner of Issuing State. - Sec. 12. All policies, certificates of insurance, notices of proposed...

Section 550.613 - Papers Filed With Commissioner of Issuing State; Disapproval. - Sec. 13. The commissioner within 30 days after the filing...

Section 550.614 - Papers Filed With Commissioner of Issuing State; Use, Hearing, Prior Written Approval. - Sec. 14. If the commissioner notifies the insurer that the...

Section 550.615 - Papers Filed With Commissioner of Issuing State; Withdrawal of Approval. - Sec. 15. The commissioner, at any time after a hearing,...

Section 550.616 - Papers Filed With Commissioner of Issuing State; Use After Withdrawal of Approval. - Sec. 16. It is not lawful for the insurer to...

Section 550.617 - Papers Filed With Commissioner of Issuing State; Judicial Review. - Sec. 17. Any order or final determination of the commissioner...

Section 550.618 - Schedule of Premium Rates; Refunds; Nonissuance Credit. - Sec. 18. Each insurer issuing credit life insurance or credit...

Section 550.619 - Policies Issuable Only by Authorized Insurers. - Sec. 19. All policies of credit life insurance and credit...

Section 550.620 - Payment of Claims; Claim Files; Group Insurance Claims. - Sec. 20. All claims shall be promptly reported to the...

Section 550.621 - Procurement of Insurance by Debtor. - Sec. 21. When credit life insurance or credit accident and...

Section 550.622 - Rules; Violation, Notice of Hearing, Finding, Order. - Sec. 22. The commissioner, after notice and hearing, may issue...

Section 550.623 - Violation; Penalty; License or Authority, Suspension or Revocation. - Sec. 23. In addition to any other penalty provided by...

Section 550.624 - Effect of Act; Scope of Act. - Sec. 24. This act shall not alter or amend any...

Act 388 of 1913 - State Insurance (550.701 - 550.711)

Section 550.701 - Insurance of State Property; Determination; Approval; Bids; Purchase of Deductible or Catastrophe Insurance; Payment of Premiums. - Sec. 1. (1) An officer or agent of this state...

Section 550.702, 550.703 - Repealed. 1965, Act 365, Imd. Eff. July 23, 1965. - Compiler's Notes: The repealed sections provided for state insurance fund...

Section 550.704 - Loss in Case of Damage; Fixing Amount. - Sec. 4. In case any buildings or property of the...

Section 550.705 - Loss in Case of Damage; Payment, Release of Additional Amounts Necessary to Rebuild or Restore. - Sec. 5. When the amount of loss has been fixed...

Section 550.706 - Repealed. 1993, Act 199, Eff. Dec. 28, 1994. - Compiler's Notes: The repealed section pertained to determination of assessments...

Section 550.707, 550.708 - Repealed. 1965, Act 365, Imd. Eff. July 23, 1965. - Compiler's Notes: The repealed sections pertained to duties of commissioner...

Section 550.709 - Self-Liquidation Projects Exempted; Applicability of Act. - Sec. 9. The provisions of this act shall not have...

Section 550.710 - Election of Coverage. - Sec. 10. An institution, agency, authority or instrumentality of the...

Section 550.711 - State Insurance Fund Abolished; Reversion of Funds. - Sec. 11. The state insurance fund is abolished on June...

Act 11 of 2022 - Pharmacy Benefit Manager Licensure and Regulation Act (550.811.new - 550.845.new)

Section 550.811.new - Short Title. - ***** 550.811.new THIS NEW SECTION IS EFFECTIVE JANUARY 1, 2024...

Section 550.815.new - Definitions; a to I. - ***** 550.815.new THIS NEW SECTION IS EFFECTIVE JANUARY 1, 2024...

Section 550.817.new - Definitions; M to P. - ***** 550.817.new THIS NEW SECTION IS EFFECTIVE JANUARY 1, 2024...

Section 550.819.new - Definitions; R to W. - ***** 550.819.new THIS NEW SECTION IS EFFECTIVE JANUARY 1, 2024...

Section 550.821.new - Pharmacy Benefit Manager; Licensure; Application Requirements; Modification Notice; Grounds for Refusal, Revocation, Denial, or Suspension; Fines; Notice and Hearings; Investigation of Officers, Directors and Owners; Renewal. - ***** 550.821.new THIS NEW SECTION IS EFFECTIVE JANUARY 1, 2024...

Section 550.823.new - Promulgation of Rules. - ***** 550.823.new THIS NEW SECTION IS EFFECTIVE JANUARY 1, 2024...

Section 550.825.new - Contractual Responsibilities; Conflict of Interest; Exception for Certain Audits. - ***** 550.825.new THIS NEW SECTION IS EFFECTIVE JANUARY 1, 2024...

Section 550.827.new - Pharmacy Benefit Manager Network; Report; Waiver; Prohibition on Spread Pricing and Fees for Electronic Processing. - ***** 550.827.new THIS NEW SECTION IS EFFECTIVE JANUARY 1, 2024...

Section 550.829.new - Prohibited Conduct. - ***** 550.829.new THIS NEW SECTION IS EFFECTIVE JANUARY 1, 2024...

Section 550.831.new - Contractual Restrictions and Limitations With Pharmacists or Pharmacies; Disclosure of Costs; Payment at Point of Sale. - ***** 550.831.new THIS NEW SECTION IS EFFECTIVE JANUARY 1, 2024...

