Chapter 38 Medicare Supplement Policies and Certificates (500.3801...500.3861)

  1. Law
  2. Michigan Compiled Laws
  3. Insurance Code of 1956
  4. 218 of 1956 - The Insurance Code of 1956 (500.100 - 500.8302)
  5. Chapter 38 Medicare Supplement Policies and Certificates (500.3801...500.3861)

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Section
500.3801

Chapter; Definitions.

Section
500.3803

Applicability of Chapter.

Section
500.3804

Repealed. 2018, Act 429, Eff. Mar. 20, 2019.

Section
500.3805

Medicare Supplement Policy; Definitions.

Section
500.3807

Basic Core Package of Benefits; Standards for Plans K and L; Applicability of Section.

Section
500.3807a

Medicare Supplement Policies or Certificates With Effective Date for Coverage on or After June 1, 2010; Basic Core Package of Benefits.

Section
500.3808

Repealed. 2018, Act 429, Eff. Mar. 20, 2019.

Section
500.3809

Additional Benefits; Reimbursement for Preventive Screening Tests and Services; Definitions; Applicability of Section.

Section
500.3809a

Medicare Supplement Policies or Certificates With Effective Date for Coverage on or After June 1, 2010; Additional Benefits.

Section
500.3811

Basic Core Benefits; Availability; Sale of Certain Benefits Prohibited; Designations, Structure, Language, and Format; Other Designations; Requirements; Applicability of Section.

Section
500.3811a

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

Medicare Supplement Policies or Certificates for Newly Eligible Individuals After December 31, 2019; Exceptions to Standards and Requirements.

Section
500.3813

Disability Coverage; Medicare Supplement Buyer's Guide; Applicability of Section.

Section
500.3815

Outline of Coverage; Acknowledgment of Receipt; Compliance With Notice Requirements; Substitute; Language, Written or Electronic Format, and Required Items.

Section
500.3817

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

Minimum Standards; Suspension of Benefits and Premiums; Notice; Reinstitution; Offer to Exchange 1990 Standardized Plan to 2010 Plan.

Section
500.3819a

Medicare Supplement Policies or Certificates With Effective Date for Coverage on or After June 1, 2010; Minimum Standards.

Section
500.3821

Issuance of Policy to Person Not Enrolled in Medicare Parts a and B Prohibited; Refund; Interest.

Section
500.3823

Covered Benefits More Restrictive Than Benefits Under Medicare and Required Under State Law Prohibited; Benefits for Outpatient Prescription Drugs.

Section
500.3825

Preexisting Diseases or Conditions; Waiver Prohibited.

Section
500.3827

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

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

Medicare Supplement Policies or Certificates Delivered, Issued for Delivery, or Renewed on or After May 21, 2009; Genetic Test; Definitions.

Section
500.3830

Eligible Person; Requirements.

Section
500.3830a

Termination of Contract or Agreement; Notice to Individual.

Section
500.3831

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

Replacement Policy; Waiver of Certain Time Periods.

Section
500.3835

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

Repealed. 2002, Act 304, Imd. Eff. May 10, 2002.

Section
500.3839

Renewal or Continuation Provision; Effect of Termination or Replacement; Elimination of Outpatient Prescription Drug Benefit.

Section
500.3841

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

Health Insurance; Notice; Contents; Applicability of Subsection (1).

Section
500.3847

Advertising; Filing Copy With Director.

Section
500.3849

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

Aggregate Benefits; Rates, Rating Schedules, and Rate Revisions.

Section
500.3852

Benchmark Ratio.

Section
500.3853

Refund or Credit Calculation; Form; Interest; Due Date.

Section
500.3855

Annual Filing of Rates, Rating Schedule, and Supporting Documentation; Premium Adjustments; Public Hearing for Rate Increase; Failure to Make Premium Adjustments.

Section
500.3857

Duties of Insurer; Certification of Compliance With Subsection (1)(a).

Section
500.3859

Prohibited Conduct; Violation as Misdemeanor; Penalty.

Section
500.3861

Probable Cause of Violation; Notice of Hearing; Opportunity to Confer and Discuss; Hearing; Applicability of MCL 500.2038 to 500.2040; Violation; Penalty.