Sec. 3839.
(1) Each medicare supplement policy shall include a renewal or continuation provision. The provision shall be appropriately captioned, shall appear on the first page of the policy, and shall clearly state the term of coverage for which the policy is issued and for which it may be renewed. The provision shall include any reservation by the insurer of the right to change premiums and any automatic renewal premium increases based on the policyholder's age.
(2) If a medicare supplement policy is terminated by the group policyholder and is not replaced as provided under subsection (4), the issuer shall offer certificate holders an individual medicare supplement policy that at the option of the certificate holder provides for continuation of the benefits contained in the group policy or provides for such benefits as otherwise meet the requirements of section 3819 or 3819a.
(3) If an individual is a certificate holder in a group medicare supplement policy and the individual terminates membership in the group, the issuer shall offer the certificate holder the conversion opportunity described in subsection (2) or (4) or at the option of the group policyholder, offer the certificate holder continuation of coverage under the group policy.
(4) If a group medicare supplement policy is replaced by another group medicare supplement policy purchased by the same policyholder, the succeeding issuer shall offer coverage to all persons covered under the old group policy on its date of termination. Coverage under the new policy shall not result in any exclusion for preexisting conditions that would have been covered under the group policy being replaced.
(5) If a medicare supplement policy eliminates an outpatient prescription drug benefit as a result of requirements imposed by the medicare prescription drug, improvement, and modernization act of 2003, Public Law 108-173, the modified policy shall be considered to satisfy the guaranteed renewal requirements of this section.
History: Add. 1992, Act 84, Imd. Eff. June 2, 1992 ;-- Am. 2006, Act 462, Imd. Eff. Dec. 20, 2006 ;-- Am. 2009, Act 220, Imd. Eff. Jan. 5, 2010 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)
218-1956-38 - Chapter 38 Medicare Supplement Policies and Certificates (500.3801...500.3861)
Section 500.3801 - Chapter; Definitions.
Section 500.3803 - Applicability of Chapter.
Section 500.3804 - Repealed. 2018, Act 429, Eff. Mar. 20, 2019.
Section 500.3805 - Medicare Supplement Policy; Definitions.
Section 500.3808 - Repealed. 2018, Act 429, Eff. Mar. 20, 2019.
Section 500.3813 - Disability Coverage; Medicare Supplement Buyer's Guide; Applicability of Section.
Section 500.3825 - Preexisting Diseases or Conditions; Waiver Prohibited.
Section 500.3830 - Eligible Person; Requirements.
Section 500.3830a - Termination of Contract or Agreement; Notice to Individual.
Section 500.3833 - Replacement Policy; Waiver of Certain Time Periods.
Section 500.3837 - Repealed. 2002, Act 304, Imd. Eff. May 10, 2002.
Section 500.3843 - Health Insurance; Notice; Contents; Applicability of Subsection (1).
Section 500.3847 - Advertising; Filing Copy With Director.
Section 500.3851 - Aggregate Benefits; Rates, Rating Schedules, and Rate Revisions.
Section 500.3852 - Benchmark Ratio.
Section 500.3853 - Refund or Credit Calculation; Form; Interest; Due Date.
Section 500.3857 - Duties of Insurer; Certification of Compliance With Subsection (1)(a).
Section 500.3859 - Prohibited Conduct; Violation as Misdemeanor; Penalty.