MCL - 218-1956-34

Act 218 of 1956
Chapter 34
Document Type Description
Section 500.3400 Section Definitions; scope of chapter, exemptions, exceptions.
Section 500.3401 Section Repealed. 2016, Act 276, Imd. Eff. July 1, 2016.
Section 500.3401a Section Group disability insurance; issuance; filing and approval of form.
Section 500.3402 Section Disability insurance policy; provisions required.
Section 500.3402a Section Group disability insurance policy; provisions required.
Section 500.3402b Section Group or nongroup disability insurance policy; coordination of benefits; provision; limitation; "other coverage" defined; payment by each insurer.
Section 500.3402c Section Family expense insurance policy.
Section 500.3402d Section Blanket disability insurance; coverage.
Section 500.3402e Section Blanket disability insurance policies; issuance.
Section 500.3402f Section Blanket disability insurance policy; provisions.
Section 500.3402g Section Blanket disability insurance policy; certificate; payment of benefits.
Section 500.3402h Section Legal liability of policyholder.
Section 500.3403 Section Health insurance policy offering dependent coverage; required provisions; denial prohibited; grounds.
Section 500.3404 Section Insurance policy issued for delivery to nonresident.
Section 500.3405 Section 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 Section Use of most favored nation clause.
Section 500.3406 Section Disability insurance policy; provisions required, captions, omissions, substitutions.
Section 500.3406a Section Reconstructive surgery following mastectomy; prosthetic device.
Section 500.3406b Section Coverage for mental health services by mental health care provider.
Section 500.3406c Section Hospice care; definition; description of coverage.
Section 500.3406d Section 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 Section Coverage for drug used in antineoplastic therapy and cost of its administration; conditions.
Section 500.3406f Section Repealed. 2016, Act 276, Imd. Eff. July 1, 2016.
Section 500.3406g Section Repealed. 2016, Act 276, Imd. Eff. July 1, 2016.
Section 500.3406h Section 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 Section Individual eligible under title XIX of social security act; assignment of rights of insured to department of social services.
Section 500.3406j Section Insured or applicant as victim of domestic violence; refusal to provide coverage prohibited; liability; "domestic violence" defined.
Section 500.3406k Section Emergency health services; medically necessary coverage; "stabilization" defined.
Section 500.3406l Section Medical transportation services; reimbursement; exception.
Section 500.3406m Section Access by insured to obstetrician-gynecologist.
Section 500.3406n Section Access to pediatric care services.
Section 500.3406o Section Insurer providing prescription drug coverage; formulary restrictions; expedited review of coverage for nonformulary alternative; determination; subject to 500.3406w.
Section 500.3406p Section Establishment of program to prevent onset of clinical diabetes required; survey; coverages; "diabetes" defined.
Section 500.3406q Section Off-label use of approved drug; coverage; conditions; compliance; use of copayment, deductible, sanction, or utilization control; limitation; definitions.
Section 500.3406r Section Coverage for obstetrical and gynecological services by physician or nurse midwife.
Section 500.3406s Section 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 Section Synchronizing insured's or enrollee's multiple maintenance prescription drugs.
Section 500.3406u Section Coverage for prescription eyedrops; requirements; "prescriber" defined.
Section 500.3406v Section Coverage for emergency supply of insulin.
Section 500.3406w Section Temporary emergency and early refills for prescription drugs; inapplicable after March 31, 2021.
Section 500.3406x Section Nonopioid directive form; website.
Section 500.3406y Section Nonopioid directive form; enrollment.
Section 500.3406z Section Essential health benefit coverage; annual and lifetime dollar limits; prohibition; applicability to grandfathered health plan coverage.
Section 500.3406z[1] Section Disability insurance policies; discrimination against living donors; prohibition; definitions.
Section 500.3406aa Section Third party access; dental provider network; requirements; exceptions; definitions.
Section 500.3406bb Section 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 Section Health insurance policies; individual or small group markets; mandatory levels of coverage; actuarial value; compliance; applicability.
Section 500.3406ff Section Financial parity for orally administered, intravenously administered and injected antineoplastic (anticancer) medications.
Section 500.3406hh.added Section Coverage for mental health and substance use disorder services.
Section 500.3406ii Section Prohibition on the limitation or exclusion of benefits based on preexisting condition; exceptions.
Section 500.3407 Section Entire contract; changes.
Section 500.3407a Section Conduct on behalf of or information provided to insured by health care provider; prohibition or discouragement by disability insurer.
Section 500.3407b Section Undergoing genetic testing as condition of issuing, renewing, or continuing policy; disclosure of genetic testing or genetic information; definitions.
Section 500.3408 Section Time limit on certain defenses; incontestable policy.
Section 500.3409 Section Disability insurance policy; mandatory notices as to cancellation and refund of premium.
Section 500.3410 Section Grace period; provision required.
Section 500.3411 Section Reinstatement; provision required.
Section 500.3412 Section Notice of claim; provision required.
Section 500.3413 Section Claim forms; provision required.
Section 500.3414 Section Proofs of loss; provision required.
Section 500.3416 Section Time of payment of claims; provision required.
Section 500.3418 Section Payment of claims; provision required.
Section 500.3420 Section Physical examinations and autopsy; provision required.
Section 500.3422 Section Legal actions; provision required.
Section 500.3424 Section Change of beneficiary; provision required.
Section 500.3425 Section 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 Section Offer of wellness coverage by insurer.
Section 500.3428 Section Provider network.
Section 500.3430 Section Optional policy provisions; insurance commissioner's approval.
Section 500.3432 Section Change of occupation; optional provision.
Section 500.3434 Section Misstatement of age; optional provision.
Section 500.3436 Section Other insurance with same insurer; optional provision.
Section 500.3438 Section Insurance with other insurers; optional provision; expense incurred benefits.
Section 500.3439 Section Repealed. 2016, Act 276, Imd. Eff. July 1, 2016.
Section 500.3440 Section Insurance with other insurers; other benefits.
Section 500.3444 Section Relation of earnings to insurance; optional provision.
Section 500.3446 Section Unpaid premium; optional provision.
Section 500.3448 Section Cancellation; optional provision.
Section 500.3450 Section Conformity with state statutes; optional provision.
Section 500.3452 Section Illegal occupation or criminal activity; optional provision; definitions.
Section 500.3454 Section Repealed. 1980, Act 429, Eff. Mar. 31, 1981.
Section 500.3460 Section Order of certain policy provisions.
Section 500.3462 Section Third party ownership of policy.
Section 500.3464 Section Foreign or alien insurers; provision required by other state law; domestic insurers; provision required by other state or country.
Section 500.3466 Section Filing procedure; insurance commissioner, regulatory powers.
Section 500.3468 Section Provisions violating code; construction of noncomplying policies and provisions.
Section 500.3470 Section Age of insured; provision regulations.
Section 500.3471 Section Provision and nondisclosure of large employer group claims utilization and cost information; civil liability immunity; definitions.
Section 500.3472 Section 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 Section Risk classification; rates; filing requirements.
Section 500.3474a Section Premium rate after January 1, 2014; basis; factors.
Section 500.3475 Section Reimbursement for services by licensed psychologist, podiatrist, or chiropractor; section inapplicable to policy involving prudent purchaser agreement.
Section 500.3476 Section Telemedicine services; provisions; definitions.
Section 500.3476.amended Section Telemedicine services; provisions; definitions.
Section 500.3477 Section Use of financial incentive or payment to act as inducement to deny, reduce, limit, or delay services; prohibition; exception.
Section 500.3480 Section Repealed. 1963, Act 127, Eff. Sept. 6, 1963.