HOUSE BILL No. 4693


     April 24, 1997, Introduced by Reps. Frank, Quarles, Bogardus, Martinez, Kaza, Hanley, Hale, Goschka, LaForge, Willard, Freeman, Brater, Schauer, DeHart, Palamara, Gire and Prusi and referred to the Committee on Insurance.


        A bill to amend 1956 PA 218, entitled

   "The insurance code of 1956,"

   (MCL 500.100 to 500.8302) by adding section 3406j.

               THE PEOPLE OF THE STATE OF MICHIGAN ENACT:

 1         SEC. 3406J.  (1) AN INSURER THAT DELIVERS, ISSUES FOR DELIV-

 2    ERY, OR RENEWS IN THIS STATE AN EXPENSE-INCURRED HOSPITAL, MEDI-

 3    CAL, OR SURGICAL POLICY OR CERTIFICATE THAT PROVIDES MASTECTOMY

 4    OR LYMPH NODE DISSECTION COVERAGE FOR THE TREATMENT OF BREAST

 5    CANCER SHALL PROVIDE COVERAGE AS FOLLOWS:

 6         (A) FOR A MINIMUM OF 48 HOURS OF IN-PATIENT HOSPITAL SERV-

 7    ICES FOLLOWING A MASTECTOMY.

 8         (B) FOR A MINIMUM OF 24 HOURS OF IN-PATIENT HOSPITAL SERV-

 9    ICES FOLLOWING A LYMPH NODE DISSECTION.






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 1         (2) AN INSURER SHALL PROVIDE WRITTEN PROMINENT NOTICE TO ITS

 2    INSUREDS CONCERNING THE COVERAGE REQUIRED BY THIS SECTION AT THE

 3    EARLIEST OF THE FOLLOWING:

 4         (A) THE FIRST MAILING TO THE INSURED AFTER THE EFFECTIVE

 5    DATE OF THIS SECTION.

 6         (B) JANUARY 1, 1998.












































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