Section 550.833.new - Transparency Report; Requirements; Exempt From Freedom of Information Act; Report to Legislature; Inapplicable to Medicaid Contracts. - ***** 550.833.new THIS NEW SECTION IS EFFECTIVE JANUARY 1, 2024...

Section 550.837.new - Maximum Allowable Costs; Pharmacy Benefit Manager Duties. - ***** 550.837.new THIS NEW SECTION IS EFFECTIVE JANUARY 1, 2024...

Section 550.838.new - Authorization to Conduct Audit; Process and Duties; Written Report; Extrapolation Audit Prohibition; Inapplicable to Certain Investigations; Carrier Pharmacy Audits Not Impaired or Superseded. - ***** 550.838.new THIS NEW SECTION IS EFFECTIVE JANUARY 1, 2024...

Section 550.839.new - Retail Pharmacies; Contractual Restrictions and Limitations; Use of Untrue, Deceptive, or Misleading Advertisements; Reversal and Resubmission of Claims; Termination of Pharmacy From Pharmacy Benefit Manager Network; Retaliation... - ***** 550.839.new THIS NEW SECTION IS EFFECTIVE JANUARY 1, 2024...

Section 550.840.new - Enforcement of Act; Examination and Audit. - ***** 550.840.new THIS NEW SECTION IS EFFECTIVE JANUARY 1, 2024...

Section 550.841.new - Contract Compliance; License Requirement. - ***** 550.841.new THIS NEW SECTION IS EFFECTIVE JANUARY 1, 2024...

Section 550.843.new - Retention Schedule; Records, Books, Papers, and Other Data; Destruction or Disposal of Certain Documents Prohibited. - ***** 550.843.new THIS NEW SECTION IS EFFECTIVE JANUARY 1, 2024...

Section 550.845.new - Scope of Act. - ***** 550.845.new THIS NEW SECTION IS EFFECTIVE JANUARY 1, 2024...

Act 218 of 1984 - Third Party Administrator Act (550.901 - 550.962)

Section 550.901 - Short Title. - Sec. 1. This act shall be known and may be...

Section 550.902 - Definitions. - Sec. 2. As used in this act: (a) "Administrative services...

Section 550.910 - Third Party Administrator; Certificate Required; Requirements; Instances in Which Tpa Subject to Act; Name. - Sec. 10. (1) A person shall not operate as a...

Section 550.912 - Application for Certificate of Authority; Form, Verification, and Contents; Filing Notice of Modification. - Sec. 12. (1) An application for a certificate of authority...

Section 550.914 - Certificate of Authority; Issuance; Notice of Disapproval; Continued Compliance With Subsection (1). - Sec. 14. (1) The commissioner shall issue a certificate of...

Section 550.916 - Repealed. 2002, Act 74, Imd. Eff. Mar. 15, 2002. - Compiler's Notes: The repealed section pertained to license as administrative...

Section 550.918 - Fees; Payment; Collection; and Designation. - Sec. 18. (1) The commissioner shall collect, and the persons...

Section 550.919 - Tpa Advisory Board; Creation; Appointment, Qualifications, and Terms of Members; Expenses; Duty of Board; Report. - Sec. 19. (1) A TPA advisory board is created. The...

Section 550.920 - Authority of Commissioner. - Sec. 20. The commissioner shall have the same authority with...

Section 550.922 - Hearings. - Sec. 22. The commissioner may designate 1 or more persons...

Section 550.924 - Destruction or Disposal of Records, Books, Papers, and Other Data. - Sec. 24. The commissioner is authorized to destroy or otherwise...

Section 550.926 - 340b Program Entities; Reimbursement, Co-Pay, and Discrimination Prohibitions; Definitions. - Sec. 26. (1) A carrier or third party administrator that...

Section 550.927 - Disclosure of Current Selling Prices; Prohibited Contract Provisions. - Sec. 27. A contract between a carrier or third party...

Section 550.930 - Provision of Administrative Services Pursuant to Written Service Contract; Maintenance of Books and Records; Tpa and Manager as Fiduciary. - Sec. 30. (1) A TPA may only provide administrative services...

Section 550.932 - Benefit Plan; Notice; Plan Covering Less Than 500 Individuals; Service Contract Between Tpa and Governmental Entity Not Subject to Erisa; Construction of Act. - Sec. 32. (1) A TPA, in connection with a benefit...

Section 550.934 - Confidentiality. - Sec. 34. (1) A TPA shall provide for the confidentiality...

Section 550.936 - Annual Statement; Report. - Sec. 36. By July 1, 2022 and each July 1...

Section 550.940 - Prohibited Conduct Generally. - Sec. 40. A TPA or manager, in processing claims, shall...

Section 550.942 - Additional Prohibited Conduct. - Sec. 42. A manager or TPA, in order to induce...

Section 550.944 - Additional Prohibited Conduct. - Sec. 44. (1) A TPA shall not refuse to enter...

Section 550.950 - 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. - Sec. 50. (1) When the commissioner has probable cause to...

Section 550.952 - Civil Fine; Suspension or Revocation of Certificate or License; Refusal to Issue; Grounds for Denial, Suspension, Revocation, or Cease and Desist Order; Definition. - Sec. 52. (1) If a TPA or manager violates a...

