SENATE BILL No. 454

 

 

May 1, 2003, Introduced by Senator GEORGE and referred to the Committee on Health Policy.

 

 

        

                                                                                

                                                                                

                                                                                

                                                                                

                                                                                

                                                                                

                                                                                

                                                                                

                                                                                

                                                                                

                                                                                

                                                                                

                                                                                

                                                                                

                                                                                

                                                                                

                                                                                

                                                                                

                                                                                

                                                                                

                                                                                

                                                                                

                                                                                

                                                                                 A bill to amend 1956 PA 218, entitled                                             

                                                                                

    "The insurance code of 1956,"                                               

                                                                                

    (MCL 500.100 to 500.8302) by adding section 3603.                           

                                                                                

                THE PEOPLE OF THE STATE OF MICHIGAN ENACT:                      

                                                                                

1       Sec. 3603.  (1) As used in this section:                                    

                                                                                

2       (a) "Carrier" means a health insurance company authorized to                

                                                                                

3   do business in this state, a health maintenance organization, a             

                                                                                

4   nonprofit health care corporation, a multiple employer welfare              

                                                                                

5   arrangement, or any other person providing a plan of health                 

                                                                                

6   insurance or coverage subject to state insurance regulation.                

                                                                                

7       (b) "Small employer" means any person, firm, corporation,                   

                                                                                

8   partnership, limited liability company, or association actively             

                                                                                

9   engaged in business who, on at least 50% of its working days                

                                                                                

10  during the preceding calendar year, operated as a sole proprietor           

                                                                                

11  or employed 99 or fewer eligible employees.  In determining the             

                                                                                


                                                                                

1   number of eligible employees, companies that are affiliated                 

                                                                                

2   companies or that are eligible to file a combined tax return for            

                                                                                

3   state taxation purposes are considered 1 employer.                          

                                                                                

4       (c) "Small employer carrier" means a carrier that offers                    

                                                                                

5   health benefit plans covering the employees of a small employer.            

                                                                                

6       (2) A small employer carrier may deny coverage to a small                   

                                                                                

7   employer if the small employer fails to enroll enough of its                

                                                                                

8   employees to meet the minimum participation rules established by            

                                                                                

9   the carrier pursuant to sound underwriting requirements.  A                 

                                                                                

10  minimum participation rule may require as a condition of coverage           

                                                                                

11  that a small employer enroll a certain number or percentage of              

                                                                                

12  employees with all small employer carriers providing coverage to            

                                                                                

13  the small employer.  A minimum participation rule for small                 

                                                                                

14  employers of 6 or more employees shall not require enrollment of            

                                                                                

15  more than 75% of the small employer's employees without health              

                                                                                

16  coverage through other group health coverage than that offered by           

                                                                                

17  the small employer.  A minimum participation rule for small                 

                                                                                

18  employers of fewer than 6 employees may require enrollment of up            

                                                                                

19  to 100% of the small employer's employees without health coverage           

                                                                                

20  through other group health coverage than that offered by the                

                                                                                

21  small employer.