HOUSE BILL No. 5409

November 8, 2005, Introduced by Reps. Mortimer, Gaffney, LaJoy, Marleau, Hune, Stahl, Taub, Newell, Vander Veen and Ward 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 3704.

 

THE PEOPLE OF THE STATE OF MICHIGAN ENACT:

 

     Sec. 3704. (1) Each carrier may offer a wellness health

 

benefit plan that provides for an appropriate rebate of premiums

 

paid in the last calendar year for the wellness coverage if the

 

majority of covered employees in the wellness health benefit plan

 

have enrolled and maintained participation in any health wellness,

 

maintenance, or improvement program offered by the employer. The

 

employer shall provide evidence of demonstrative maintenance or

 

improvement of the employees' health status as determined by

 

assessments of agreed-upon health status indicators between the

 


employer and the carrier, including, but not limited to,

 

improvements in nutrition and physical exercise and compliance with

 

disease management programs and preventive service guidelines that

 

are supported by evidence-based medical practice. Any rebate

 

provided by the carrier is presumed to be appropriate unless

 

credible data demonstrate otherwise.

 

     (2) The premium rebate authorized by subsection (1) shall be

 

provided each year that subsection (1) is satisfied.