Section 550.954 - Alteration, Modification, or Setting Aside of Order. - Sec. 54. The commissioner may at any time, by order,...

Section 550.956 - 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. - Sec. 56. (1) Any final order or decision made, issued,...

Section 550.958 - Self-Incrimination; False Oath or Affirmation. - Sec. 58. (1) A person shall not be excused from...

Section 550.960 - Rules. - Sec. 60. (1) The commissioner, after notice and hearing, may...

Section 550.962 - Repealed. 2002, Act 74, Imd. Eff. Mar. 15, 2002. - Compiler's Notes: The repealed section pertained to effective date of...

E.R.O. No. 2009-22 - Executive Reorganization Order (550.971 - 550.971)

Section 550.971 - Transfer of Third Party Administrator Advisory Board to Department of Energy, Labor, and Economic Growth by Type III Transfer; Abolishment of Third Party Administrator Advisory Board. - WHEREAS, Section 1 of Article V of the Michigan Constitution...

E.R.O. No. 2013-1 - Executive Reorganization Order (550.991 - 550.991)

Section 550.991 - Creation of Department of Insurance and Financial Services; Transfer of Powers and Duties of Commissioner of Office of Financial and Insurance Regulation to Director of Department of Insurance and Financial Services by Type III Tran... - WHEREAS, Section 1 of Article V of the Michigan Constitution...

Act 252 of 1986 - The Health Benefit Agent Act (550.1001 - 550.1020)

Section 550.1001 - Short Title. - Sec. 1. This act shall be known and may be...

Section 550.1002 - Definitions. - Sec. 2. As used in this act: (a) "Affiliate" means...

Section 550.1003 - Persons Authorized to Sell Health Benefits; Packaging Health Benefits With Insurance; Notify Agent of Record; Annual Appointment Fee; "Agent of Record" Defined. - Sec. 3. (1) Health benefits may only be sold on...

Section 550.1004 - Influencing Agent Prohibited. - Sec. 4. A health benefit corporation shall not attempt in...

Section 550.1004a - Applicability of Certain Statutory Provisions. - Sec. 4a. (1) The provisions of sections 1, 2, 3,...

Section 550.1005 - Compensation of Health Benefit Agents. - Sec. 5. Health benefit corporations shall compensate health benefit agents...

Section 550.1006 - Authorized Agents; Requirements, Duties, and Restrictions; Powers of Commissioner. - Sec. 6. (1) Agents licensed under chapter 12 of the...

Section 550.1008 - Contracts or Other Arrangements for Packaging of Health Benefits With Insurance; Policy Supplementing Health Benefits of Health Maintenance Organization. - Sec. 8. (1) Except as otherwise provided in this act,...

Section 550.1009 - Licensing Affiliate of Health Benefit Corporation as Insurance Agent Prohibited. - Sec. 9. An affiliate of a health benefit corporation must...

Section 550.1010 - Health Benefit Agent as Fiduciary; Evidence of Violation of Fiduciary Responsibility; Use of Reasonable Accounting Methods; Records Required; Examination of Records; Prohibited Conduct. - Sec. 10. (1) A health benefit agent shall be a...

Section 550.1012 - Notice of Termination of Agent's Authority; Liability; Duration of Agent's Responsibility; Cancellation or Refusal to Renew Certificate of Subscriber; Certain Referrals or Communications Prohibited; Records, Names of Subscribers, a... - Sec. 12. (1) A health benefit corporation shall give to...

Section 550.1014 - Suspension, Revocation, Refusal to Grant, or Refusal to Renew Accident and Health Insurance License; Grounds; Notice; Hearing; Summary Suspension; Subpoenas. - Sec. 14. (1) The commissioner, after notice and opportunity for...

Section 550.1016 - Violation of Act; Orders; Penalties for Violation of Cease and Desist Order; Injunction. - Sec. 16. (1) If the commissioner finds that a person...

Section 550.1018 - Construction of Act. - Sec. 18. This act shall not be construed as authorizing...

Section 550.1020 - Conditional Effective Date. - Sec. 20. This act shall not take effect unless House...

Act 350 of 1980 - The Nonprofit Health Care Corporation Reform Act (550.1101 - 550.1704)

350-1980-1 - Part 1 (550.1101...550.1108)

Section 550.1101 - Short Title. - Sec. 101. This act shall be known and may be...

Section 550.1102 - Legislative Intent and Policy. - Sec. 102. (1) It is the purpose of and intent...

Section 550.1103 - Meanings of Words and Phrases. - Sec. 103. For the purposes of this act, the words...

Section 550.1104 - Definitions; a to C. - Sec. 104. (1) "Administrative procedures act" means the administrative procedures...

Section 550.1105 - Definitions; H. - Sec. 105. (1) "Health care benefit" means the right under...

Section 550.1106 - Definitions; L to O. - Sec. 106. (1) "Large subscriber group" means a group of...

Section 550.1107 - Definitions; P. - Sec. 107. (1) "Participating provider" means a provider that has...

Section 550.1108 - Definitions; R, S. - Sec. 108. (1) "Reimbursement arrangement" means policies, practices, and methods...

