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MI HB4191

Bill

Status

Introduced

2/6/2013

Primary Sponsor

Gail Haines

Click for details

Origin

House of Representatives

97th Legislature

AI Summary

  • Amends the Nonprofit Health Care Corporation Reform Act to require health care corporations to pay member benefits on a timely basis as provided in applicable certificates.

  • Establishes a 60-day payment deadline after receipt of a satisfactory claim form, with unpaid benefits accruing simple interest at 12% per annum until payment.

  • Requires health care corporations to specify in writing what materials constitute a satisfactory claim form within 30 days of receiving a claim, unless the claim is settled within that period.

  • Applies sections 2006(7)-(14) and 2006a of the 1956 Insurance Code to health care corporations regarding claim payment procedures and requirements.

  • Ties the bill's effectiveness to the enactment of House Bill 4192 or Senate Bill (number unspecified).

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 4192'13

Insurance, health care corporations

Last Action

Printed Bill Filed 02/07/2013

2/7/2013

Committee Referrals

Insurance2/6/2013

Full Bill Text

No bill text available