350-1980-4 - PART 4 (550.1401...550.1439) - Michigan Statutes

State Codes and Statutes

Statutes > Michigan > Chapter-550 > Act-350-of-1980 > 350-1980-4

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.

State Codes and Statutes

Statutes > Michigan > Chapter-550 > Act-350-of-1980 > 350-1980-4

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.

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State Codes and Statutes

Statutes > Michigan > Chapter-550 > Act-350-of-1980 > 350-1980-4

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.