Sec. 419a.
(1) If a parent is eligible for dependent coverage through a health care corporation, the health care corporation shall:
(a) Permit the parent to enroll, under the dependent coverage, a child who is otherwise eligible for coverage without regard to any enrollment season restrictions.
(b) If the parent is enrolled but fails to make application to obtain coverage for the child, enroll the child under dependent coverage upon application by the friend of the court or by the child's other parent through the friend of the court.
(c) Not eliminate the child's coverage unless premiums have not been paid as required by the certificate or the health care corporation is provided with satisfactory written evidence of either of the following:
(i) The court or administrative order is no longer in effect.
(ii) The child is or will be enrolled in comparable health coverage through another health care corporation, insurer, health maintenance organization, or self-funded health coverage plan that will take effect not later than the effective date of the cancellation of the existing coverage.
(2) If a child has health coverage through a health care corporation of a noncustodial parent, that health care corporation shall do all of the following:
(a) Provide the custodial parent with information necessary for the child to obtain benefits through that coverage.
(b) Permit the custodial parent or, with the custodial parent's approval, the provider to submit a claim for covered services without the noncustodial parent's approval.
(c) If applicable, reimburse or make payment on claims submitted by the custodial parent or medical provider for services obtained or provided under subdivision (b).
(3) This section applies only if a parent is required by a court or administrative order to provide health coverage for a child and the health care corporation is notified of that court or administrative order.
History: Add. 1995, Act 238, Eff. Mar. 28, 1996 Popular Name: Blue Cross-Blue ShieldPopular Name: Act 350
Structure 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 550.1401b - Certificate Providing Benefits for Mental Health Services; Requirements.
Section 550.1401f - Health Care Corporation; Access to Obstetrician-Gynecologist.
Section 550.1401g - Health Care Corporation; Access to Pediatric Care Services.
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 550.1402d - 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 550.1405 - Single Billing Form; Development; Explanation of Total Bill for Services.
Section 550.1409 - Civil Action for Negligence.
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 550.1414b - Offer of Wellness Coverage by Health Care Corporation.
Section 550.1415 - Benefits for Prosthetic Devices.
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 550.1420-550.1430 - Repealed. 2006, Act 441, Imd. Eff. Oct. 19, 2006.
Section 550.1435 - “Program” Defined.
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.