MCL - Index of 218-1956-34

NOTE: Dates reflect any modification to item, not necessarily a change in law.
Title Subject
218-1956-34 CHAPTER 34 DISABILITY INSURANCE POLICIES (500.3400...500.3480)
Section 500.3400 Definitions; scope of chapter, exemptions, exceptions.
Section 500.3401 Repealed. 2016, Act 276, Imd. Eff. July 1, 2016.
Section 500.3401a Group disability insurance; issuance; filing and approval of form.
Section 500.3402 Disability insurance policy; provisions required.
Section 500.3402a Group disability insurance policy; provisions required.
Section 500.3402b Group or nongroup disability insurance policy; coordination of benefits; provision; limitation; "other coverage" defined; payment by each insurer.
Section 500.3402c Family expense insurance policy.
Section 500.3402d Blanket disability insurance; coverage.
Section 500.3402e Blanket disability insurance policies; issuance.
Section 500.3402f Blanket disability insurance policy; provisions.
Section 500.3402g Blanket disability insurance policy; certificate; payment of benefits.
Section 500.3402h Legal liability of policyholder.
Section 500.3403 Health insurance policy offering dependent coverage; required provisions; denial prohibited; grounds.
Section 500.3404 Insurance policy issued for delivery to nonresident.
Section 500.3405 Prudent purchaser agreements with providers of hospital, nursing, medical, surgical, or sick-care services; rates; discrimination prohibited; optometry, chiropractic, and physical therapy service.
Section 500.3405a Use of most favored nation clause.
Section 500.3406 Disability insurance policy; provisions required, captions, omissions, substitutions.
Section 500.3406a Reconstructive surgery following mastectomy; prosthetic device.
Section 500.3406b Coverage for mental health services by mental health care provider.
Section 500.3406c Hospice care; definition; description of coverage.
Section 500.3406d Coverage for breast cancer diagnostic services, breast cancer outpatient treatment services, and breast cancer rehabilitative services; coverage for breast cancer screening mammography; definitions.
Section 500.3406e Coverage for drug used in antineoplastic therapy and cost of its administration; conditions.
Section 500.3406f Repealed. 2016, Act 276, Imd. Eff. July 1, 2016.
Section 500.3406g Repealed. 2016, Act 276, Imd. Eff. July 1, 2016.
Section 500.3406h Eligibility of parent for dependent coverage; health coverage of child through noncustodial parent; duties of insurer; court or administrative order and notice required.
Section 500.3406i Individual eligible under title XIX of social security act; assignment of rights of insured to department of social services.
Section 500.3406j Insured or applicant as victim of domestic violence; refusal to provide coverage prohibited; liability; "domestic violence" defined.
Section 500.3406k Emergency health services; medically necessary coverage; "stabilization" defined.
Section 500.3406<Emph EmphType="italic">l</Emph> Medical transportation services; reimbursement; exception.
Section 500.3406m Access by insured to obstetrician-gynecologist.
Section 500.3406n Access to pediatric care services.
Section 500.3406o Insurer providing prescription drug coverage; formulary restrictions; expedited review of coverage for nonformulary alternative; determination; subject to 500.3406w.
Section 500.3406p Establishment of program to prevent onset of clinical diabetes required; survey; coverages; "diabetes" defined.
Section 500.3406q Off-label use of approved drug; coverage; conditions; compliance; use of copayment, deductible, sanction, or utilization control; limitation; definitions.
Section 500.3406r Coverage for obstetrical and gynecological services by physician or nurse midwife.
Section 500.3406s 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; short-term or 1-time limited duration policy or certificate; prescription drug plan; coordinated benefits; definitions.
Section 500.3406t Synchronizing insured's or enrollee's multiple maintenance prescription drugs.
Section 500.3406u Coverage for prescription eyedrops; requirements; "prescriber" defined.
Section 500.3406v Coverage for emergency supply of insulin.
Section 500.3406w Temporary emergency and early refills for prescription drugs; inapplicable after March 31, 2021.
Section 500.3406x Nonopioid directive form; website.
Section 500.3406y Nonopioid directive form; enrollment.
Section 500.3406z Essential health benefit coverage; annual and lifetime dollar limits; prohibition; applicability to grandfathered health plan coverage.
Section 500.3406z[1] Disability insurance policies; discrimination against living donors; prohibition; definitions.
Section 500.3406aa Third party access; dental provider network; requirements; exceptions; definitions.
