Sec. 3407a.
A disability insurer shall not prohibit or discourage a health care provider from advocating on behalf of an insured for appropriate medical treatment options pursuant to the grievance procedure in section 2213 or from discussing with an insured or provider any of the following:
(a) Health care treatments and services.
(b) Quality assurance plans required by law, if applicable.
(c) The financial relationships between the insurer and the health care provider including all of the following as applicable:
(i) Whether a fee-for-service arrangement exists, under which the provider is paid a specified amount for each covered service rendered to the participant.
(ii) Whether a capitation arrangement exists, under which a fixed amount is paid to the provider for all covered services that are or may be rendered to each covered individual or family.
(iii) Whether payments to providers are made based on standards relating to cost, quality, or patient satisfaction.
History: Add. 1997, Act 66, Imd. Eff. July 15, 1997 Popular Name: Act 218
Structure Michigan Compiled Laws
Chapter 500 - Insurance Code of 1956
Act 218 of 1956 - The Insurance Code of 1956 (500.100 - 500.8302)
218-1956-34 - Chapter 34 Disability Insurance Policies (500.3400...500.3480)
Section 500.3400 - Definitions; Scope of Chapter, Exemptions, Exceptions.
Section 500.3401 - Repealed. 2016, Act 276, Imd. Eff. July 1, 2016.
Section 500.3401a - Group Disability Insurance; Issuance; Filing and Approval of Form.
Section 500.3402 - Disability Insurance Policy; Provisions Required.
Section 500.3402a - Group Disability Insurance Policy; Provisions Required.
Section 500.3402c - Family Expense Insurance Policy.
Section 500.3402d - Blanket Disability Insurance; Coverage.
Section 500.3402e - Blanket Disability Insurance Policies; Issuance.
Section 500.3402f - Blanket Disability Insurance Policy; Provisions.
Section 500.3402g - Blanket Disability Insurance Policy; Certificate; Payment of Benefits.
Section 500.3402h - Legal Liability of Policyholder.
Section 500.3404 - Insurance Policy Issued for Delivery to Nonresident.
Section 500.3405a - Use of Most Favored Nation Clause.
Section 500.3406a - Reconstructive Surgery Following Mastectomy; Prosthetic Device.
Section 500.3406b - Coverage for Mental Health Services by Mental Health Care Provider.
Section 500.3406c - Hospice Care; Definition; Description of Coverage.
Section 500.3406f - Repealed. 2016, Act 276, Imd. Eff. July 1, 2016.
Section 500.3406g - Repealed. 2016, Act 276, Imd. Eff. July 1, 2016.
Section 500.3406l - Medical Transportation Services; Reimbursement; Exception.
Section 500.3406m - Access by Insured to Obstetrician-Gynecologist.
Section 500.3406n - Access to Pediatric Care Services.
Section 500.3406t - Synchronizing Insured's or Enrollee's Multiple Maintenance Prescription Drugs.
Section 500.3406u - Coverage for Prescription Eyedrops; Requirements; "Prescriber" Defined.
Section 500.3406v - Coverage for Emergency Supply of Insulin.
Section 500.3406x - Nonopioid Directive Form; Website.
Section 500.3406y - Nonopioid Directive Form; Enrollment.
Section 500.3407 - Entire Contract; Changes.
Section 500.3408 - Time Limit on Certain Defenses; Incontestable Policy.
Section 500.3410 - Grace Period; Provision Required.
Section 500.3411 - Reinstatement; Provision Required.
Section 500.3412 - Notice of Claim; Provision Required.
Section 500.3413 - Claim Forms; Provision Required.
Section 500.3414 - Proofs of Loss; Provision Required.
Section 500.3416 - Time of Payment of Claims; Provision Required.
Section 500.3418 - Payment of Claims; Provision Required.
Section 500.3420 - Physical Examinations and Autopsy; Provision Required.
Section 500.3422 - Legal Actions; Provision Required.
Section 500.3424 - Change of Beneficiary; Provision Required.
Section 500.3426 - Offer of Wellness Coverage by Insurer.
Section 500.3428 - Provider Network.
Section 500.3430 - Optional Policy Provisions; Insurance Commissioner's Approval.
Section 500.3432 - Change of Occupation; Optional Provision.
Section 500.3434 - Misstatement of Age; Optional Provision.
Section 500.3436 - Other Insurance With Same Insurer; Optional Provision.
Section 500.3438 - Insurance With Other Insurers; Optional Provision; Expense Incurred Benefits.
Section 500.3439 - Repealed. 2016, Act 276, Imd. Eff. July 1, 2016.
Section 500.3440 - Insurance With Other Insurers; Other Benefits.
Section 500.3444 - Relation of Earnings to Insurance; Optional Provision.
Section 500.3446 - Unpaid Premium; Optional Provision.
Section 500.3448 - Cancellation; Optional Provision.
Section 500.3450 - Conformity With State Statutes; Optional Provision.
Section 500.3452 - Illegal Occupation or Criminal Activity; Optional Provision; Definitions.
Section 500.3454 - Repealed. 1980, Act 429, Eff. Mar. 31, 1981.
Section 500.3460 - Order of Certain Policy Provisions.
Section 500.3462 - Third Party Ownership of Policy.
Section 500.3466 - Filing Procedure; Insurance Commissioner, Regulatory Powers.
Section 500.3468 - Provisions Violating Code; Construction of Noncomplying Policies and Provisions.
Section 500.3470 - Age of Insured; Provision Regulations.
Section 500.3474 - Risk Classification; Rates; Filing Requirements.
Section 500.3474a - Premium Rate After January 1, 2014; Basis; Factors.
Section 500.3476 - Telemedicine Services; Provisions; Definitions.
Section 500.3480 - Repealed. 1963, Act 127, Eff. Sept. 6, 1963.