350-1980-2 - Part 2 (550.1201...550.1220)

Section 550.1201 - Health Care Corporation; Incorporation; Number of Persons; Payment of Cash or Other Material Benefit to Subscriber; Applicable Laws; Charitable and Benevolent Institution; Exemption From Taxation; Certificate of Authority; Health C... - Sec. 201. (1) A health care corporation shall not be...

Section 550.1201a - Formation of Health Care Corporation After January 1, 2014; Prohibition. - Sec. 201a. Notwithstanding section 201, a health care corporation shall...

Section 550.1202 - Articles of Incorporation; Contents; Number; Forms; Examination and Certification by Attorney General; Fees. - Sec. 202. (1) Persons associating to form a health care...

Section 550.1203 - Amendment or Restatement of Articles; Review; Approval. - Sec. 203. By action of its board of directors, a...

Section 550.1204 - Filing of Statements and Documents; Examination; Investigation; Additional Information; Conditions; Duties of Commissioner. - Sec. 204. (1) Before entering into contracts or securing applications...

Section 550.1204a - Unimpaired Surplus. - Sec. 204a. (1) A health care corporation shall possess and...

Section 550.1205 - Repealed. 2003, Act 59, Eff. July 23, 2003. - Compiler's Notes: The repealed section pertained to accounting and filing...

Section 550.1205a - Actuarial Practices and Accounting Principles; Financial Report. - Sec. 205a. A health care corporation shall report financial information...

Section 550.1206 - Funds, Property, and Business of Health Care Corporation; Investments; Insurance; Prepaid Health Care Benefits. - Sec. 206. (1) The funds and property of a health...

Section 550.1207 - Powers of Health Care Corporation; Interests of Senior Citizens; Validity of Corporate Acts. - Sec. 207. (1) A health care corporation, subject to any...

Section 550.1208 - Action by Member; Complaint. - Sec. 208. (1) An action may be brought in the...

Section 550.1209 - Action by Member; Discontinuance, Compromise, or Settlement; Notice; Expense. - Sec. 209. An action authorized by section 208 shall not...

Section 550.1210 - Action by Member; Reasonable Expenses; Attorney's Fees. - Sec. 210. (1) If an action brought in the right...

Section 550.1211 - Administrative Services Only and Cost-Plus Arrangements; Service Contracts; Fees; Administrative Costs; Marketing Policy; Notice; Coverage, Rights, and Obligations Under Collective Bargaining Agreement; Liability of Individual; Rep... - Sec. 211. (1) Pursuant to section 207(1)(g), a health care...

Section 550.1211a - Definitions; Prohibited Acts by Corporation; Processing Claims for Benefits on Timely Basis; Claim Form; Notice to Covered Individuals; Notice to Corporation of Complaint and Proceedings Contemplated; Hearing; Findings; Order; Vio... - Sec. 211a. (1) As used in this section: (a) "Noninsured...

Section 550.1212 - Action Without Notice or Lapse of Time Periods; Waiver; Attorney-in-Fact. - Sec. 212. When, under this act or the articles of...

Section 550.1213 - Indemnification. - Sec. 213. (1) A health care corporation may indemnify any...

Section 550.1214 - Rate of Interest. - Sec. 214. A health care corporation may by agreement in...

Section 550.1215 - Health Care Corporation as Shareholder in Other Nonprofit Corporation; Rights, Powers, Privileges, and Liabilities. - Sec. 215. When a health care corporation, consistent with the...

Section 550.1216, 550.1217 - Repealed. 2002, Act 559, Imd. Eff. Sept. 27, 2002. - Compiler's Notes: The repealed sections pertained to merger, consolidation, or...

Section 550.1218 - Health Care Corporation; Prohibited Actions. - Sec. 218. A health care corporation shall not do any...

Section 550.1219 - Provisions Superseded. - Sec. 219. A nonprofit health care corporation is subject to...

Section 550.1220 - Merger of Health Care Corporation With Nonprofit Mutual Disability Insurer. - Sec. 220. (1) Notwithstanding any provision of this act to...

350-1980-3 - Part 3 (550.1301...550.1313)

Section 550.1301 - Board of Directors; Powers and Duties Generally; Appointment, Qualifications, and Terms of Members; Vacancy; Officer or Employee as Voting or Nonvoting Director; Method of Selection; Definitions; Prohibition. - Sec. 301. (1) The property and lawful business of a...

Section 550.1302 - Bylaws Generally. - Sec. 302. (1) The board of directors shall adopt initial...

Section 550.1303 - Meetings; Required Provisions in Bylaws; Notice; Waiver; Participation by Conference Telephone or Similar Communications Equipment; Quorum; Action by Board; Actions Requiring Majority Vote; Record Roll Call Vote; Recording Vote in... - Sec. 303. (1) Regular or special meetings of the board...

Section 550.1304 - Books, Records, and Minutes; Copy of Minutes; Disclosure, Publication, and Dissemination of Minutes; Compelling Production of Books or Records. - Sec. 304. (1) A health care corporation shall keep accurate...

Section 550.1305 - Establishment and Composition of Corporate Body; Service of Members on Committees; Membership on Board of Directors. - Sec. 305. (1) A health care corporation may establish a...

