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MI HB4877
Bill
Status
6/20/2013
Primary Sponsor
Frank Foster
Click for details
AI Summary
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Prohibits third party administrators from entering into service contracts for benefit plans that include health care services as covered benefits if the copayment or coinsurance for the service exceeds 50% of the service's cost.
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Prohibits third party administrators from entering into such contracts if the deductible is structured to provide minimal reimbursement or if the plan sponsor knows the deductible will not be met by at least 80% of covered individuals.
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Requires 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 service contracts entered into after the bill's enactment; for existing contracts, the restrictions apply upon next extension, renewal, or modification.
Legislative Description
Insurance; third party administrators; health care benefits that require certain deductibles or copays; provide for certain restrictions on whether health care services can be listed as a health care benefit. Amends 1984 PA 218 (MCL 550.901 - 550.960) by adding sec. 33.
Insurance, third party administrators
Last Action
Per Rule 41 Referred To Committee On Health Policy
7/3/2013