Section 500.3406bb Health insurance policy; minimum required coverage; use of in-network and out-of-network providers; use of reasonable medical management techniques; applicability to short-term or 1-time limited duration policies; effective date.
Section 500.3406ee Health insurance policies; individual or small group markets; mandatory levels of coverage; actuarial value; compliance; applicability.
Section 500.3406ff Financial parity for orally administered, intravenously administered and injected antineoplastic (anticancer) medications.
Section 500.3406hh Coverage for mental health and substance use disorder services.
Section 500.3406ii Prohibition on the limitation or exclusion of benefits based on preexisting condition; exceptions.
Section 500.3406jj Medical loss ratio rebates; applicability.
Section 500.3406jj[1] Prohibition on discrimination against health professionals.
Section 500.3406kk Coverage for blood pressure monitors.
Section 500.3406oo Coverage for mental health screenings during postpartum period.
Section 500.3406tt Coverage for certain hormonal contraceptives.
Section 500.3407 Entire contract; changes.
Section 500.3407a Conduct on behalf of or information provided to insured by health care provider; prohibition or discouragement by disability insurer.
Section 500.3407b Undergoing genetic testing as condition of issuing, renewing, or continuing policy; disclosure of genetic testing or genetic information; definitions.
Section 500.3408 Time limit on certain defenses; incontestable policy.
Section 500.3409 Disability insurance policy; mandatory notices as to cancellation and refund of premium.
Section 500.3410 Grace period; provision required.
Section 500.3411 Reinstatement; provision required.
Section 500.3412 Notice of claim; provision required.
Section 500.3413 Claim forms; provision required.
Section 500.3414 Proofs of loss; provision required.
Section 500.3416 Time of payment of claims; provision required.
Section 500.3418 Payment of claims; provision required.
Section 500.3420 Physical examinations and autopsy; provision required.
Section 500.3422 Legal actions; provision required.
Section 500.3424 Change of beneficiary; provision required.
Section 500.3425 Health insurance policy; coverage for intermediate and outpatient care for substance use disorder required; charges, terms, and conditions; reduction of coverage; deductibles and copayment provisions; definitions.
Section 500.3426 Offer of wellness coverage by insurer.
Section 500.3428 Provider network.
Section 500.3430 Optional policy provisions; insurance commissioner's approval.
Section 500.3432 Change of occupation; optional provision.
Section 500.3434 Misstatement of age; optional provision.
Section 500.3436 Other insurance with same insurer; optional provision.
Section 500.3438 Insurance with other insurers; optional provision; expense incurred benefits.
Section 500.3439 Repealed. 2016, Act 276, Imd. Eff. July 1, 2016.
Section 500.3440 Insurance with other insurers; other benefits.
Section 500.3444 Relation of earnings to insurance; optional provision.
Section 500.3446 Unpaid premium; optional provision.
Section 500.3448 Cancellation; optional provision.
Section 500.3450 Conformity with state statutes; optional provision.
Section 500.3452 Illegal occupation or criminal activity; optional provision; definitions.
Section 500.3454 Repealed. 1980, Act 429, Eff. Mar. 31, 1981.
Section 500.3460 Order of certain policy provisions.
Section 500.3462 Third party ownership of policy.
Section 500.3464 Foreign or alien insurers; provision required by other state law; domestic insurers; provision required by other state or country.
Section 500.3466 Filing procedure; insurance commissioner, regulatory powers.
Section 500.3468 Provisions violating code; construction of noncomplying policies and provisions.
Section 500.3470 Age of insured; provision regulations.
Section 500.3471 Provision and nondisclosure of large employer group claims utilization and cost information; civil liability immunity; definitions.
Section 500.3472 Open enrollment period; prohibitions; establishment of reasonable periods for health insurance policies; minimum standards for frequency and duration of open enrollment periods; denial of coverage.
Section 500.3474 Risk classification; rates; filing requirements.
Section 500.3474a Premium rate after January 1, 2014; basis; factors.
Section 500.3475 Reimbursement for services by licensed psychologist, podiatrist, or chiropractor; section inapplicable to policy involving prudent purchaser agreement.
Section 500.3476 Telemedicine services; provisions; definitions.
Section 500.3477 Use of financial incentive or payment to act as inducement to deny, reduce, limit, or delay services; prohibition; exception.
Section 500.3480 Repealed. 1963, Act 127, Eff. Sept. 6, 1963.