Section 550.1306 - Effect of Common Directorship, Officership, or Interest on Validity of Contract or Other Transaction; Burden of Establishing Validity of Contract; Exclusion of Common or Interested Directors in Determination of Quorum; Compensation... - Sec. 306. (1) A contract or other transaction between a...

Section 550.1307 - Advisory Councils; Committees of Board of Directors; Bylaws Regarding Membership and Emergency Meetings and Actions. - Sec. 307. The board of directors may establish those advisory...

Section 550.1308 - Committees of Board of Directors; Powers and Authority; Prohibited Activities; Emergency Actions. - Sec. 308. (1) To the extent provided by resolution of...

Section 550.1309 - Officers and Assistants; Selection; Restriction; Authority and Duties; Removal; Contractual Rights; Bond; Vacancies; Compensation; Pension. - Sec. 309. (1) The board of directors shall select the...

Section 550.1310 - Fiduciary Duties; Scope and Manner of Discharge; Removal of Director for Breach of Fiduciary Duty; Notice and Hearing. - Sec. 310. (1) With respect to management of the affairs...

Section 550.1311 - Liability for Misapplication or Misuse of Corporate Money or Property. - Sec. 311. Each director or officer of a health care...

Section 550.1312 - Action for Failure to Perform Duties; Commencement. - Sec. 312. An action against a director or officer for...

Section 550.1313 - False Statement as Misdemeanor; Liability for False Statement or Report; Commencement of Action for Civil Liability. - Sec. 313. (1) Except with respect to statements which are...

350-1980-4 - Part 4 (550.1400...550.1439)

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...

350-1980-4A - Part 4a Medicare Supplement Certificates (550.1451...550.1499a)

Section 550.1451-550.1499a - Repealed. 2002, Act 559, Imd. Eff. Sept. 27, 2002;—2006, Act 462, Imd. Eff. Dec. 20, 2006. - Popular Name: Blue Cross-Blue ShieldPopular Name: Act 350

350-1980-5 - Part 5 (550.1501...550.1518)

Section 550.1501 - Contracts With Health Care Facilities. - Sec. 501. (1) A health care corporation subject to this...

Section 550.1501a - Special Participating Contracts With Health Care Providers for Provision of Primary Health Care Benefits to Children Enrolled in Michigan Caring Program. - Sec. 501a. A health care corporation may enter into special...

Section 550.1501b - Conduct on Behalf of or Information Provided to Subscriber by Health Care Provider; Prohibition or Discouragement by Health Care Corporation. - Sec. 501b. A health care corporation shall not prohibit or...

Section 550.1501c - Provider Network. - Sec. 501c. Beginning January 1, 2014, a health care corporation...

Section 550.1502 - Contracts for Reimbursement With Professional Health Care Providers; Private Provider-Patient Relationship; Methods of Diagnosis or Treatment Not to Be Restricted; Refusal to Reimburse for Overutilized Services; List of Providers;... - Sec. 502. (1) A health care corporation may enter into...

Section 550.1502a - Prudent Purchaser Agreements; Group Contracts; Option; Group Contracts Under Which Financial or Other Advantage Realized; Additional Option; Applicability of Subsection (5); Individual Contracts; Rates; Contracts Subject to MCL 55... - Sec. 502a. (1) For the purpose of doing business as...

Section 550.1503 - Uniform Reporting by Health Care Providers. - Sec. 503. In the course of developing and establishing provider...

Section 550.1504 - Reimbursement Arrangements; Goals; Definitions; Supplemental Efforts. - Sec. 504. (1) A health care corporation shall, with respect...

Section 550.1505 - Provider Class Plan; Development, Modification, Implementation, or Review; Procedures to Obtain Advice and Consultation. - Sec. 505. (1) A health care corporation shall establish and...

Section 550.1506 - Provider Class Plan; Transmitting to Commissioner; Examination; Determination; Notice; Placing Plan Into Effect; Retention of Plan for Commissioner's Records. - Sec. 506. (1) A health care corporation shall transmit a...

Section 550.1507 - Provider Class Plan; Inclusion and Transmittal of Items Omitted. - Sec. 507. Within 15 days after receipt of the notification...

Section 550.1508 - Provider Class Plan; Modifications. - Sec. 508. (1) Except during the 6-month period provided in...

Section 550.1509 - Achievement of Goals and Objectives; Determinations by Commissioner. - Sec. 509. (1) The commissioner may determine if the health...

Section 550.1510 - Additional Determinations by Commissioner. - Sec. 510. (1) After considering the information and factors described...

Section 550.1511 - Provider Class Plan; Transmittal to Commissioner; Preparation by Commissioner. - Sec. 511. (1) Upon receipt of notice under section 510(2),...

Section 550.1512 - Extension of 6-Month Period Provided in MCL 550.511(1); Determination. - Sec. 512. The commissioner may extend the 6-month period provided...

Section 550.1513 - Provider Class Plan; Examination; Automatic Retention; Placing Plan Into Effect; Preparation of Plan by Commissioner; Notice. - Sec. 513. (1) Upon receipt of a provider class plan...

Section 550.1514 - Appeal; Selection and Qualifications of Hearing Officer; Consolidation; Annual Report. - Sec. 514. (1) All appeals under this part shall be...

Section 550.1515 - Appeal; Parties; Request; Time; Relief; Transmittal of Provider Class Plan to Hearing Officer; Determinations. - Sec. 515. (1) An appeal may be brought from any...

