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MI SB0636

Bill

Status

Engrossed

6/26/2024

Primary Sponsor

Kevin Hertel

Click for details

Origin

Senate

102nd Legislature

AI Summary

  • Requires health insurers delivering or renewing policies in Michigan to provide written summaries in plain English describing coverage, cost-sharing, exceptions, and limitations in accordance with federal guidance.

  • Mandates insurers include specific information in policy summaries including uniform definitions, coverage examples, minimum essential coverage status, network provider access instructions, and formulary information.

  • Requires insurers to provide summaries to applicants within 7 business days of application, by first coverage date if information changes, within 30 days of renewal, and within 7 days of request.

  • Establishes requirements for insurers to disclose provider credentials, network information, prior authorization requirements, and financial relationships with providers upon insured request.

  • Takes effect only if Senate Bill No. 633 of the 102nd Legislature is enacted into law.

Legislative Description

Insurance: health insurers; health insurance policy; include provision related to Michigan health insurance exchange act. Amends sec. 2212a of 1956 PA 218 (MCL 500.2212a). TIE BAR WITH: SB 0633'23

Insurance: health insurers

Last Action

Referred To Committee On Insurance And Financial Services

6/26/2024

Committee Referrals

Insurance And Financial Services6/26/2024
Health Policy11/1/2023

Full Bill Text

No bill text available