May 3, 2016, Introduced by Reps. Yanez and Callton and referred to the Committee on Insurance.
A bill to amend 1984 PA 218, entitled
"Third party administrator act,"
(MCL 550.901 to 550.960) by adding section 33.
THE PEOPLE OF THE STATE OF MICHIGAN ENACT:
Sec. 33. (1) A third party administrator shall not enter into
a service contract for a benefit plan if the benefit plan includes
a health care service as a covered health care benefit and the
copayment or coinsurance for the health care service payable by the
covered individual is greater than 50% of the cost of the health
care service.
(2) The director of the department of insurance and financial
services shall investigate and issue a ruling on all complaints
arising under this section.
Enacting section 1. This amendatory act applies to a service
contract entered into after the date this amendatory act is enacted
into law. For a service contract in effect on or before the date
this amendatory act is enacted into law, this amendatory act
applies on the date the service contract is next extended, renewed,
or modified in any manner.
Enacting section 2. This amendatory act takes effect 90 days
after the date it is enacted into law.