Section 550.1516 - Provider Class Plan; Standards. - Sec. 516. (1) All provider class plans retained by the...

Section 550.1517 - Annual Report. - Sec. 517. A health care corporation shall transmit an annual...

Section 550.1518 - Considerations and Standards; Applicability; Appeal. - Sec. 518. The considerations set forth in section 509(4) and...

350-1980-6 - Part 6 (550.1601...550.1620)

Section 550.1601 - Regulation and Supervision of Health Care Corporation; Delegation of Authority. - Sec. 601. (1) A health care corporation shall be subject...

Section 550.1602 - Statement of Condition; Statistical, Financial, and Other Reports. - Sec. 602. (1) Not later than March 1 each year,...

Section 550.1603 - Visitation and Examination; Access to Books, Papers, and Documents; Witnesses; Expenses; Disclosure of Information; Reporting Violation; Action by Attorney General; Ex Parte Order Directing Compliance. - Sec. 603. (1) The commissioner may visit and examine the...

Section 550.1603a - Health Care Corporation Subject to MCL 500.224 and 500.225; Costs and Expenses. - Sec. 603a. A health care corporation is subject to sections...

Section 550.1604 - Confidentiality; Violation as Misdemeanor; Penalty. - Sec. 604. (1) The commissioner shall ensure that confidentiality of...

Section 550.1605 - Certificate of Authority; Suspension or Limitation; Circumstances; Order; Hearing; Notice. - Sec. 605. (1) Upon due notice and an opportunity for...

Section 550.1606 - Authority of Commissioner Regarding Officers and Directors; Authority as to Dissolution, Taking Over, or Liquidation of Corporations; Insolvency Defined. - Sec. 606. (1) The commissioner shall have the same authority...

Section 550.1607 - Submission of New or Revised Certificate and Applicable Proposed Rates; Approval or Disapproval; Exemption; Circumstances and Conditions; Notice; Implementation of Certificates and Rates. - Sec. 607. (1) A health care corporation shall submit a...

Section 550.1608 - Rates Charged to Nongroup Subscribers for Certificate; Methodology and Definitions of Rating System, Formula, Component, and Factor Used to Calculate Rates for Group Subscribers for Certificate; Filing; Approval, Disapproval, or Mo... - Sec. 608. (1) The rates charged to nongroup subscribers for...

Section 550.1609 - Excessive Rate; Administrative Expense Budget; Equitable Rate; Adequate Rate; Line of Business to Be Self-Sustaining; Cost Transfers for Benefit of Senior Citizens and Group Conversion Subscribers. - Sec. 609. (1) A rate is not excessive if the...

Section 550.1610 - Filing of Information and Materials Relative to Proposed Rate; Notice; Approval, Approval With Modifications, or Disapproval; Additional Information and Materials; Determination; Notice; Visitation and Examination; Expenses; Order;... - Sec. 610. (1) Except as provided under section 608(4) or...

Section 550.1611 - Legislative Intent. - Sec. 611. It is the intent of the legislature to...

Section 550.1612 - Notice of Rate Filing; Contents of Request for Hearing; Advertisements; Limitation on Fee for Copy of Rate Filing; Waiver or Reduction of Fee; Calculation of Costs. - Sec. 612. (1) Upon receipt of a rate filing under...

Section 550.1613 - Request for Hearing; Standing of Person; Access to Filing; Confidentiality; Penalty; Appointment and Qualifications of Independent Hearing Officer; Commencement of Hearing; Discovery; Conducting Hearing; Burden of Proving Complianc... - Sec. 613. (1) If the request for a hearing under...

Section 550.1614 - Interim Rates; Petition; Determination; Granting Interim Rate; Final Rate Determination; Refunds or Adjustments; Limitation on Order Establishing Interim Rate Adjustment; Rates to Which Section Applicable. - Sec. 614. (1) Not less than 75 days after a...

Section 550.1615 - Review of Final Order or Decision. - Sec. 615. Any final order or decision made, issued, or...

Section 550.1616 - Endorsing, Filing, and Indexing Documents; Notice of Refusal to File; Judicial Review; Certificate of Correction; Persons Adversely Affected by Correction; Documents to Which Section Inapplicable. - Sec. 616. (1) If a document required or permitted to...

Section 550.1617 - Rules. - Sec. 617. The commissioner may promulgate rules which the commissioner...

Section 550.1618 - Compliance With New Procedures, Benefits, or Contracts. - Sec. 618. Whenever any section of this act requires a...

Section 550.1619 - Injunction; Declaratory and Equitable Relief; Enforcement of Act or Rules. - Sec. 619. (1) The attorney general may bring an action,...

Section 550.1620 - Certificate Subject to Policy and Certificate Issuance and Rate Filing Requirements; Establishment of Reasonable Open Enrollment Periods; Frequency and Duration; Denial, Condition, or Discrimination. - Sec. 620. (1) Notwithstanding any provision of this act to...

350-1980-6A - Part 6a Health Endowment Fund Corporations (550.1651...550.1655)

Section 550.1651 - Definitions. - Sec. 651. As used in this part: (a) "Board" means...

