Bill Text: MI HB5623 | 2015-2016 | 98th Legislature | Introduced
Bill Title: Insurance; health insurers; inclusion of health care service as a covered health care benefit; prohibit if required copayment or coinsurance exceeds a certain amount. Amends 1956 PA 218 (MCL 500.100 - 500.8302) by adding sec. 3402a.
Spectrum: Partisan Bill (Republican 1-0)
Status: (Introduced - Dead) 2016-05-04 - Bill Electronically Reproduced 05/03/2016 [HB5623 Detail]
Download: Michigan-2015-HB5623-Introduced.html
HOUSE BILL No. 5623
May 3, 2016, Introduced by Rep. Callton and referred to the Committee on Insurance.
A bill to amend 1956 PA 218, entitled
"The insurance code of 1956,"
(MCL 500.100 to 500.8302) by adding section 3402a.
THE PEOPLE OF THE STATE OF MICHIGAN ENACT:
Sec. 3402a. (1) A health insurer providing an expense-incurred
hospital, medical, or surgical policy or certificate delivered,
issued for delivery, or renewed in this state or a health
maintenance organization providing an individual or group contract
shall not include a health care service as a covered health care
benefit under the terms and conditions of the policy, certificate,
or contract or in any other communication concerning the policy,
certificate, or contract if the copayment or coinsurance for the
health care service payable by the insured or enrollee is greater
than 50% of the cost of the health care service.
(2) The director shall investigate and issue a ruling on all
complaints arising under this section.
Enacting section 1. This amendatory act applies to a policy,
certificate, or contract entered into after the date this
amendatory act is enacted into law. For a policy, certificate, or
contract in effect on or before the date this amendatory act is
enacted into law, this amendatory act applies on the date the
policy, certificate, or contract 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.
