Bill Text: MI HB5624 | 2015-2016 | 98th Legislature | Introduced

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Bill Title: Insurance; other; inclusion of health care service as a covered health care benefit by health care corporations; prohibit if required copayment or coinsurance exceeds a certain amount. Amends 1980 PA 350 (MCL 550.1101 - 550.1704) by adding sec. 421.

Spectrum: Partisan Bill (Republican 2-0)

Status: (Introduced - Dead) 2016-05-04 - Bill Electronically Reproduced 05/03/2016 [HB5624 Detail]

Download: Michigan-2015-HB5624-Introduced.html

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HOUSE BILL No. 5624

May 3, 2016, Introduced by Reps. Jacobsen and Callton and referred to the Committee on Insurance.

 

     A bill to amend 1980 PA 350, entitled

 

"The nonprofit health care corporation reform act,"

 

(MCL 550.1101 to 550.1704) by adding section 421.

 

THE PEOPLE OF THE STATE OF MICHIGAN ENACT:

 

     Sec. 421. (1) A health care corporation providing a nongroup

 

or group certificate shall not include a health care service as a

 

covered health care benefit under the terms and conditions of the

 

certificate or in any other communication concerning the

 

certificate if the copayment or coinsurance for the health care

 

service payable by the member is greater than 50% of the cost of

 

the health care service.

 

     (2) The director of the department of insurance and financial

 

services shall investigate and issue a ruling on all complaints

 

arising under this section.

 

     Enacting section 1. This amendatory act applies to a

 

certificate entered into after the date this amendatory act is

 

enacted into law. For a certificate in effect on or before the date

 

this amendatory act is enacted into law, this amendatory act

 

applies on the date the certificate is next extended, renewed, or

 

modified in any manner.

 

     Enacting section 2. This amendatory act takes effect 90 days

 

after the date it is enacted into law.