Section 550.1652 - Health Endowment Fund Corporation; Incorporation; Conflict of Interest; Appointment of Board Members; Vacancy; Terms; Quorum; Vote; Business Open to Public; Notice; Meeting in Closed Session; Minutes; Compensation. - Sec. 652. (1) A health endowment fund corporation shall not...

Section 550.1653 - Charitable Purpose Nonprofit Corporation; Receipt and Administration of Funds; Articles of Incorporation; Grants; Conflict With Other Provisions of Law; Social Mission Contributions; Fund as Private, Nonprofit Corporation. - Sec. 653. (1) A charitable purpose nonprofit corporation may be...

Section 550.1654 - Executive Director. - Sec. 654. (1) A board shall appoint an executive director...

Section 550.1655 - Disbursement, Expenditure, and Investment of Money by Fund; System of Financial Accounting, Controls, Audits, and Reports; Appointment of Audit Committee; Duties of Executive Director; Requirement to Keep Accurate Accounting; Coope... - Sec. 655. (1) Subject to this section, a fund may...

350-1980-7 - Part 7 (550.1701...550.1704)

Section 550.1701 - Formal Reorganization Not Required; Duties of Health Care Corporation; Amendments to Articles and Bylaws; Description of Board Restructuring; Review; Certification; Statement of Reasons for Disapproval; Judicial Remedies; Effect of... - Sec. 701. (1) Each health care corporation on the effective...

Section 550.1702 - Discontinuation of Certain Rules; Continuation of Certain Orders and Approvals. - Sec. 702. Rules which were promulgated under former Act No....

Section 550.1703 - Repeal of MCL 550.301 to 550.316 and 550.501 to 550.517. - Sec. 703. The following acts and parts of acts are...

Section 550.1704 - Effective Date. - Sec. 704. This act shall take effect April 3, 1981....

Act 175 of 2018 - Insurance Provider Assessment Act (550.1751 - 550.1767)

Section 550.1751 - Short Title. - Sec. 1. This act shall be known and may be...

Section 550.1753 - Definitions. - Sec. 3. As used in this act: (a) "Department" means...

Section 550.1755 - Waiver Request; Notification of Member Months, Rate, and Insurance Providers by Tier. - Sec. 5. (1) If the department of health and human...

Section 550.1757 - Assessment; Levy; Rates; Payment Method. - Sec. 7. (1) Beginning on the first day of the...

Section 550.1759 - Records; Failure to File Return or Keep Proper Records; Right of Department to Impose Assessment. - Sec. 9. (1) An insurance provider liable for the assessment...

Section 550.1761 - Administration of Assessment; Conflicting Provisions of Law; Rules; Annual Report. - Sec. 11. (1) The department shall administer the assessment imposed...

Section 550.1763 - Insurance Provider Fund; Establishment; Creation; Deposit; Transfer of Money. - Sec. 13. (1) All money received and collected under this...

Section 550.1765 - Appropriation for Administration. - Sec. 15. For administration and compliance requirements created by this...

Section 550.1767 - Failure to Pay Assessment, Interest, or Penalty; Final Determination; Written Notice to Director; Suspension or Revocation of Certificate of Authority to Transact Insurance. - Sec. 17. The department shall provide the director of the...

Act 239 of 1995 - Group Health Plan Act (550.1801 - 550.1811)

Section 550.1801 - Short Title. - Sec. 1. This act shall be known and may be...

Section 550.1803 - “Plan” Defined. - Sec. 3. As used in this act, "plan" means a...

Section 550.1805 - Plan Offering Dependent Coverage to Child; Denial of Enrollment on Certain Grounds Prohibited. - Sec. 5. A plan that offers dependent coverage shall not...

Section 550.1807 - Eligibility of Parent for Dependent Coverage; Health Coverage of Child Through Noncustodial Parent; Duties of Plan Administrator; Court or Administrative Order and Notice Required. - Sec. 7. (1) If a parent is eligible for dependent...

Section 550.1809 - Individual Eligible Under Title XIX of Social Security Act; Assignment of Rights of Insured to Department of Social Services. - Sec. 9. (1) A plan shall not consider whether an...

Section 550.1811 - Violation; Fine. - Sec. 11. A violation of this act is subject to...

Act 101 of 2012 - Autism Coverage Reimbursement Act (550.1831 - 550.1841)

Section 550.1831 - Short Title. - Sec. 1. This act shall be known and may be...

Section 550.1833 - Definitions. - Sec. 3. As used in this act: (a) "Autism coverage...

Section 550.1835 - Autism Coverage Reimbursement Program; Creation; Operation; Development of Application, Approval, and Compliance Process; Forms; Approval or Denial of Application; Limitation on Amount of Coverage; Receipt of Funding by Third Party... - Sec. 5. (1) No later than 120 days after the...

Section 550.1837 - Autism Coverage Fund; Creation Within State Treasury; Investment; Credit of Interest and Earnings; Administration of Fund by Department for Auditing Purposes; Expenditures; Reimbursement; Insufficient Money in Fund; Notice of Insuf... - Sec. 7. (1) The autism coverage fund is created within...

Section 550.1838 - University Autism Programs and Autism Family Assistance Services; Appropriation; Reimbursement. - Sec. 8. In addition to any other use for money...

Section 550.1839 - Annual Report. - Sec. 9. The department shall submit an annual report to...

