Michigan StatutesAct 350 of 1980 - THE NONPROFIT HEALTH CARE CORPORATION REFORM ACT (550.1101 - 550.1704)
- 350-1980-1 - PART 1 (550.1101...550.1108)
- 350-1980-2 - PART 2 (550.1201...550.1219)
- Section 550.1201 - Health care corporation; incorporation; number of persons; payment of cash or other material benefit to subscriber; applicable laws; charitable and benevolent institution; exemption
- Section 550.1202 - Articles of incorporation; contents; number; forms; examination and certification by attorney general; fees.
- Section 550.1203 - Amendment or restatement of articles; review; approval.
- Section 550.1204 - Filing of statements and documents; examination; investigation; additional information; conditions; duties of commissioner.
- Section 550.1204a - Unimpaired surplus.
- Section 550.1205 - Repealed. 2003, Act 59, Eff. July 23, 2003.
- Section 550.1205a - Actuarial practices and accounting principles; financial report.
- Section 550.1206 - Funds, property, and business of health care corporation; investments; insurance; prepaid health care benefits.
- Section 550.1207 - Powers of health care corporation; interests of senior citizens; validity of corporate acts.
- Section 550.1208 - Action by member; complaint.
- Section 550.1209 - Action by member; discontinuance, compromise, or settlement; notice; expense.
- Section 550.1210 - Action by member; reasonable expenses; attorney's fees.
- Section 550.1211 - Administrative services only and cost-plus arrangements; service contracts; fees; administrative costs; marketing policy; notice; coverage, rights, and obligations under collective
- Section 550.1211a - Definitions; prohibited acts by corporation; processing claims for benefits on timely basis; claim form; notice to covered individuals; notice to corporation of complaint and proce
- Section 550.1212 - Action without notice or lapse of time periods; waiver; attorney-in-fact.
- Section 550.1213 - Indemnification.
- Section 550.1214 - Rate of interest.
- Section 550.1215 - Health care corporation as shareholder in other nonprofit corporation; rights, powers, privileges, and liabilities.
- Section 550.1216, 550.1217 - Repealed. 2002, Act 559, Imd. Eff. Sept. 27, 2002.
- Section 550.1218 - Health care corporation; prohibited actions.
- Section 550.1219 - Provisions superseded.
- 350-1980-3 - PART 3 (550.1301...550.1313)
- 350-1980-4 - PART 4 (550.1401...550.1439)
- Section 550.1401 - Offering of health care benefits; limiting benefits; division of benefits into classes or kinds; prohibited conduct; grounds for denial of coverage; coordination of benefits, subrog
- Section 550.1401a - Health care service rendered by dentist; benefits or reimbursement; “dentist” defined; certificates to which section applicable.
- Section 550.1401b - Certificate providing benefits for mental health services; requirements.
- Section 550.1401c - Replacement group certificate with preexisting condition limitation; elimination, reduction, or limitation of benefits; “disability coverage” defined.
- Section 550.1401d - Services performed by physician's assistant; reimbursement; conditions; applicability of section; supervision by physician; definitions.
- Section 550.1401e - Group certificate issued by health care corporation; renewal or continuation; guaranteed renewal.
- Section 550.1401f - Health care corporation; access to obstetrician-gynecologist.
- Section 550.1401g - Health care corporation; access to pediatric care services.
- Section 550.1401h - Health care corporation providing prescription drug coverage; formulary restrictions.
- Section 550.1401i - Prescription drug coverage; pilot project; provisions; interim report; determination; evaluation.
- Section 550.1401j - Prescription drug coverage; rate differentials; filing.
- Section 550.1402 - Health care corporation; prohibited conduct; commission or compensation; new preexisting condition limitation waiting period; readjusting rates; participation in trade practice conf
- Section 550.1402a - Terms and conditions of certificate; form; description; requested information; written request; “board certified” defined.
- Section 550.1402b - Preexisting condition limitation or exclusion; prohibition; exception; “group” defined.
- Section 550.1402c - Termination of participation between primary care physician and health care corporation; notice to member; effect of termination; definitions.
- Section 550.1403 - Payment of benefits; interest; claim form; exception.
- Section 550.1403a - Benefits paid by check or written instrument; escheat.
- Section 550.1403b - Advertising material prohibited.
- Section 550.1404 - Violation of MCL 550.1402 or MCL 550.1403; private informal managerial-level conference; review by commissioner; internal procedures; determination by commissioner; expedited grieva
- Section 550.1405 - Single billing form; development; explanation of total bill for services.
- Section 550.1406 - Confidentiality of records; disclosures; consent; policy regarding protection of privacy and confidentiality of personal data; violation as misdemeanor; penalty; civil action for da
- Section 550.1407 - Complaint system; procedures; response to complaint; access to complaints and responses; record of complaints; annual report; other legal remedies.
- Section 550.1408 - False, dishonest, or fraudulent claim for payment as misdemeanor; penalty; civil action; prosecution.
- Section 550.1409 - Civil action for negligence.
- Section 550.1409a - Coverage for children who are full-time or part-time students; continuing coverage if dependent student takes leave of absence due to illness or injury; eligibility; requirements.
