PocketLaw | Michigan Compiled Laws | Chapter 34 Disability Insurance

Chapter 34 Disability Insurance Policies (500.3400...500.3480)

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Section
500.3400

Definitions; Scope of Chapter, Exemptions, Exceptions.

Section
500.3401

Repealed. 2016, Act 276, Imd. Eff. July 1, 2016.

Section
500.3401a

Group Disability Insurance; Issuance; Filing and Approval of Form.

Section
500.3402

Disability Insurance Policy; Provisions Required.

Section
500.3402a

Group Disability Insurance Policy; Provisions Required.

Section
500.3402b

Group or Nongroup Disability Insurance Policy; Coordination of Benefits; Provision; Limitation; "Other Coverage" Defined; Payment by Each Insurer.

Section
500.3402c

Family Expense Insurance Policy.

Section
500.3402d

Blanket Disability Insurance; Coverage.

Section
500.3402e

Blanket Disability Insurance Policies; Issuance.

Section
500.3402f

Blanket Disability Insurance Policy; Provisions.

Section
500.3402g

Blanket Disability Insurance Policy; Certificate; Payment of Benefits.

Section
500.3402h

Legal Liability of Policyholder.

Section
500.3403

Health Insurance Policy Offering Dependent Coverage; Required Provisions; Denial Prohibited; Grounds.

Section
500.3404

Insurance Policy Issued for Delivery to Nonresident.

Section
500.3405

Prudent Purchaser Agreements With Providers of Hospital, Nursing, Medical, Surgical, or Sick-Care Services; Rates; Discrimination Prohibited; Optometry, Chiropractic, and Physical Therapy Service.

Section
500.3405a

Use of Most Favored Nation Clause.

Section
500.3406

Disability Insurance Policy; Provisions Required, Captions, Omissions, Substitutions.

Section
500.3406a

Reconstructive Surgery Following Mastectomy; Prosthetic Device.

Section
500.3406b

Coverage for Mental Health Services by Mental Health Care Provider.

Section
500.3406c

Hospice Care; Definition; Description of Coverage.

Section
500.3406d

Coverage for Breast Cancer Diagnostic Services, Breast Cancer Outpatient Treatment Services, and Breast Cancer Rehabilitative Services; Coverage for Breast Cancer Screening Mammography; Definitions.

Section
500.3406e

Coverage for Drug Used in Antineoplastic Therapy and Cost of Its Administration; Conditions.

Section
500.3406f

Repealed. 2016, Act 276, Imd. Eff. July 1, 2016.

Section
500.3406g

Repealed. 2016, Act 276, Imd. Eff. July 1, 2016.

Section
500.3406h

Eligibility of Parent for Dependent Coverage; Health Coverage of Child Through Noncustodial Parent; Duties of Insurer; Court or Administrative Order and Notice Required.

Section
500.3406i

Individual Eligible Under Title XIX of Social Security Act; Assignment of Rights of Insured to Department of Social Services.

Section
500.3406j

Insured or Applicant as Victim of Domestic Violence; Refusal to Provide Coverage Prohibited; Liability; "Domestic Violence" Defined.

Section
500.3406k

Emergency Health Services; Medically Necessary Coverage; "Stabilization" Defined.

Section
500.3406l

Medical Transportation Services; Reimbursement; Exception.

Section
500.3406m

Access by Insured to Obstetrician-Gynecologist.

Section
500.3406n

Access to Pediatric Care Services.

Section
500.3406o

Insurer Providing Prescription Drug Coverage; Formulary Restrictions; Expedited Review of Coverage for Nonformulary Alternative; Determination; Subject to 500.3406w.

Section
500.3406p

Establishment of Program to Prevent Onset of Clinical Diabetes Required; Survey; Coverages; "Diabetes" Defined.

Section
500.3406q

Off-Label Use of Approved Drug; Coverage; Conditions; Compliance; Use of Copayment, Deductible, Sanction, or Utilization Control; Limitation; Definitions.

Section
500.3406r

Coverage for Obstetrical and Gynecological Services by Physician or Nurse Midwife.

Section
500.3406s

Diagnosis and Treatment of Autism Spectrum Disorders; Coverage; Prohibition; Availability of Other Benefits; Conditions; Qualified Health Plan Offered Through American Health Benefit Exchange Pursuant to Federal Law; Short-Term or 1-Time Limited Duration Policy or Certificate; Prescription Drug Plan; Coordinated Benefits; Definitions.

