MI SB0446

Public employers may establish medical, dental, and optical benefit plans on a self-insured basis, join pooled plans with other employers, or procure coverage from carriers.

Public employers and pooled plans must solicit 4 or more bids from different carriers when establishing or renewing medical benefit plans every 3 years, including at least one bid from a voluntary employees' beneficiary association.

Public employers with 100 or more employees in a medical benefit plan must receive claims utilization and cost information compiled annually, including census data, claims data, fees, and benefit summaries.

Medical benefit plans must provide de-identified health information covering hospital and medical claims, prescription drug claims (including top 50 brand and generic drugs), and dental and optical claims for the 3 most recent years.

All required claims utilization and cost information must be compiled beginning 60 days after the October 1, 2011 effective date and disclosed to carriers, administrators, and employee representatives upon request.