Michigan Compiled Laws
218-1956-22 - Chapter 22 the Insurance Contract (500.2204...500.2266)
Section 500.2212d - National or Regional Certification of Physician; Condition of Payment or Reimbursement by Insurer or Health Maintenance Organization; Prohibited.

Sec. 2212d.
An insurer that delivers, issues for delivery, or renews in this state a health insurance policy issued under chapter 34 or a health maintenance organization that issues a health maintenance contract under chapter 35 shall not require as the sole condition precedent to the payment or reimbursement of a claim under the policy or contract that an allopathic or osteopathic physician in the medical specialties of family practice, internal medicine, or pediatrics maintain a national or regional certification not otherwise specifically required for licensure under article 15 of the public health code, 1978 PA 368, MCL 333.16101 to 333.18838.
History: Add. 2018, Act 487, Imd. Eff. Dec. 27, 2018 Popular Name: Act 218

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Structure Michigan Compiled Laws

Michigan Compiled Laws

Chapter 500 - Insurance Code of 1956

Act 218 of 1956 - The Insurance Code of 1956 (500.100 - 500.8302)

218-1956-22 - Chapter 22 the Insurance Contract (500.2204...500.2266)

Section 500.2204 - Settlement of Action Brought by Third Party Against Person Insured Under Commercial Liability Insurance Policy; Notice to Insured Required.

Section 500.2205 - Minor's Contracts for Insurance.

Section 500.2206 - Repealed. 2014, Act 140, Eff. Mar. 31, 2015.

Section 500.2207 - Insurable Interest; Personal Insurance; Rights of Beneficiaries, Creditors.

Section 500.2209 - Insurable Interest; Married Woman; Right to Proceeds, Devise.

Section 500.2210 - Definitions; Insurable Interest; Employer; Trust; Exemption From Claims.

Section 500.2210a - Trustee Having Insurable Interest Under MCL 700.7114.

Section 500.2211 - Consent of Insured.

Section 500.2212 - Insurable Interest in Life of Individual.

Section 500.2212a - Health Insurance Policy; Description of Terms, Conditions, and Information; Written Request; Style, Arrangement and Appearance of Policy; "Board Certified" Defined.

Section 500.2212b - 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; Def...

Section 500.2212c - Prescription Drug Prior Authorization Workgroup; Creation; Development of Methodology; Prior Authorization Request; Definitions.

Section 500.2212d - National or Regional Certification of Physician; Condition of Payment or Reimbursement by Insurer or Health Maintenance Organization; Prohibited.

Section 500.2212e - Standard Electronic Prior Authorization Transaction Process; Requirements; Adverse Determination Process; Denial and Appeals; Standard Report; Modification Program; Definitions.

Section 500.2213 - 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; W...

Section 500.2213a - Expenses Incurred by Director; Calculation; Assessment; "Insurer" Defined.

Section 500.2213b - 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 500.2213c - Disability Income Insurer; Internal Grievance Procedure; Establishment; Contents; “Grievance” Defined.

Section 500.2213d - Uniform Prescription Drug Information Card or Other Technology.

Section 500.2214 - Disability Insurance; Application, Use as Evidence.

Section 500.2216 - Life or Disability Insurance; Alteration of Application.

Section 500.2218 - Disability Insurance; False Statement in Application; Effect.

Section 500.2220 - Life Insurance; Solicitor as Agent of Insurer.

Section 500.2226 - Life Insurance; Benefits, Manner of Payment, Period, and Premiums to Be Contained in Policy.

Section 500.2227 - Withholding Final Settlement Amount; Notice; Escrow Procedure to Be Followed by City, Village, or Township; Disposition of Money by Local Treasurer; Commingling Funds Prohibited; Retention of Interest to Defray Expenses; Forwarding...

Section 500.2228 - Automobile Insurance; Contents of Policy.

Section 500.2230 - Mutual Insurers Other Than Life; Contents of Policy.

Section 500.2232 - Reciprocal Insurers; Contents of Policy.

Section 500.2235 - Written Notice to Insured Under Worker's Compensation Insurance Policy.

Section 500.2236 - 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...

Section 500.2236a - Interest Indexed Universal Life Insurance; Information to Be Maintained on File.

Section 500.2237 - Policy Issued Under Chapter 34; Prohibited Restriction of Liability.

Section 500.2238 - Repealed. 1970, Act 180, Imd. Eff. Aug. 3, 1970.

Section 500.2239 - Health Care Service Rendered by Dentist; Benefits or Reimbursement; “Dentist” Defined; Policies to Which Section Applicable.

Section 500.2242 - 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 Corporat...

Section 500.2243 - Group Policies; Optometric Service; Coverage.

Section 500.2246 - Insured or Applicant for Life Insurance Policy as Victim of Domestic Violence; Refusal to Provide Coverage Prohibited; Exceptions; Liability; Applicability to Policies on or After June 1, 1998; “Domestic Violence” Defined.

Section 500.2248 - Automobile Insurance; Delivery of Policy to Insured.

Section 500.2250 - Binders or Other Contracts for Temporary Insurance; Applicability.

Section 500.2254 - Action Against Domestic Insurer by Member or Beneficiary; Conditions.

Section 500.2260 - Life or Disability Insurance; Acts Not Constituting Waiver of Defenses.

Section 500.2264 - Termination of Dependent Coverage at Specified Age; Exception.

Section 500.2264a - Hospital or Medical Care Coverage or Reimbursement for Children Who Are Full-Time or Part-Time Students and Take Leave of Absence.

Section 500.2265-500.2290 - Repealed. 1992, Act 84, Imd. Eff. June 2, 1992.

Section 500.2266 - Electronic Delivery of Insurance Documents; Requirements; Withdrawal of Consent; Civil Liability; Applicability to Health Insurer or Health Maintenance Organization; Definitions.