Section
500.3406t

Synchronizing Insured's or Enrollee's Multiple Maintenance Prescription Drugs.

Section
500.3406u

Coverage for Prescription Eyedrops; Requirements; "Prescriber" Defined.

Section
500.3406v

Coverage for Emergency Supply of Insulin.

Section
500.3406w

Temporary Emergency and Early Refills for Prescription Drugs; Inapplicable After March 31, 2021.

Section
500.3407

Entire Contract; Changes.

Section
500.3407a

Conduct on Behalf of or Information Provided to Insured by Health Care Provider; Prohibition or Discouragement by Disability Insurer.

Section
500.3407b

Undergoing Genetic Testing as Condition of Issuing, Renewing, or Continuing Policy; Disclosure of Genetic Testing or Genetic Information; Definitions.

Section
500.3408

Time Limit on Certain Defenses; Incontestable Policy.

Section
500.3409

Disability Insurance Policy; Mandatory Notices as to Cancellation and Refund of Premium.

Section
500.3410

Grace Period; Provision Required.

Section
500.3411

Reinstatement; Provision Required.

Section
500.3412

Notice of Claim; Provision Required.

Section
500.3413

Claim Forms; Provision Required.

Section
500.3414

Proofs of Loss; Provision Required.

Section
500.3416

Time of Payment of Claims; Provision Required.

Section
500.3418

Payment of Claims; Provision Required.

Section
500.3420

Physical Examinations and Autopsy; Provision Required.

Section
500.3422

Legal Actions; Provision Required.

Section
500.3424

Change of Beneficiary; Provision Required.

Section
500.3425

Health Insurance Policy; Coverage for Intermediate and Outpatient Care for Substance Use Disorder Required; Charges, Terms, and Conditions; Reduction of Coverage; Deductibles and Copayment Provisions; Definitions.

Section
500.3426

Offer of Wellness Coverage by Insurer.

Section
500.3428

Provider Network.

Section
500.3430

Optional Policy Provisions; Insurance Commissioner's Approval.

Section
500.3432

Change of Occupation; Optional Provision.

Section
500.3434

Misstatement of Age; Optional Provision.

Section
500.3436

Other Insurance With Same Insurer; Optional Provision.

Section
500.3438

Insurance With Other Insurers; Optional Provision; Expense Incurred Benefits.

Section
500.3439

Repealed. 2016, Act 276, Imd. Eff. July 1, 2016.

Section
500.3440

Insurance With Other Insurers; Other Benefits.

Section
500.3444

Relation of Earnings to Insurance; Optional Provision.

Section
500.3446

Unpaid Premium; Optional Provision.

Section
500.3448

Cancellation; Optional Provision.

Section
500.3450

Conformity With State Statutes; Optional Provision.

Section
500.3452

Illegal Occupation or Criminal Activity; Optional Provision; Definitions.

Section
500.3454

Repealed. 1980, Act 429, Eff. Mar. 31, 1981.

Section
500.3460

Order of Certain Policy Provisions.

Section
500.3462

Third Party Ownership of Policy.

Section
500.3464

Foreign or Alien Insurers; Provision Required by Other State Law; Domestic Insurers; Provision Required by Other State or Country.

Section
500.3466

Filing Procedure; Insurance Commissioner, Regulatory Powers.

Section
500.3468

Provisions Violating Code; Construction of Noncomplying Policies and Provisions.

Section
500.3470

Age of Insured; Provision Regulations.

Section
500.3472

Open Enrollment Period; Prohibitions; Establishment of Reasonable Periods for Health Insurance Policies; Minimum Standards for Frequency and Duration of Open Enrollment Periods; Denial of Coverage.

Section
500.3474

Risk Classification; Rates; Filing Requirements.

Section
500.3474a

Premium Rate After January 1, 2014; Basis; Factors.

Section
500.3475

Reimbursement for Services by Licensed Psychologist, Podiatrist, or Chiropractor; Section Inapplicable to Policy Involving Prudent Purchaser Agreement.

Section
500.3476

Telemedicine Services; Provisions; Definitions.

Section
500.3477

Use of Financial Incentive or Payment to Act as Inducement to Deny, Reduce, Limit, or Delay Services; Prohibition; Exception.

Section
500.3480

Repealed. 1963, Act 127, Eff. Sept. 6, 1963.