Michigan Compiled Laws
218-1956-22 - Chapter 22 the Insurance Contract (500.2204...500.2266)
Section 500.2243 - Group Policies; Optometric Service; Coverage.

Sec. 2243.
(1) Notwithstanding any provision of a policy or contract of group accident, group health, or group accident and health insurance, executed after July 23, 1965, if the policy or contract provides for reimbursement for any optometric service that is within the lawful scope of practice of a duly licensed optometrist, a subscriber to such group accident, group health, or group accident and group health insurance policy or contract shall be entitled to reimbursement for such service, whether the service is performed by a physician or a duly licensed optometrist. Unless the policy or contract of group accident, group health, or group accident and health insurance otherwise provides, there shall be no reimbursement for ophthalmic materials, lenses, spectacles, eyeglasses, or appurtenances.
(2) If a subscriber contract provides for and offers optometric services, the subscriber shall have freedom of choice to select either a physician or an optometrist to render the services. Unless the subscriber contract otherwise provides, there shall be no reimbursement for ophthalmic materials, lenses, spectacles, eyeglasses, or appurtenances.
(3) This section does not require coverage or reimbursement for a practice of optometric service unless that service was included in the definition of practice of optometry under section 17401 of the public health code, Act No. 368 of the Public Acts of 1978, being section 333.17401 of the Michigan Compiled Laws, as of May 20, 1992.
History: Add. 1965, Act 349, Imd. Eff. July 23, 1965 ;-- Am. 1994, Act 438, Eff. Mar. 30, 1995 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Section 500.2206 - Repealed. 2014, Act 140, Eff.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.