- Section 550.1410 - Certificate providing coverage of dependent terminating at specified age; exception.
- Section 550.1410a - Provisions of group certificate; electing coverage under group conversion certificate; notice of conversion privilege; requirements of group conversion certificate; premium; issuan
- Section 550.1411-550.1413a - Repealed. 1994, Act 40, Imd. Eff. Mar. 14, 1994.
- Section 550.1414 - Expired. 1980, Act 430, Eff. Jan. 1, 1982.
- Section 550.1414a - Treatment of substance abuse; contracts; qualifications of provider; coverage for intermediate and outpatient care for substance abuse required; demonstration projects; substance a
- Section 550.1414b - Offer of wellness coverage by health care corporation.
- Section 550.1415 - Benefits for prosthetic devices.
- Section 550.1416 - Coverage for breast cancer diagnostic services, breast cancer outpatient services, and breast cancer rehabilitative services; coverage for breast cancer screening mammography; defin
- Section 550.1416a - Coverage for drug used in antineoplastic therapy and cost of its administration; conditions.
- Section 550.1416b - Establishment of program to prevent onset of clinical diabetes required; report; coverages; “diabetes” defined.
- Section 550.1416c - Off-label use of approved drug; coverage; conditions; compliance; use of copayment, deductible, sanction, or utilization control; limitation; definitions.
- Section 550.1416d - Coverage for obstetrical and gynecological services by physician or nurse midwife.
- Section 550.1417 - Hospice care; contracts with health care corporation; description of benefit.
- Section 550.1418 - Emergency health services; medical coverage required; “stabilization” defined.
- Section 550.1419 - Certificate offering dependent coverage to child; denial of enrollment on certain grounds prohibited.
- Section 550.1419a - Eligibility of parent for dependent coverage; health coverage of child through noncustodial parent; court or administrative order and notice required.
- Section 550.1419b - Individual eligible under title XIX of social security act; assignment of rights of subscriber to department of social services.
- Section 550.1420-550.1430 - Repealed. 2006, Act 441, Imd. Eff. Oct. 19, 2006.
- Section 550.1435 - “Program” defined.
- Section 550.1436 - Michigan caring programs for children; creation; contribution requirements; rating methodologies; supersedure of inconsistent provisions.
- Section 550.1437 - Eligibility of child for enrollment in program.
- Section 550.1438 - Limitation of benefits; provision of other health care benefits.
- Section 550.1439 - Fees prohibited; exception; funding; enrollment of children.
- 350-1980-4A - PART 4A MEDICARE SUPPLEMENT CERTIFICATES (550.1451...550.1499a)
- 350-1980-5 - PART 5 (550.1501...550.1518)
- 350-1980-6 - PART 6 (550.1601...550.1619)
- Section 550.1601 - Regulation and supervision of health care corporation; delegation of authority.
- Section 550.1602 - Statement of condition; statistical, financial, and other reports.
- Section 550.1603 - Visitation and examination; access to books, papers, and documents; witnesses; expenses; disclosure of information; reporting violation; action by attorney general; ex parte order d
- Section 550.1603a - Health care corporation subject to MCL 500.224 and 500.225; costs and expenses.
- Section 550.1604 - Confidentiality; violation as misdemeanor; penalty.
- Section 550.1605 - Certificate of authority; suspension or limitation; circumstances; order; hearing; notice.
- Section 550.1606 - Authority of commissioner regarding officers and directors; authority as to dissolution, taking over, or liquidation of corporations; insolvency defined.
- Section 550.1607 - Submission of new or revised certificate and applicable proposed rates; approval or disapproval; exemption; circumstances and conditions; notice; implementation of certificates and
- Section 550.1608 - Rates charged to nongroup subscribers for certificate; methodology and definitions of rating system, formula, component, and factor used to calculate rates for group subscribers for
- Section 550.1609 - Excessive rate; administrative expense budget; equitable rate; adequate rate; line of business to be self-sustaining; cost transfers for benefit of senior citizens and group convers
- Section 550.1610 - Filing of information and materials relative to proposed rate; notice; approval, approval with modifications, or disapproval; additional information and materials; determination; no
- Section 550.1611 - Legislative intent.
- Section 550.1612 - Notice of rate filing; contents of request for hearing; advertisements; limitation on fee for copy of rate filing; waiver or reduction of fee; calculation of costs.
- Section 550.1613 - Request for hearing; standing of person; access to filing; confidentiality; penalty; appointment and qualifications of independent hearing officer; commencement of hearing; discover
- Section 550.1614 - Interim rates; petition; determination; granting interim rate; final rate determination; refunds or adjustments; limitation on order establishing interim rate adjustment; rates to w
- Section 550.1615 - Review of final order or decision.
- Section 550.1616 - Endorsing, filing, and indexing documents; notice of refusal to file; judicial review; certificate of correction; persons adversely affected by correction; documents to which sectio
- Section 550.1617 - Rules.
- Section 550.1618 - Compliance with new procedures, benefits, or contracts.
- Section 550.1619 - Injunction; declaratory and equitable relief; enforcement of act or rules.
- 350-1980-7 - PART 7 (550.1701...550.1704)