Sec. 3573.
(1) A person that proposes to operate a system of health care delivery and financing to be offered to individuals, whether or not as members of groups, in exchange for a fixed payment and to be organized so that providers and the organization are in some part at risk for the cost of services in a manner similar to a health maintenance organization, but that fails to meet the requirements of this act for a health maintenance organization, may operate the system of health care delivery and financing if the director finds that the proposed operation will benefit persons who will be served by it. The director shall authorize and regulate the operation of the system in the same manner as a health maintenance organization under this act, including the filing of periodic reports, except to the extent that the director finds that the regulation is inappropriate to the system of health care delivery and financing.
(2) A person operating a system of health care delivery and financing under this section shall not advertise or solicit or in any way identify itself in a manner implying to the public that it is a health maintenance organization authorized under this act.
History: Add. 2000, Act 252, Imd. Eff. June 29, 2000 ;-- Am. 2016, Act 276, Imd. Eff. July 1, 2016 Popular Name: Act 218Popular Name: HMO
Structure Michigan Compiled Laws
Chapter 500 - Insurance Code of 1956
Act 218 of 1956 - The Insurance Code of 1956 (500.100 - 500.8302)
218-1956-35 - Chapter 35 Health Maintenance Organizations (500.3501...500.3580)
Section 500.3501 - Definitions.
Section 500.3503 - Applicability of Provisions to Health Maintenance Organization.
Section 500.3505 - Health Maintenance Contract; Use of Descriptive Words; Restrictions.
Section 500.3508 - Quality Assessment Program; Quality Improvement Program.
Section 500.3509 - Certificate of Authority; Application; Form; Limitation; Change of Service Area.
Section 500.3511 - Governing Body; Election of Enrollee Board Members; Requirements; Meetings.
Section 500.3521 - Prepayment Rates; Filing and Approval of Methodology; Schedule.
Section 500.3523 - Repealed. 2016, Act 276, Imd. Eff. July 1, 2016.
Section 500.3527 - Repealed. 2016, Act 276, Imd. Eff. July 1, 2016.
Section 500.3535 - Solicitation or Advertising.
Section 500.3537 - Repealed. 2016, Act 276, Imd. Eff. July 1, 2016.
Section 500.3539 - Repealed. 2016, Act 276, Imd. Eff. July 1, 2016.
Section 500.3541 - Repealed. 2016, Act 276, Imd. Eff. July 1, 2016.
Section 500.3542 - Repealed. 2016, Act 276, Imd. Eff. July 1, 2016.
Section 500.3543 - Repealed. 2016, Act 276, Imd. Eff. July 1, 2016.
Section 500.3544 - Noninsured Benefit Plan; Processing and Payment of Claims.
Section 500.3545 - Acquisition of Obligations From Another Managed Care Entity.
Section 500.3548 - Maintenance of Books, Records, Files, and Financial Records; Funds and Assets.
Section 500.3549 - Repealed. 2016, Act 276, Imd. Eff. July 1, 2016.
Section 500.3551 - Health Maintenance Organization; Net Worth.
Section 500.3553 - Certificate of Authority; Deposit Requirements.
Section 500.3555 - Financial Plan.
Section 500.3557 - Notice of Changes in Operations.
Section 500.3561 - Insolvency; Continuation of Benefits.
Section 500.3565 - Repealed. 2016, Act 276, Imd. Eff. July 1, 2016.
Section 500.3567 - Repealed. 2016, Act 276, Imd. Eff. July 1, 2016.
Section 500.3569 - Assumption of Financial Risk.
Section 500.3571 - State or Federal Health Programs.
Section 500.3580 - Repealed. 2016, Act 276, Imd. Eff. July 1, 2016.