MCL - 218-1956-38

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Chapter 500
Act 218 of 1956
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THE INSURANCE CODE OF 1956 (EXCERPT)
Act 218 of 1956
Chapter 38
MEDICARE SUPPLEMENT POLICIES AND CERTIFICATES
Document Type Description
Section 500.3801 Section Chapter; definitions.
Section 500.3803 Section Applicability of chapter.
Section 500.3804 Section Repealed. 2018, Act 429, Eff. Mar. 20, 2019.
Section 500.3805 Section Medicare supplement policy; definitions.
Section 500.3807 Section Basic core package of benefits; standards for plans K and L; applicability of section.
Section 500.3807a Section Medicare supplement policies or certificates with effective date for coverage on or after June 1, 2010; basic core package of benefits.
Section 500.3808 Section Repealed. 2018, Act 429, Eff. Mar. 20, 2019.
Section 500.3809 Section Additional benefits; reimbursement for preventive screening tests and services; definitions; applicability of section.
Section 500.3809a Section Medicare supplement policies or certificates with effective date for coverage on or after June 1, 2010; additional benefits.
Section 500.3811 Section Basic core benefits; availability; sale of certain benefits prohibited; designations, structure, language, and format; other designations; requirements; applicability of section.
Section 500.3811a Section Medicare supplement policies or certificates with effective date for coverage on or after June 1, 2010; basic core benefits; availability; sale of certain benefits prohibited; structure, language, designation, and format; other designations; requirements.
Section 500.3811b Section Medicare supplement policies or certificates for newly eligible individuals after December 31, 2019; exceptions to standards and requirements.
Section 500.3813 Section Disability coverage; medicare supplement buyer's guide; applicability of section.
Section 500.3815 Section Outline of coverage; acknowledgment of receipt; compliance with notice requirements; substitute; language, written or electronic format, and required items.
Section 500.3817 Section Medicare select policies and certificates; definitions; requirements for issuance; plan of operation; filing, format, and contents; proposed changes; updated list of network providers; payment for covered services not available through network providers; disclosure; receipt of information; grievance procedure; report; availability of comparable or lesser benefits; continuation of coverage; requests for data by state or federal agencies.
Section 500.3819 Section Minimum standards; suspension of benefits and premiums; notice; reinstitution; offer to exchange 1990 standardized plan to 2010 plan.
Section 500.3819a Section Medicare supplement policies or certificates with effective date for coverage on or after June 1, 2010; minimum standards.
Section 500.3821 Section Issuance of policy to person not enrolled in medicare parts A and B prohibited; refund; interest.
Section 500.3823 Section Covered benefits more restrictive than benefits under medicare and required under state law prohibited; benefits for outpatient prescription drugs.
Section 500.3825 Section Preexisting diseases or conditions; waiver prohibited.
Section 500.3827 Section Duplicate benefits prohibited; application; statements and questions whether another policy in force; list of policies sold to applicant; notice regarding replacement coverage.
Section 500.3829 Section Denying or conditioning issuance based on health status, claims experience, receipt of health care, or medical condition of applicant prohibited; condition; exclusion of benefits based on preexisting conditions; reduction; creditable coverage.
Section 500.3829a Section Medicare supplement policies or certificates delivered, issued for delivery, or renewed on or after May 21, 2009; genetic test; definitions.
Section 500.3830 Section Eligible person; requirements.
Section 500.3830a Section Termination of contract or agreement; notice to individual.
Section 500.3831 Section Individual or group expense incurred hospital, medical, or surgical policies; right of continuation or conversion to medicare supplemental plan; request for coverage; exclusion from preexisting conditions; notice of availability of coverage; utilization of another insurer to write coverage.
Section 500.3833 Section Replacement policy; waiver of certain time periods.
Section 500.3835 Section Marketing procedures; determining appropriateness of recommended purchase or replacement; more than 1 policy prohibited; individual enrolled in medicare advantage; "notice to buyer" displayed.
Section 500.3837 Section Repealed. 2002, Act 304, Imd. Eff. May 10, 2002.
Section 500.3839 Section Renewal or continuation provision; effect of termination or replacement; elimination of outpatient prescription drug benefit.
Section 500.3841 Section Riders or endorsements; signed acceptance or agreement; additional premium; use of certain standards, terms, and words; filing of changes in medicare benefits; elimination of duplicate benefits; notice of modifications; notice requirements of medicare prescription drug, improvement, and modernization act of 2003.
Section 500.3843 Section Health insurance; notice; contents; applicability of subsection (1).
Section 500.3847 Section Advertising; filing copy with director.
Section 500.3849 Section Filing and approval requirements; deletion of outpatient prescription drug benefits; issuance of policy; use and change in premium rates; additional forms; availability; conditions and effect of discontinuance; combining forms for purposes of refund or credit calculation; compliance with federal law; “type” defined.
Section 500.3851 Section Aggregate benefits; rates, rating schedules, and rate revisions.
Section 500.3852 Section Benchmark ratio.
Section 500.3853 Section Refund or credit calculation; form; interest; due date.
Section 500.3855 Section Annual filing of rates, rating schedule, and supporting documentation; premium adjustments; public hearing for rate increase; failure to make premium adjustments.
Section 500.3857 Section Duties of insurer; certification of compliance with subsection (1)(a).
Section 500.3859 Section Prohibited conduct; violation as misdemeanor; penalty.
Section 500.3861 Section Probable cause of violation; notice of hearing; opportunity to confer and discuss; hearing; applicability of MCL 500.2038 to 500.2040; violation; penalty.