Section 550.1841 - Implementation of Program. - Sec. 11. (1) The department shall not implement the program...

Act 530 of 2012 - Health Care Sharing Ministries Freedom to Share Act (550.1861 - 550.1869)

Section 550.1861 - Short Title. - Sec. 1. This act shall be known and may be...

Section 550.1863 - Definitions. - Sec. 3. As used in this act: (a) "Eligible entity"...

Section 550.1865 - Health Care Sharing Ministry; Establishment; Operation; Business of Insurance Prohibited. - Sec. 5. An eligible entity may establish and operate a...

Section 550.1867 - Health Care Sharing Ministry; Requirements. - Sec. 7. To be considered a health care sharing ministry...

Section 550.1869 - Effective Date. - Sec. 9. This act takes effect January 1, 2013. History:...

Act 251 of 2000 - Patient's Right to Independent Review Act (550.1901 - 550.1929)

Section 550.1901 - Short Title. - Sec. 1. This act shall be known and may be...

Section 550.1903 - Definitions. - Sec. 3. As used in this act: (a) "Adverse determination"...

Section 550.1905 - Scope. - Sec. 5. (1) Except as otherwise provided in subsection (2),...

Section 550.1907 - Right to Request External Review for Adverse Determination; Written Notice. - Sec. 7. (1) A health carrier shall provide written notice...

Section 550.1909 - Written Request to Director; Manner; Electronic Communication. - Sec. 9. (1) Except for a request for an expedited...

Section 550.1911 - Request for External Review; Commencement; Preliminary Review; Notice of Acceptance; Duties of Director; Incomplete Request; Nonacceptance; Assignment of Independent Review Organization; Duty of Health Carrier to Provide Documents;... - Sec. 11. (1) Not later than 60 days or, after...

Section 550.1913 - Expedited External Review. - Sec. 13. (1) Except as provided in subsection (12), a...

Section 550.1915 - Decision as Final Administrative Remedy; Other Remedies. - Sec. 15. (1) An external review decision and an expedited...

Section 550.1917 - Approved Independent Review Organizations; Application; Form; Fee; Expiration; Termination; Updated List. - Sec. 17. (1) The director shall approve independent review organizations...

Section 550.1919 - Approved Independent Review Organization; Requirements. - Sec. 19. (1) To be approved under section 17 to...

Section 550.1921 - Independent Review Organization; Liability for Damages. - Sec. 21. An independent review organization or clinical peer reviewer...

Section 550.1923 - Maintenance of Records; Report to Director. - Sec. 23. (1) An independent review organization assigned to conduct...

Section 550.1925 - Description of Internal Grievance and External Review Procedures; Inclusion With Materials Provided to Covered Persons. - Sec. 25. (1) A health carrier shall include a description...

Section 550.1927 - Rules. - Sec. 27. The director may promulgate rules under the administrative...

Section 550.1929 - Cease and Desist Order; Additional Orders; Fines; Hearing; Injunction; Creation of Cancer Clinical Trials; Disposition of Funds. - Sec. 29. (1) If the commissioner finds that a violation...

Act 495 of 2006 - Contracts With State and Local Government Subject to Patient's Right to Independent Review (550.1951 - 550.1953)

Section 550.1951 - "Local Unit of Government" Defined. - Sec. 1. As used in this act, "local unit of...

Section 550.1952 - Entities Contracting With State or Local Government for Costs of Health Care Services Under Self-Funded Plan; Duties. - Sec. 2. (1) An entity that contracts with a state...

Section 550.1953 - Exceptions. - Sec. 3. This act does not apply to a self-funded...

Act 499 of 2000 - Elder Prescription Insurance Coverage Act (550.2001 - 550.2009)

Section 550.2001 - Short Title; Intent; Establishment. - Sec. 1. (1) This act shall be known and may...

Section 550.2002 - Definitions. - Sec. 2. As used in this act: (a) "Department" means...

Section 550.2003 - Epic Program; Provisions; Eligibility Requirements; Enrollment; Assessment for Medicaid; “Institution” Explained; Business With Not More Than 1 Employee and Less Than $200,000.00 in Assets. - Sec. 3. (1) The EPIC program shall provide prescription drug...

Section 550.2004 - Expedited Enrollment Process; Temporary Eligibility Card or Voucher; Eligibility Requirements. - Sec. 4. (1) The department shall establish an expedited enrollment...

Section 550.2005 - Brand Name Drug; Copayment. - Sec. 5. Except as otherwise specified in this section, if...

Section 550.2006 - Program Benefits; Duties of Department. - Sec. 6. In providing program benefits, the department may do...

Section 550.2007 - Other Senior Focused Entities; Utilization and Assistance; Establishment of Advisory Committee. - Sec. 7. (1) To assist in implementing this act, the...

Section 550.2008 - Reports. - Sec. 8. The department shall provide quarterly reports to the...

Section 550.2009 - Program Not as Entitlement; Limitation on Benefits; Epic as Payer of Last Resort; Use of Automated System; Pharmacy Dispensing Fee. - Sec. 9. (1) The program created by this act is...

<< Previous

Next >>

Michigan Compiled Laws Chapter 550 - General Insurance Laws

Michigan Compiled Laws
Chapter 550 - General Insurance Laws