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MI HB6280
Bill
Status
6/23/2022
Primary Sponsor
Graham Filler
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AI Summary
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Modifies payment timelines for personal protection insurance (PIP) benefits, requiring insurers to pay within 30 days of receiving reasonable proof, with an additional 60-day window if medical bills are submitted more than 90 days after services are provided.
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Defines "reasonable proof of loss" to not require exact proof or insurer-specified forms; allows information in any format showing fact and amount of loss, and requires insurers to request missing charge description masters or average amounts within 15 days or lose the delay.
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Increases penalties for overdue PIP payments to include 12% annual simple interest plus an additional amount equal to 5 times any amount supported by reasonable proof.
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Establishes new allowable expenses under PIP including guardianship/conservatorship services, vehicle and home modifications, computer equipment, generators, non-emergency medical transportation, over-the-counter drugs and supplies, and case management services not covered by Medicare.
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Adds provision allowing providers to appeal utilization review determinations to the department without exhausting administrative remedies before filing court action.
Legislative Description
Insurance: no-fault; procedures for paying PIP benefits; modify. Amends secs. 3142 & 3157a of 1956 PA 218 (MCL 500.3142 & 500.3157a) & adds sec. 3155.
Insurance: no-fault
Last Action
Bill Electronically Reproduced 06/28/2022
6/28/2022