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MI HB4876
Bill
Status
6/20/2013
Primary Sponsor
Bradford Jacobsen
Click for details
AI Summary
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Prohibits health care corporations from listing a health care service as a covered benefit if the member's copayment or coinsurance exceeds 50% of the service cost.
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Prohibits listing a service as a covered benefit if the deductible is structured to provide only minimal reimbursement or if it will not be met by at least 80% of members.
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Directs the Director of Insurance and Financial Services to investigate and issue rulings on all complaints arising under this section.
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Applies to certificates entered into after the bill's enactment and to existing certificates upon their next extension, renewal, or modification.
Legislative Description
Insurance; health care corporations; health care benefits that require certain deductibles or copays; provide for certain restrictions on whether health care service can be listed as a health care benefit. Amends 1980 PA 350 (MCL 550.1101 - 550.1704) by adding sec. 421.
Insurance, health care corporations
Last Action
Per Rule 41 Referred To Committee On Health Policy
7/3/2013