Sec. 614.
(1) Not less than 75 days after a filing is received, as provided in section 610, the health care corporation may petition the commissioner, who shall make a determination with respect to interim rates and shall order interim rates in the amount prescribed in subsection (2). Interim rates shall not be implemented if the commissioner finds that the health care corporation has substantially contributed to the delay or that the health care corporation has not provided information requested by the commissioner relative to a determination under this section. The interim rate determination shall not be a contested case under chapter 4 of the administrative procedures act.
(2) The commissioner shall grant an interim rate, in an amount as determined by the commissioner, if the commissioner makes a finding that the corporation has made a convincing showing that there is probable cause to believe that the failure to grant the interim rate will result in an underwriting loss for that line of business for the period for which rates are being requested. As used in this subsection, "underwriting loss" means the difference between income from current rates plus investment income, and projected claims plus projected administrative expenses.
(3) If the final rate determination results in approval of a lower rate, appropriate refunds or adjustments, as determined by the commissioner, shall be made to reflect payments made in excess of the approved rate.
(4) The order establishing an interim rate adjustment made pursuant to this section shall be limited to adjusting rates for certificates then in effect, and shall not be used to alter certificates or implement new certificates.
(5) This section shall apply only to rates subject to section 608(1) for which a hearing has been requested.
History: 1980, Act 350, Eff. Apr. 3, 1981 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)
350-1980-6 - Part 6 (550.1601...550.1620)
Section 550.1601 - Regulation and Supervision of Health Care Corporation; Delegation of Authority.
Section 550.1602 - Statement of Condition; Statistical, Financial, and Other Reports.
Section 550.1603a - Health Care Corporation Subject to MCL 500.224 and 500.225; Costs and Expenses.
Section 550.1604 - Confidentiality; Violation as Misdemeanor; Penalty.
Section 550.1611 - Legislative Intent.
Section 550.1615 - Review of Final Order or Decision.
Section 550.1618 - Compliance With New Procedures, Benefits, or Contracts.
Section 550.1619 - Injunction; Declaratory and Equitable Relief; Enforcement of Act or Rules.