Michigan Compiled Laws
350-1980-4 - Part 4 (550.1400...550.1439)
Section 550.1419 - Certificate Offering Dependent Coverage to Child; Denial of Enrollment on Certain Grounds Prohibited.

Sec. 419.
A health care corporation certificate that offers dependent coverage shall not deny enrollment to a subscriber's child on any of the following grounds:
(a) The child was born out of wedlock.
(b) The child is not claimed as a dependent on the subscriber's federal income tax return.
(c) The child does not reside with the subscriber or in the health care corporation's service area.
History: Add. 1995, Act 238, Eff. Mar. 28, 1996 Popular Name: Blue Cross-Blue ShieldPopular Name: Act 350

Structure Michigan Compiled Laws

Michigan Compiled Laws

Chapter 550 - General Insurance Laws

Act 350 of 1980 - The Nonprofit Health Care Corporation Reform Act (550.1101 - 550.1704)

350-1980-4 - Part 4 (550.1400...550.1439)

Section 550.1400 - Use of Most Favored Nation Clause in Provider Contract.

Section 550.1401 - Offering of Health Care Benefits; Limiting Benefits; Division of Benefits Into Classes or Kinds; Prohibited Conduct; Grounds for Denial of Coverage; Coordination of Benefits, Subrogation, and Nonduplication of Benefits; Health Care...

Section 550.1401a - Health Care Service Rendered by Dentist; Benefits or Reimbursement; “Dentist” Defined; Certificates to Which Section Applicable.

Section 550.1401b - Certificate Providing Benefits for Mental Health Services; Requirements.

Section 550.1401c - Replacement Group Certificate With Preexisting Condition Limitation; Elimination, Reduction, or Limitation of Benefits; “Disability Coverage” Defined.

Section 550.1401d - Services Performed by Physician's Assistant; Reimbursement; Conditions; Applicability of Section; Supervision by Physician; Definitions.

Section 550.1401e - Group Certificate Issued by Health Care Corporation; Renewal or Continuation; Guaranteed Renewal; Discontinuing Plan, Product, or Coverage in Nongroup or Group Market; Conditions.

Section 550.1401f - Health Care Corporation; Access to Obstetrician-Gynecologist.

Section 550.1401g - Health Care Corporation; Access to Pediatric Care Services.

Section 550.1401h - Health Care Corporation Providing Prescription Drug Coverage; Formulary Restrictions.

Section 550.1401i - Prescription Drug Coverage; Pilot Project; Provisions; Interim Report; Determination; Evaluation.

Section 550.1401j - Prescription Drug Coverage; Rate Differentials; Filing.

Section 550.1401k - Telemedicine Services; Provisions; Definition; Applicability.

Section 550.1401m - Offer of Health Care Benefits to All Residents Regardless of Health Status.

Section 550.1402 - Health Care Corporation; Prohibited Conduct; Commission or Compensation; New Preexisting Condition Limitation Waiting Period; Readjusting Rates; Participation in Trade Practice Conference for Disability Insurers; Provider Class Pla...

Section 550.1402a - Terms and Conditions of Certificate; Form; Description; Requested Information; Written Request; “Board Certified” Defined.

Section 550.1402b - Preexisting Condition Limitation or Exclusion; Prohibition; Exception; “Group” Defined.

Section 550.1402c - Termination of Participation Between Primary Care Physician and Health Care Corporation; Notice to Member; Effect of Termination; Definitions.

Section 550.1402d - Applicability of MCL 500.2212c to Health Care Corporation.

Section 550.1403 - Payment of Benefits; Interest; Claim Form; Exception.

Section 550.1403a - Benefits Paid by Check or Written Instrument; Escheat.

Section 550.1403b - Advertising Material Prohibited.

Section 550.1404 - Violation of MCL 550.1402 or MCL 550.1403; Private Informal Managerial-Level Conference; Review by Commissioner; Internal Procedures; Determination by Commissioner; Expedited Grievance Procedure; Procedural Rules; Hearing Matter as...

Section 550.1405 - Single Billing Form; Development; Explanation of Total Bill for Services.

