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MI HB5908
Bill
Status
9/13/2012
Primary Sponsor
Gail Haines
Click for details
AI Summary
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Amends section 403 of the nonprofit health care corporation reform act (1980 PA 350) to require health care corporations pay member benefits on a timely basis as provided in applicable certificates.
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Imposes 12% annual simple interest on benefits not paid within 60 days after a satisfactory claim form is received by the health care corporation.
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Requires health care corporations to specify in writing within 30 days of claim receipt what materials constitute a satisfactory claim form, unless the claim is settled within that 30-day period.
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Applies insurance code sections 2006(7)-(14) and 2006a (MCL 500.2006 and 500.2006a) to health care corporations for claims processing requirements.
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Makes this act contingent on enactment of either Senate Bill No. ____ or House Bill No. 5909 by the 96th Legislature.
Legislative Description
Insurance; health care corporations; retrospective audits and reimbursement requests; limit health plan ability to request. Amends sec. 403 of 1980 PA 350 (MCL 550.1403). TIE BAR WITH: HB 5909'12
Insurance, health care corporations
Last Action
Per Rule 41 Re-referred To Committee On Health Policy
9/19/2012