Section 550.1406 - Confidentiality of Records; Disclosures; Consent; Policy Regarding Protection of Privacy and Confidentiality of Personal Data; Violation as Misdemeanor; Penalty; Civil Action for Damages; Effect of Section on Governmental Agencies;...

Section 550.1407 - Complaint System; Procedures; Response to Complaint; Access to Complaints and Responses; Record of Complaints; Annual Report; Other Legal Remedies.

Section 550.1408 - False, Dishonest, or Fraudulent Claim for Payment as Misdemeanor; Penalty; Civil Action; Prosecution.

Section 550.1409 - Civil Action for Negligence.

Section 550.1409a - Coverage for Children Who Are Full-Time or Part-Time Students; Continuing Coverage if Dependent Student Takes Leave of Absence Due to Illness or Injury; Eligibility; Requirements.

Section 550.1410 - Certificate Providing Coverage of Dependent Terminating at Specified Age; Exceptions.

Section 550.1410a - Provisions of Group Certificate; Electing Coverage Under Group Conversion Certificate; Notice of Conversion Privilege; Requirements of Group Conversion Certificate; Premium; Issuance; Compliance.

Section 550.1410b - Premium for Group Conversion Certificate After January 1, 2014; Determination; Rating Factors.

Section 550.1411-550.1413a - Repealed. 1994, Act 40, Imd. Eff. Mar. 14, 1994.

Section 550.1414 - Expired. 1980, Act 430, Eff. Jan. 1, 1982.

Section 550.1414a - Treatment of Substance Abuse; Contracts; Qualifications of Provider; Coverage for Intermediate and Outpatient Care for Substance Abuse Required; Demonstration Projects; Substance Abuse Advisory Committee; Report; Contracts Based o...

Section 550.1414b - Offer of Wellness Coverage by Health Care Corporation.

Section 550.1415 - Benefits for Prosthetic Devices.

Section 550.1416 - Coverage for Breast Cancer Diagnostic Services, Breast Cancer Outpatient Services, and Breast Cancer Rehabilitative Services; Coverage for Breast Cancer Screening Mammography; Definitions; Effective Date of Section.

Section 550.1416a - Coverage for Drug Used in Antineoplastic Therapy and Cost of Its Administration; Conditions.

Section 550.1416b - Establishment of Program to Prevent Onset of Clinical Diabetes Required; Report; Coverages; “Diabetes” Defined.

Section 550.1416c - Off-Label Use of Approved Drug; Coverage; Conditions; Compliance; Use of Copayment, Deductible, Sanction, or Utilization Control; Limitation; Definitions.

Section 550.1416d - Coverage for Obstetrical and Gynecological Services by Physician or Nurse Midwife.

Section 550.1416e - Diagnosis and Treatment of Autism Spectrum Disorders; Coverage; Prohibition; Availability of Other Benefits; Conditions; Qualified Health Plan Offered Through American Health Benefit Exchange Pursuant to Federal Law; Prescription...

Section 550.1417 - Hospice Care; Contracts With Health Care Corporation; Description of Benefit.

Section 550.1418 - Emergency Health Services; Medical Coverage Required; “Stabilization” Defined.

Section 550.1419 - Certificate Offering Dependent Coverage to Child; Denial of Enrollment on Certain Grounds Prohibited.

Section 550.1419a - Eligibility of Parent for Dependent Coverage; Health Coverage of Child Through Noncustodial Parent; Court or Administrative Order and Notice Required.

Section 550.1419b - Individual Eligible Under Title XIX of Social Security Act; Assignment of Rights of Subscriber to Department of Social Services.

Section 550.1420-550.1430 - Repealed. 2006, Act 441, Imd. Eff. Oct. 19, 2006.

Section 550.1435 - “Program” Defined.

Section 550.1436 - Michigan Caring Programs for Children; Creation; Contribution Requirements; Rating Methodologies; Supersedure of Inconsistent Provisions.

Section 550.1437 - Eligibility of Child for Enrollment in Program.

Section 550.1438 - Limitation of Benefits; Provision of Other Health Care Benefits.

Section 550.1439 - Fees Prohibited; Exception; Funding; Enrollment of Children.